Reliability of the Thomas test for assessing range of motion about the hip

Peeler, Jason; Anderson, Judy E.

doi:10.1016/j.ptsp.2006.09.023

Cited by 56 publications

(49 citation statements)

References 17 publications

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“…This value means that the hip joint is in flexion. Similar to our study, Peeler reported that hip joint range of motion using the TT observed an average flexion of 7 ± 2 14) . In contrast, values from Harvey's study showed measures of approximately −11° from horizontal for the femur in the MTT 5) .…”

Section: Discussionsupporting

confidence: 91%

“…14) and for the MTT (intra-rater ICC = 0.67, inter-rater ICC = 0.50) 6) . Our method to measure the distance between the examination table and popliteal fossa might show better reliability compared to these previous studies using a goniometer.…”

Section: Discussionmentioning

confidence: 97%

“…Examining iliopsoas muscle flexibility using MTT uses the end of an examination table and a goniometer, so it was not convenient to use in a sports setting. While the TT is a method developed to evaluate flexion contracture in childhood hip joint disease 13) , it has been applied to evaluate hip flexion contracture in athletes 3,14) . Ohba measured iliopsoas muscle flexibility of a junior soccer player using the TT as a convenient method in a sports setting 3) .…”

Section: Discussionmentioning

confidence: 99%

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Lumbar lordotic angle and pelvic tilt angle in the simple modified Thomas test position are easier to assess than those in the Thomas test position: A radiographic study

Takenaka

Kamiya

Suzuki

et al. 2017

JPFSM

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The purpose of this study was to compare the lumbar lordotic angle (LL) and pelvic tilt angle (PT) in the simple modified Thomas test (SMTT) position with LL and PT in the Thomas test (TT) position. Participants (n = 20) were between the ages of 23 and 39 and had no history of trauma. LL and PT were measured by X-ray radiographs under three conditions: the SMTT position, TT position, and supine position. At the same time, the distance between the examination table and the popliteal fossa was measured with a ruler. These measurements were compared by one-way analysis of variance. LL (14.6 ± 6.7 degrees [°]) in the SMTT position was significantly lower than in the TT position (18.6 ± 6.6 °) (p < 0.01). PT (33.5 ± 7.6 °) in the SMTT position was significantly higher than in the TT position (31.3 ± 6.9 °) (p < 0.05). The distance between the examination table and the popliteal fossa in the SMTT position (100 ± 37.7 mm) was significantly higher than in the TT position (73.5 ± 27.4 mm) (p < 0.01). These results suggest that LL and PT in the SMTT position are easier to assess than those in the TT position.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Lumbar lordotic angle and pelvic tilt angle in the simple modified Thomas test position are easier to assess than those in the Thomas test position: A radiographic study

Takenaka

Kamiya

Suzuki

et al. 2017

JPFSM

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“…Intraclass correlation coefficients (ICCs) were calculated to evaluate the intrarater (ICC [3,1]) and interrater (ICC [2,1]) reliability of goniometer scoring. 20,24 Intrarater and interrater reliability of pass/fail scoring was measured using a k statistic. This statistic uses a simple index of agreement, which is called percent agreement, to measure how often raters agree on scoring for each participant.…”

Section: Discussionmentioning

confidence: 99%

“…19,20 Participants were instructed to wear shorts and T-shirts for all assessments. They were also instructed to refrain from exercise for a minimum of 4 hours before each testing session and to avoid starting new sporting or training activities during their 7 to 10 days of involvement in the study.…”

Section: Methodsmentioning

confidence: 99%

Reliability Limits Of The Modified Thomas Test For Assessing Rectus Femoris Muscle Flexibility About The Knee Joint

Peeler

Anderson

2008

Journal of Athletic Training

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Context:The modified Thomas test is commonly used in the clinical setting to assess flexibility about the thigh region.Objective: To evaluate the clinical reliability of the modified Thomas test for evaluating the flexibility of the rectus femoris muscle about the knee joint.Design: Descriptive laboratory study using a test-retest design. Setting: Institution-based clinical orthopaedic setting.Patients or Other Participants: Fifty-seven individuals between the ages of 18 and 45 years with no history of trauma participated. Of those, 54 completed the study.Intervention(s): Three Board-certified athletic therapists with an average of 12.67 years of sport medicine expertise assessed rectus femoris flexibility using pass/fail and goniometer scoring systems. A retest session was completed 7 to 10 days later.Main Outcome Measure(s): Parametric and nonparametric tests were used to compare participants' test-retest results.Results Conclusions: These results call into question the statistical reliability of the modified Thomas test and provide clinicians with important information regarding its reliability limits when used to clinically assess flexibility of the rectus femoris muscle about the knee joint in a physically active population. More research is needed to ascertain the variables that may confound the statistical reliability of this orthopaedic technique.

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