Traditionally the role of orthopedic testing is to define a treatable pathology (e.g. Lachman's for ACL), this has a role in orthopedic medicine and acute injuries, but as massage therapists we are often seeing injuries in the chronic phase. These injuries cannot as easily be defined solely by tissue damage, patients often suffer from multiple ongoing issues, such as post traumatic arthritis of the knee, anterior hip impingement, disc herniation, which is often compounded with peripheral and central sensitization.