Adson's Test

Aka: Adson's Test, Adson Maneuver

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II. Indications

  1. Evaluation of Thoracic Outlet Syndrome

III. Technique

  1. Step 1
    1. Elbow fully extended
    2. Palpate radial pulse
  2. Step 2
    1. Patient rotates their head/chin to the affected/tested side
    2. Neck fully extended
    3. Abduct arm to 30 degrees and fully extend arm back
  3. Step 3
    1. Patient takes a deep breath and holds it
    2. Palpate radial pulse

IV. Interpretation

  1. Positive test findings
    1. Decreased Radial Pulse with maneuver
    2. Distal extremity pain reproduced
  2. Positive test suggests interscalene compression
    1. Arterial Thoracic Outlet Syndrome

V. Disadvantages

  1. Some False Positive tests

VI. Resources

  1. Student Physical Therapist
    1. https://www.thestudentphysicaltherapist.com/adsons-test.html

VII. References

  1. Mallon and Shoenberger in Herbert (2019) EM:Rap 19(2): 13-15

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