{"id":163531,"date":"2026-07-24T09:00:57","date_gmt":"2026-07-24T09:00:57","guid":{"rendered":"https:\/\/pabau.com\/?p=163531"},"modified":"2026-08-13T13:02:47","modified_gmt":"2026-08-13T13:02:47","slug":"hip-flexor-strain-test","status":"publish","type":"post","link":"https:\/\/pabau.com\/es\/blog\/hip-flexor-strain-test\/","title":{"rendered":"Hip flexor strain test: Thomas Test, FADIR, and clinical grading"},"content":{"rendered":"
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Hip flexor strain test: the Thomas Test is the primary clinical tool for identifying iliopsoas and rectus femoris tightness or contracture, confirmed by a thigh that rises off the table when one leg is lowered.<\/p>\n <\/div>\n

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Three grades of hip flexor strain exist; grading without imaging carries uncertainty, so clinical findings should be documented alongside functional limitations rather than isolated test results.<\/p>\n <\/div>\n

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FADIR and manual muscle testing complement the Thomas Test; no single test rules in or out a hip flexor strain, and the combination of ROM, strength, and provocation findings builds the clinical picture.<\/p>\n <\/div>\n

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Pabau’s structured patient records and digital intake forms help sports medicine and physiotherapy practices document Thomas Test findings, ROM measurements, and rehab milestones in a single workflow.<\/p>\n <\/div>\n <\/div>\n <\/div>\n \n\n\n

Hip flexor injuries are among the most frequently missed diagnoses in clinical musculoskeletal assessment. Anterior hip pain gets attributed to groin pulls, lumbosacral referral, or hip labral pathology, while the underlying hip flexor strain goes undocumented and undertreated.<\/p>\n\n\n\n

A systematic review published in the journal Sports Medicine<\/a> found that sports-related groin pain accounts for 12% to 18% of all sports injuries each year, and hip flexor pathology is frequently implicated alongside labral and adductor-related causes.<\/p>\n\n\n\n

Clinicians working in sports medicine practice management<\/a> know the diagnostic challenge well: the pain location is non-specific, the tests require precise technique, and symptom overlap with differential diagnoses is substantial.<\/p>\n\n\n\n

This guide covers the full hip flexor strain test battery used in physiotherapy and sports medicine: the Thomas Test as the primary assessment, the FADIR as a provocation complement, and resisted hip flexion combined with ROM measurement to complete the clinical picture. It also covers grading criteria, differential diagnosis, documentation workflows, and treatment pathways by grade.<\/p>\n\n\n\n

Hip flexor strain test: Anatomy and the muscles you are assessing<\/h2>\n\n\n\n

Running an accurate hip flexor strain test requires knowing which structures you are loading. Three muscle groups dominate the anterior hip and are most frequently strained.<\/p>\n\n\n\n