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What test is used to differentiate between tightness of the iliopsoas group and tightness of the rectus femoris?

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Final answer:

The Thomas Test is used to identify muscle tightness of the iliopsoas group versus the rectus femoris by positioning the patient's leg and assessing for movements indicating tightness in these specific muscle groups.

Step-by-step explanation:

Health professionals commonly use the Thomas Test to differentiate between tightness of the iliopsoas group and tightness of the rectus femoris. This test involves the patient lying on their back on an examination table with the edges of their buttocks slightly beyond the edge. The patient brings one knee to their chest to flatten out the lumbar spine, while the other leg remains flat on the table. If the thigh of the straight leg lifts off the table, it indicates tightness in the iliopsoas group because these muscles are responsible for flexing the thigh at the hip and assist in maintaining posture.

In contrast, to assess for rectus femoris tightness, the knee of the straight leg is flexed. If it is difficult to flex the knee or the thigh lifts off the table during this part of the test, tightness in the rectus femoris is likely since this muscle is a part of the quadriceps femoris group that extends the knee and is also involved in hip flexion. Therefore, the Thomas Test helps identify which muscle group may be responsible for reduced flexibility or hip function, aiding in the development of targeted treatment plans for patients.

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