Thomas Hip Flexion Screen

Screen Thomas-test thigh rise while checking sufficient knee flexion.

Description

Thomas-test screening combines thigh elevation with a minimum knee-flexion condition.

Thomas-test screening combines thigh elevation with a minimum knee-flexion condition. The flag requires both comparisons to hold.1

Screen Thomas-test thigh rise while checking sufficient knee flexion.

When to use Thomas Hip Flexion Screen

Use this tool to screen Thomas-test thigh rise while checking sufficient knee flexion.

Prepare the measured movement, timing, load or preassigned score requested. Keep protocols, units, paired measurements and caller-selected thresholds consistent.

How to use Thomas Hip Flexion Screen and understand its results

  1. Prepare the measured movement, timing, load or preassigned score requested. Keep protocols, units, paired measurements and caller-selected thresholds consistent.
  2. Enter thighElevationDegrees, maximumElevationDegrees, kneeFlexionDegrees, minimumKneeFlexionDegrees using the field table and calculation rules, then run the tool.
  3. Read thighExcessDegrees, hipFlexionLimitFlag. The explanation below defines the units, signs, ordering and any flags or placeholder values.
  4. If the tool reports an input issue, correct the values and run it again. Apply the stated assumptions when interpreting a successfully returned result.
Input fieldMeaningValue type; see rules belowRequirement
thighElevationDegreesThigh elevation degreesnumberRequired
maximumElevationDegreesMaximum elevation degreesnumberRequired
kneeFlexionDegreesKnee flexion degreesnumberRequired
minimumKneeFlexionDegreesMinimum knee flexion degreesnumberRequired

Enter finite measured angles and nonnegative screening cutoffs. Return thigh-minus-maximum excess and combined flag. Signed measured angles are accepted.

flag=thighElevation>maximum AND kneeFlexion≥minimum

Units, indexing, boundary conditions and exceptional cases are defined in the calculation rules above.

Output fieldMeaningValue type
thighExcessDegreesThigh excess degreesnumber
hipFlexionLimitFlagHip flexion limit flagboolean
json
{
  "input": {
    "thighElevationDegrees": 15,
    "maximumElevationDegrees": 5,
    "kneeFlexionDegrees": 80,
    "minimumKneeFlexionDegrees": 70
  },
  "output": {
    "thighExcessDegrees": 10,
    "hipFlexionLimitFlag": true
  }
}

Limitations and assumptions

No examination technique, muscle-specific diagnosis or clinical cutoff is established.

Numeric inputs must be finite. Follow the calculation-specific rules for overflow, underflow and exceptional cases. Missing required fields, extra fields, wrong value types and violations of the calculation rules are input errors. A successfully returned false flag is an evaluated outcome; its meaning is explained above.

Alternative or Complementary methods

Use Shoulder Rotation Arc: Sum shoulder internal/external rotation arc and compare with a caller target. For a complementary task, use Knee Wall Dorsiflexion Screen: Screen knee-to-wall ankle dorsiflexion against a supplied minimum distance.

References

  1. Thomas Hip Flexion Screen — tool.io

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