Exam

Thomas Test

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Thomas Test, Thomas Sign

  • Indications
  1. Evaluation for hip flexor tightness
  • Technique
  1. Patient sits at end of exam table with knees bent over the edge of the table
  2. Patient lies back supine with one knee held to chest and avoiding any Pelvis rotation
  3. Observe position of opposite thigh (one with knee not held against chest) against the table
  • Interpretation
  1. Opposite thigh and leg should lie flush with the table
  2. Abnormal if the opposite thigh is flexed off the surface of the table
    1. Suggests hip flexor tightness