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Athletic Training & Sports Medicine Center

Examination Links:

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Alphabetical Listing
of Examinations
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Head

Cervical Spine

Thoracic Spine

Lumbar Spine

Shoulder

Elbow & Radioulnar

Wrist

Hand & Fingers

Sacroiliac Joint

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Ipsilateral Prone Kinetic Test
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FABER Test
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Passive Extension & Internal 
Rotation of Ilium on Sacrum

Passive Flexion & External 
Rotation of Ilium on Sacrum

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Passive External Rotation 
of Hip
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Pelvic Rocking Test
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Gapping Test
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Prone Gapping (Hibb's) Test
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Approximation Test
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Squish Test
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Sacroiliac Rocking Test
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Sacral Apex Pressure Test
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Torsion Stress Test
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Femoral Shear Test
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Superoinferior Symphysis
Pubic Stress Test

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Piedallu's Sign
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Flamingo Maneuver or Test
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Gaenslen's Sign
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Mazion's Pelvic Maneuver
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Yeoman's Test
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Sit-up Test
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Hip & Thigh

Knee

Lower Leg

Ankle

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Foot
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Morton Test
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Range of Motion
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Goniometry
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Manual Muscle Testing
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Reflexes
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Vital Signs
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Body Composition
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Roos Test

Examination type

Neurological, Vascular integrity

Patient & Body Segment Positioning

The patient is sitting or standing with both elbows bent to 90⁰ of flexion and both shoulders in 90⁰ of abduction and with full external rotation.

Examiner Position

Standing or sitting in front of the patient to observe.

Tissues Being Tested

Subclavian and axillary arteries and the brachial plexus

Performing the Test

The patient should rapidly open and close both hands while in the position described above for 3 minutes.

Positive Test

The inability to maintain the test position, diminished motor function of the hands, and /or loss of sensation in the upper extremities are positive signs/symptoms.

Interpretation

A positive test is indicative of thoracic outlet syndrome, secondary to neurovascular compromise. This test evaluates both neural and vascular structures and is considered to be the most accurate clinical test for assessing thoracic outlet syndrome.

Common errors in performing exam

Do not test for more than 3 minutes. Discontinue the test if positive signs or symptoms are observed before the 3 minutes are up.

Factors possibly resulting in misinterpretation

Underlying shoulder or elbow pathology may make this test difficult to perform. The hands may become cold, but this is not necessarily due to injury.

Related tests

Wright test/maneuver, Costoclavicular Syndrome test, Provocative elevation test, Adson Maneuver, Halstead maneuver

References

Magee, David J. (2002). Orthopedic Physical Assessment. Philadelphia, PA: Elsevier

Links:

http://www.sugical-tutir.org

http://www.itnaca.edu

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