Thomas Test

Purpose

Screen for Thomas findings.

Execution

1. 1Lie supine on a table with the pelvis neutral
2. 2Pull one knee to the chest
3. 3Keep the other leg relaxed on the table
4. 4Observe hip extension and knee position
5. 5Repeat on the other side

Key Observations

• Thigh should reach horizontal
• Knee flexion at least 80 deg
• Differentiate rectus femoris vs psoas

Views

• lateral

Protocol

1. 1Observe from: lateral.
2. 2Standardize start position and instructions.
3. 3Perform 2-3 trials per side when applicable.
4. 4Record key observations and any positive indicators.
5. 5Compare left vs right when applicable.

Reference

Hugh Owen Thomas