Elevated Arm Stress Test

Aka: Elevated Arm Stress Test, Roos Stress Test, EAST Test

advertisement

II. Indications

  1. Thoracic Outlet Syndrome

III. Technique

  1. Step 1: Goal Post Position
    1. Patient abducts both arms to 90 degrees
    2. Both arms are externally rotated
    3. Elbows flexed to 90 degrees
    4. Palms face forward
  2. Step 2: Stress Test
    1. Patient clenches and releases their fists (open and close hands) repoeatedly over a 3 minute period

IV. Interpretation

  1. Negative
    1. Only Forearm muscle Fatigue
  2. Positive
    1. Progressive pain at the neck or Shoulders radiating into the arm
    2. Paresthesias in Forearms and fingers
    3. Severe Fatigue in which patient cannot complete test
    4. Hand palm color may change
      1. Venous obstruction: Plethoric blue, swollen hand
      2. Arterial obstruction: Pale hand

V. Resources

  1. Physiopedia
    1. https://www.physio-pedia.com/Roos_Stress_Test

VI. References

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

Images: Related links to external sites (from Bing)

These images are a random sampling from a Bing search on the term "Elevated Arm Stress Test." Click on the image (or right click) to open the source website in a new browser window. Search Bing for all related images

Related Studies

Related Topics in Examination

advertisement