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What is a Thump test?

Published in Physical Examination 2 mins read

The Thump test is a specific physical examination technique often used to assess the integrity or health of structures in the lower leg and ankle by applying a controlled force to the heel.

How is the Thump Test Performed?

Based on the provided reference, the Thump test is performed following a precise procedure to ensure consistent and relevant results. Here are the key steps:

  • Patient Position: The patient is positioned in a seated position.
  • Ankle Positioning: The patient's ankle should be relaxed. Due to gravity, the ankle will naturally be in a slightly plantar flexed position (pointed downwards).
  • Lower Leg Stabilization: The examiner stabilizes the patient's lower leg to prevent unwanted movement.
  • Application of Force: The examiner delivers a firm thump on the center of the calcaneus (heel bone).
  • Force Direction: The force of the thump should be directed precisely along the axis of the tibia (the larger bone in the lower leg, commonly known as the shin bone).

This method allows the examiner to transmit a specific force through the bone and surrounding tissues, observing the patient's reaction or sensation to help in diagnosis.

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