What is the purpose of the Ely Heel to Buttock Test?

• A. To assess for hip fractures
• B. To rule out pelvic instability
• C. To evaluate hip flexor tightness
• D. To check non-specific lumbar/sacroiliac involvement

Answer: (D)

The Ely Heel to Buttock Test is primarily designed to evaluate hip flexor tightness. During this test, the patient is asked to bring their heel towards their buttock while lying prone. If the heel cannot reach the buttock, it may indicate tightness in the rectus femoris muscle, which is one of the hip flexors. This test is helpful in identifying restrictions in movement and can provide insight into muscle imbalances or tightness that may impact a patient's range of motion and functional mobility.

Although the purpose of the Ely test is not specifically related to assessing for hip fractures, ruling out pelvic instability, or checking general lumbar or sacroiliac involvement, it can indirectly highlight issues with flexibility that may contribute to broader musculoskeletal problems. However, its primary focus remains on revealing tightness in the hip flexors, making the assessment of hip flexor tightness the most accurate interpretation of the test's intended purpose.