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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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Allen Maneuver

Other Names

Allen Test, Hyperabduction Syndrome Test

Examination type

Neurological

Patient & Body Segment Positioning

This test should be optimally performed with the patient sitting on a table. The patient should have their shoulder in 90 degrees abduction and external rotation, 90 degrees elbow flexion, and the forearm pronated. The head is then rotated to the opposite side of the arm being tested.

Examiner Position

The examiner should position themselves behind the patient where they are able to take the radial pulse.

Performing the Test

The patient is seated on the table with their shoulder in 90 degrees abduction and external rotation, 90 degrees elbow flexion, and forearm pronation. They then rotate their head to the opposite side being tested. The examiner then stands behind the patient and takes the radial pulse while the patient is in that position.

Tissues Being Tested

Subclavian and axillary arteries and the brachial plexus

Positive Test

A positive test for thoracic outlet syndrome when the radial pulse disappears

Interpretation

A positive test is present when there is compression of the subclavian and axillary vessels or the brachial plexus.

Common errors in performing exam

A common error that could be made in this exam is not having the patient in the proper position. Also if the examiner is not palpating over the radial pulse then they will not be able to tell when the radial pulse disappears.

Factors possibly resulting in misinterpretation

If the patient has another problem with their circulation other than thoracic outlet syndrome which may result in a positive test.

Related tests

Other test for thoracic outlet:

Anterior Scalene Syndrome Test (Adson’s Test)

Costoclaicular Syndrome (Roo’s Test)

Military Brace Position Test

References

Magee, David (2002). Orthopedic Physical Assessment. Philadelphia: Saunders. p 287.

Prentice, William E. (2003). Arnheim’s Principles of Athletic Training: A Competency-Based Approach (11^th ed.). St. Louis: McGraw Hill. p 684.

Links:

http://www.mnsu.edu/athletictraining/ShoulderModule/Allen's%20Test.htm

http://www.visualsunlimited.com/browse/vu126/vu1263.html

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