Thomas Test

Authors
Affiliations

Nate Yomogida, B.S., SPT

Doctor of Physical Therapy

B.S. in Kinesiology

Chloë Kerstein, B.S., SPT

Doctor of Physical Therapy

B.A. in Neuroscience

Modified Thomas Test

Note

See

Contract-Relax Technique

contract-relax

  • Position the patient at the end of the table with their tailbone at the end of the table.

  • Place the contralateral foot on your chest/shoulder and your contralateral hand in the popliteal space on their thigh.

  • Hook your inside leg around their ipsilateral lower leg, with your knee on the inside of their knee, but your foot on the outside of their foot.

    • This will allow you to control the amount of ipsilateral knee flexion.

  • Place your inside hand on on the superomedial aspect of their knee.

  • Press their contralateral hip into flexion and their ipsilateral hip into extension.

  • Vary your pressure until you find the end feel.

  • Have the patient extend their ipsilateral knee then move into flexion + adduction against your manual resistance for 3-5 seconds.

  • Have the patient relax and try to sink in until you reach the end feel.

Strain Counterstrain

References

1.
Wong SE, Cogan CJ, Zhang AL. Physical Examination of the Hip: Assessment of Femoroacetabular Impingement, Labral Pathology, and Microinstability. Current Reviews in Musculoskeletal Medicine. 2022;15(2):38-52. doi:10.1007/s12178-022-09745-8
2.
Cook G, Burton L, eds. Movement: Functional Movement Systems ; Screening, Assessment and Corrective Strategies. On Target Publ. [u.a.]; 2010.

Citation

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