Thomas Test: Difference between revisions
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<div class="editorbox"> | <div class="noeditbox">Welcome to [[Vrije Universiteit Brussel Evidence-based Practice Project|Vrije Universiteit Brussel's Evidence-based Practice project]]. This space was created by and for the students in the Rehabilitation Sciences and Physiotherapy program of the Vrije Universiteit Brussel, Brussels, Belgium. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!</div><div class="editorbox"> | ||
'''Original Editor '''- [[User:Tyler Shultz|Tyler Shultz]] | '''Original Editor '''- [[User:Tyler Shultz|Tyler Shultz]], [[User:Aurelie Canas-Perez|Aurelie Canas-Perez]] | ||
'''Lead Editors''' - Your name will be added here if you are a lead editor on this page. [[Physiopedia:Editors|Read more.]] | '''Lead Editors''' - Your name will be added here if you are a lead editor on this page. [[Physiopedia:Editors|Read more.]] | ||
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== Purpose<br> == | == Purpose<br> == | ||
The Thomas Test is used to assess the flexibility of the [http://www.rad.washington.edu/academics/academic-sections/msk/muscle-atlas/lower-body/iliacus iliopsoas] muscle complex.<br> | |||
== Technique<ref>Dutton M. Orthopaedic: Examination, evaluation, and intervention. 2nd ed. New York: The McGraw-Hill Companies, Inc; 2008.fckLRfckLR</ref><br> == | |||
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.<br> | |||
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 [http://www.rad.washington.edu/academics/academic-sections/msk/muscle-atlas/lower-body/rectus-femoris rectus femoris] is considered tight<ref>Janda V. Muscle function testing. London: Butterworths; 1983.fckLRfckLR</ref>. | |||
== Key Research == | == Key Research == | ||
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== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed]) == | == Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed]) == | ||
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== References == | == References == | ||
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<references /> | <references /> | ||
[[Category:Articles]] [[Category:Condition]] [[Category:Musculoskeletal/Orthopaedics]] [[Category:Hip]] | [[Category:Vrije_Universiteit_Brussel_Project]] [[Category:Articles]] [[Category:Condition]] [[Category:Musculoskeletal/Orthopaedics]] [[Category:Hip]] | ||
Revision as of 12:55, 9 November 2010
Welcome to Vrije Universiteit Brussel's Evidence-based Practice project. This space was created by and for the students in the Rehabilitation Sciences and Physiotherapy program of the Vrije Universiteit Brussel, Brussels, Belgium. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!
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]
add text here related to databases searched, keywords, and search timeline
Definition/Description[edit | edit source]
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Clinically Relevant Anatomy[edit | edit source]
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Purpose
[edit | edit source]
The Thomas Test is used to assess the flexibility of the iliopsoas muscle complex.
Technique[1]
[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[2].
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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