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Thomas Test
From WikiSM
Other Names
Clinical demonstration of a normal thomas test[1]
- Iliacus Test
- Iliopsoas Test
- Modified Thomas Test
Purpose
- Measure the flexibility of the Hip Flexors
- Named after Dr Hugh Owen Thomas[2]
Description
- Patient is supine
- Version 1
- The affected limb is flexed maximally to chest
- Unaffected limb left in extension/ resting position
- Important that lumbar lordosis is flattened out and pelvis is stabilized
- Version 2
- Maximal flexion of both knees towards chest
- Lower affected limb toward the table laterally while maintaining the unaffected limb in maximal flexion
- Measure the length of iliopsoas by the angle of hip flexion
- Positive results
- Unable to maintain their lower back or sacrum against the table on affected side
- Hip has a large posterior tilt (>15°)
- Knee unable to flex more than 80°
Modified Thomas Test
- Similar to standard Thomas test
- However, contralateral leg is allowed to hang down over the edge of the table
Pathology
- Iliotibial Band Tightness, associated with Iliotibial Band Syndrome
- Rectus Femoris Tightness
- Iliopsoas Tightness, associated with Hip Flexor Tendonitis
- Quads tightness, associated with Quadriceps Tendonitis
- Snapping Hip Syndrome
Evidence
- Needs to be updated
See Also
References
- ↑ Peeler, J., and Judy E. Anderson. "Reliability of the Thomas test for assessing range of motion about the hip." Physical Therapy
- ↑ Thomas HO. The classic. Diseases of the hip, knee and ankle joint with their deformities treated by a new and efficient method. Clin Orthop Relat Res. 1974 Jul-Aug;(102):4-9.
Created by:
John Kiel on 14 July 2019 22:59:43
Authors:
Last edited:
23 August 2023 00:18:58
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