Adson's Maneuver |
Examination type |
This test is to
test for thoracic outlet syndrome |
Patient & Body Segment Positioning |
The patient is
either seated or standing. Their arm needs to be easy accessible
to the examiner. |
Examiner Position |
The examiner is
behind the patient. Behind and towards the side a little. The
examiner has to be able to get to the radial pulse of the
patient. |
Performing the Test |
The examiner
starts off by finding the radian pulse of the patient. Once the
pulse is found the examiner will abduct, extend, and externally
rotate the arm. The patient is then instructed to take a deep
breath and turn their hand towards the involved shoulder. |
Tissues
Being Tested |
Testing for
Thoracic outlet syndrome. (Group of symptoms resulting from
compression of the thoracic neurovascular bundle, which includes
the brachial plexus and subclavian artery and vein) The arm. The
lower part where the radial pulse is. The shoulder is used to
move the arm. |
Positive Test |
If there is a
positive test there will be a diminishing of the pulse or a
complete disappearance. |
Interpretation |
A positive test
for the adson’s maneuver signals thoracic outlet syndrome |
Common errors in
performing exam |
A common error
in performing this test is that the radial pulse is not held as
the arm is moved. Some people will turn the arm internally
instead of externally. |
Factors possibly
resulting in misinterpretation |
A
misinterpretation of this test is that a positive test has
sometimes been found on a healthy person. |
Related tests |
Roos Test,
Wright Test or Maneuver, Costoclavicular Syndrome Test,
Provocative Elevation Test, Shoulder Girdle Passive Elevation,
Halstead Maneuver. |
References |
Booker, James M
& Tibideau, Gary (2000) Athletic Injury Assessment (4th
ed). ST. Louis McGraw Hill. Pg.
Magee, David
(2002) Orthopedic Physical Assessment Philadelphia
Saunders. |
Links: |
http://www.tellmeabouttos.com/testing.htm |
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