Athletic Training & Sports Medicine Center

 

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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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