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Hip SP Test

The document discusses two tests for assessing hip flexibility - the Thomas Test and Trendelenburg's Test. The Thomas Test examines the length of hip flexor muscles by bringing the knee to the chest. Trendelenburg's Test assesses pelvic stability by having the patient stand on one leg and raising the other leg, looking for any pelvic drop on the non-weight-bearing side.

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Alaa Adel
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24 views17 pages

Hip SP Test

The document discusses two tests for assessing hip flexibility - the Thomas Test and Trendelenburg's Test. The Thomas Test examines the length of hip flexor muscles by bringing the knee to the chest. Trendelenburg's Test assesses pelvic stability by having the patient stand on one leg and raising the other leg, looking for any pelvic drop on the non-weight-bearing side.

Uploaded by

Alaa Adel
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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Hip

Thomas Test
https://www.youtube.com/watch?v=4mnjUi-41fI

What is the Thomas Test?


The Thomas Test is a quick, simple
assessment used to examine the length of
the muscles involved in hip flexion.
Assessing their length can help you
determine the tightness of your client's
primary hip flexor muscles, including the
rectus femoris, illiopsoas and illiotibial
(IT) band. 
The patient is asked to lie supine.
The examiner then flexes one hip bringing the
knee to the chest and asks the patient to hold
the knee to help stabilize the pelvis and flatten
out the lumbar region.
If the leg that is being tested (the leg on the
table) does not have a hip flexion contraction
it will remain on the testing table. If a
contracture is present the leg will raise off of
the table. This is often measured if present.
The test can also be performed with the
starting position of both knees fully flexed to
the chest and slowly lowering the leg being
tested to see if the leg makes it to the table.
Lack of Full hip extension with knee flexion
less than 45° indicates iliopsoas tightness. If
full extension is reached in this position it
would indicates rectus femoris tightness. If
any hip external rotation is observed it may
indicate ITB tightness
Trendelenburg’s Test
https://www.youtube.com/watch?v=HE0lk5MVFEg

This test is used to determine whether


pelvic stability can be maintained by the
hip abductor muscles
 The patient stands on the test leg and
raises the other leg off the ground.
Normally the pelvis should tilt upward on
the non-weight-bearing side.
The test finding is abnormal if the pelvis
drops on the non-weight-bearing side.

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