Thomas Test | Iliopsoas Tightness

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This is not medical advice. The content is intended as educational content for health care professionals and students. If you are a patient, seek care of a health care professional. Kai demonstrates the Thomas Test for iliopsoas Tightness!

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What if the extended leg doesn't move much, but the groin of the knee that is against the chest hurts/is stretched.

lukasjaponicus

Smart AND handsome-seems like this physical therapist is a jackpot

karinamiller

How many types of Thomas tests are there? Some people are showing this test by the patient standing right on the edge of the table and lifting their knee and gradually falling back on the couch and then measuring by how much the other leg is extending straight, angular or perpendicular. So, which one is the correct Thomas Test, please? Thank you.

v.m.p.

isnt it more usefull to test this with the the lower leg (under the knee) hanging off the table, that way you can differentiate betweet Rectus Femoris and Iliopsoas as well?

lievenpaulus

Hi. I always like yours videos. But here my question is that u didn't check the obliteration of the lumbar lordosis by putting ur palmar hand under the lumbar spine of patient which is I think very necessary to tell the point to which u would flex the hips initially & then straighten the one hip. What is your opinion? Regards.

rehanwani

So do the patient here actually has a positive test?

GauravGiri.

It helped a lot. but, the video is short

tadelunadi

Are you raising the affected or unaffected leg ?

micheasmitchell

What muscles do we asses in the Thomas Test?

bartholomewallen

Is that patient Lucas Podolski of Germany?

lungisilefikizolo

If psoas shortness were the culprit in anterior tilt, one would expect to see a positive Thomas test concurrent with APT. I test many patients, athletes and clients in the Thomas position, and very very rarely find a positive outcome that correlates with an APT presentation.

Mark Comerford (among other Physiotherapists and researchers) assert that Anterior Pelvic Tilt stems from weakness of the psoas, rather than from shortness - despite long-standing conventional wisdom to the opposite.

I am curious. PhysioTutors, what are your thoughts on anterior pelvic tilt in asymptomatic and in LBP cohorts? Should it be assessed, with a view to correction? Is it a remarkable finding? Is it relevant?

democracymanifest

What in the Hella avi-ducting?..
Or whatever it is you said at 41 second

Add_Account

What is it he says could be happening to the straight leg? Sounds like "A B ducting" what dos that mean?

simonreilly

I don't know if you are going to read this but I need help. I am a soccer player and one day I didn't strech and also I didn't train for 2 months (it was summer), I shot the ball with full power and, heard a crack in my muscle and fell on the ground from pain. After 2 months of recovery I finnaly got back to soccer practice. Next time I had a big game against best team in our league. In the last minute of the game I wanted to pass long ball, my leg slipped and i heard a crack again. My leg was injured again... After a month of therapy I was back on the pitch and after 6 months of playing this april I went outside with friends to play football. Because of COVID-19 season was stopped for a month and I wasn't in form i shot the ball and my muscle cracked again, I didn't go on therapy and my muscle isn't ready for soccer yet. I googled what is the name of that muscle and I found this video. I am not sure if it is liopsoas or gluteus, but since you are a doctor, and your videos are great i think you can help me, and tell me how to treat and train that muscle so this never happens again. I also feel weakness now when i pass the ball and im too afraid to shoot. If you see this and reply thanks!

nikola.lukovic