Thomas test

The Thomas test (Thomas sign) is the patient's supine position, examining the hip flexion angle, often used to diagnose hip stiffness, rigidity or iliopsoas. Basic Information Specialist classification: growth and development check classification: other inspection Applicable gender: whether men and women apply fasting: not fasting Analysis results: Below normal: Normal value: no Above normal: negative: Negative: The hips are fully extended and there is no lordosis at the waist. Positive: Positive: Even the waist is attached to the bed. If the hip is not fully extended, or if it can be straightened, but the lordosis appears at the waist, the test is positive. The hip flexion angle was recorded and found in hip stiffness, stiffness or iliopsoas. Tips: Check your relaxation, you should face it positively and actively cooperate with the inspection. Normal value The result of the test was negative: the hips were completely straight and there was no lordosis at the waist. Clinical significance Abnormal results: The result of the test was positive, even if the waist was attached to the bed. If the hip is not fully extended, or if it can be straightened, but the lordosis appears at the waist, the test is positive. The hip flexion angle was recorded and found in hip stiffness, stiffness or iliopsoas. People who need to be examined: people with abnormal waist activity and people with pain. Positive results may be diseases: hip osteoarthritis, hip joint tuberculosis, dislocation of the hip Taboo before inspection: no special contraindications. Requirements for inspection: Check the feelings of relaxation, should face positively, and actively cooperate with the inspection. Inspection process The patient was placed supine, and the examiner placed one hand on the patient's waist and palms up. Such as the flexion of the hip joint 60 ° ~ 90 °, can reduce the anterior protrusion of the spine. The contralateral hip and knee joints are flexed as much as possible, so that the thighs are attached to the torso, the hands are clasped to the knee joints, and the waist is attached to the bed surface. Not suitable for the crowd Inappropriate crowd: None. Adverse reactions and risks Nothing.

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