Thomas Test: Difference between revisions
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== Clinically Relevant Anatomy == | == Clinically Relevant Anatomy == | ||
<u><span lang="EN" style="mso-ansi-language: EN"> Iliopsoas</span> muscle group<ref>↑ D Harvey. Assessment of the flexibility of elite athletes using the modified Thomas test. Br J Sports Med 1998 32: 68-70.</ref></u> | <u><span lang="EN" style="mso-ansi-language: EN"> Iliopsoas</span> muscle group<ref>↑ D Harvey. Assessment of the flexibility of elite athletes using the modified Thomas test. Br J Sports Med 1998 32: 68-70.</ref></u> | ||
<span lang="EN" style="mso-ansi-language:EN">M.iliopsoas | <span lang="EN" style="mso-ansi-language:EN">M.iliopsoas: Main | ||
function → thigh</span><span class="wordentry1"><span lang="EN-US"> flexion</span></span><span lang="EN-US"> </span><span lang="EN" style="mso-ansi-language:EN"><span style="mso-spacerun:yes"> </span><br> <span style="mso-spacerun:yes"> | function → thigh</span><span class="wordentry1"><span lang="EN-US"> flexion</span></span><span lang="EN-US"> </span><span lang="EN" style="mso-ansi-language:EN"><span style="mso-spacerun:yes"> </span><br> <span style="mso-spacerun:yes"> </span></span><span class="wordentry1"><span lang="EN-US">Additional | ||
feature</span></span><span lang="EN" style="mso-ansi-language:EN">→</span><span class="wordentry1"><span lang="EN-US">external rotation</span></span> | feature</span></span><span lang="EN" style="mso-ansi-language:EN">→</span><span class="wordentry1"><span lang="EN-US">external rotation</span></span> | ||
<span lang="EN" style="mso-ansi-language:EN">M. Rectus Femoris | <span lang="EN" style="mso-ansi-language:EN">M. Rectus Femoris: Main | ||
function → thigh</span><span class="wordentry1"><span lang="EN-US"> flexion</span></span><span lang="EN-US"> </span><span lang="EN" style="mso-ansi-language:EN"><span style="mso-spacerun:yes"> </span><span style="mso-spacerun:yes"> </span><br> <span style="mso-spacerun:yes"> | function → thigh</span><span class="wordentry1"><span lang="EN-US"> flexion</span></span><span lang="EN-US"> </span><span lang="EN" style="mso-ansi-language:EN"><span style="mso-spacerun:yes"> </span><span style="mso-spacerun:yes"> </span><br> <span style="mso-spacerun:yes"> </span></span><span class="wordentry1"><span lang="EN-US">Additional | ||
feature</span></span><span lang="EN" style="mso-ansi-language:EN">→</span><span class="wordentry1"><span lang="EN-US">knee | feature</span></span><span lang="EN" style="mso-ansi-language:EN">→</span><span class="wordentry1"><span lang="EN-US">knee | ||
extension</span></span><span lang="EN" style="mso-ansi-language:EN"><span style="mso-spacerun:yes"> </span><br>M. Tensor Fascia Latae | extension</span></span><span lang="EN" style="mso-ansi-language:EN"><span style="mso-spacerun:yes"> </span><br>M. Tensor Fascia Latae: Main function → thigh</span><span class="wordentry1"><span lang="EN-US"> flexion</span></span><span lang="EN-US"> </span><span lang="EN" style="mso-ansi-language:EN"><span style="mso-spacerun:yes"> </span><br> <span style="mso-spacerun:yes"> </span></span><span class="wordentry1"><span lang="EN-US">Additional | ||
feature</span></span><span lang="EN" style="mso-ansi-language:EN">→</span><span class="wordentry1"><span lang="EN-US">internal rot., abduction<span style="mso-spacerun:yes"> </span></span></span><span lang="EN" style="mso-ansi-language:EN"> | feature</span></span><span lang="EN" style="mso-ansi-language:EN">→</span><span class="wordentry1"><span lang="EN-US">internal rot., abduction<span style="mso-spacerun:yes"> </span></span></span><span lang="EN" style="mso-ansi-language:EN"> | ||
</span> | </span> | ||
M. Sartorius | M. Sartorius: Main function → thigh<span class="wordentry1"><span lang="EN-US"> flexion</span></span><span lang="EN-US"> </span><span lang="EN" style="mso-ansi-language:EN"><span style="mso-spacerun:yes"> </span><br> <span style="mso-spacerun:yes"> </span><span style="mso-spacerun:yes"> </span></span><span class="wordentry1"><span lang="EN-US">Additional | ||
feature</span></span><span lang="EN" style="mso-ansi-language:EN">→knee flexion</span> | feature</span></span><span lang="EN" style="mso-ansi-language:EN">→knee flexion</span> | ||
Revision as of 18:52, 31 January 2011
Original Editor - Tyler Shultz, Aurelie Canas-Perez
Lead Editors - Your name will be added here if you are a lead editor on this page. Read more.
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]
Iliopsoas muscle group[3]
M.iliopsoas: Main
function → thigh flexion
Additional
feature→external rotation
M. Rectus Femoris: Main
function → thigh flexion
Additional
feature→knee
extension
M. Tensor Fascia Latae: Main function → thigh flexion
Additional
feature→internal rot., abduction
M. Sartorius: Main function → thigh flexion
Additional
feature→knee flexion
Purpose
[edit | edit source]
The Thomas Test is used to assess the flexibility of the iliopsoas muscle complex.
Technique[4]
[edit | edit source]
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[5].
Key Research[edit | edit source]
add links and reviews of high quality evidence here (case studies should be added on new pages using the case study template)
Resources
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add appropriate resources here
Clinical Bottom Line[edit | edit source]
add text here
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
- ↑ ↑ D Harvey. Assessment of the flexibility of elite athletes using the modified Thomas test. Br J Sports Med 1998 32: 68-70.
- ↑ 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