LE Muscle Length Tests Skill Check

Thomas test

>10 degrees of hip extension

when doing the thomas test and testing the iliopsoas what is considered a negative test?

>80 degrees of knee flexion

when doing the thomas test and testing the rectus abdominis what is considered a negative test?

IR and ABD of hip

what signifies that the TFL/glutes/capsule is tight during the thomas test?

ER and flexion of hip

what signifies that the sartorius is tight during the thomas test?

hip ADD

what signifies that the gracilis/adductors are tight during the thomas test?

straight leg raise

80 degrees or more of hip flexion

what is considered a negative test for the SLR test?

glutes

if the patient gets the same range with their knee bent when doing a SLR test what is tight instead of the hamstrings?

ober test

10 degrees or more of hip add

what is considered a negative ober test?

TFL/IT

what muscle(s) does the ober test measure for tightness?

iliopsoas, rectus femoris, TFL, and sartorius

what muscles does the thomas test measure for tightness?

modified ober test

Everything is the same except knee is held in extension.

Used to reduce strain in the medial aspect of the knee joint, to reduce tension on the patella and to reduce the influence of a tight two-joint rectus femoris muscle.

hip extensors

what muscle does the SLR test assess for tightness?

alternate ober test

patient in prone

knee flexed to 90 and ABD hip

hand on pelvis and watch/feel for rotation

ADD leg and stop when pelvis tilts

uses PSIS as your landmark for goni and movement arm in line with femur

10 degrees of hip add

what is a negative result for the alternate ober test?

ely test

stop when pelvis lifts off or when resistance is met

rectus femoris

what muscle does the ely test test for tightness?

> 90 degrees of knee flexion

what is a negative test for the ely test?

popliteal angle

stop until you can't go further with resistance

have hand behind knee to make sure they stay at 90

150 degrees or more (30 degrees or less)

what is a negative test for the popliteal angle?

firm

what is the normal end feel for popliteal angle?