Thomas Test: Difference between revisions
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== Definition/Description == | == Definition/Description == | ||
Patient should be lied on his back and must then maximally flex both knees, using both arms. Then he has to lower one limb toward the table. <ref> | Patient should be lied on his back and must then maximally flex both knees, using both arms. Then he has to lower one limb toward the table. <ref>↑ D Harvey. Assessment of the flexibility of elite athletes using the modified Thomas test. Br J Sports Med 1998 32: 68-70.</ref><ref>Jeff G. Konin, Holly Brader. Lumbar Spine Special tests for orthopedic examination. Third edition. USA. Slack Incorporated. 2006.p170</ref> | ||
== Clinically Relevant Anatomy == | == Clinically Relevant Anatomy == | ||
Revision as of 18:41, 31 January 2011
Original Editor - Tyler Shultz, Aurelie Canas-Perez
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Search Strategy[edit | edit source]
Databases: Pubmed, ISI Web of Knowledge, Dynamic Chiropractic, Internet.
Keywords: Thomas test, Iliacus test, iliopsoas muscle group length measurement.
Definition/Description[edit | edit source]
Patient should be lied on his back and must then maximally flex both knees, using both arms. Then he has to lower one limb toward the table. [1][2]
Clinically Relevant Anatomy[edit | edit source]
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Purpose
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The Thomas Test is used to assess the flexibility of the iliopsoas muscle complex.
Technique[3]
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The patient should be positioned in supine, with one knee flexed and being held to the chest at the point when the lumbar spine begins to flex. The therapis assesses the thigh of the opposite leg to determine if it maintains full contact with the treatment surface. If the thigh is raised off the table, this test is considered to be positive.
A modified version of this test, the Modified Thomas Test, is commonly used. The patient is positioned in supine at the very edge of the treatment table. The patient is asked to bring both knees to his/her chest. While in this position, the patient is to perfrom a posterior pelvic tilt. While the contralateral hip is held in maximum flexion the tested limb is lowerd back towards the floor. This test is positive for iliopsoas muscle tightness if the thigh is raised off the table. If the knee extends when an extension force is applied to the hip, then the rectus femoris is considered tight[4].
Key Research[edit | edit source]
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Resources
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Clinical Bottom Line[edit | edit source]
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Recent Related Research (from Pubmed)[edit | edit source]
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References[edit | edit source]
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- ↑ ↑ D Harvey. Assessment of the flexibility of elite athletes using the modified Thomas test. Br J Sports Med 1998 32: 68-70.
- ↑ Jeff G. Konin, Holly Brader. Lumbar Spine Special tests for orthopedic examination. Third edition. USA. Slack Incorporated. 2006.p170
- ↑ Dutton M. Orthopaedic: Examination, evaluation, and intervention. 2nd ed. New York: The McGraw-Hill Companies, Inc; 2008.fckLRfckLR
- ↑ Janda V. Muscle function testing. London: Butterworths; 1983.fckLRfckLR
