Halstead Test


Purpose[edit | edit source]

To assess for possible Thoracic Outlet Syndrome.

Technique[edit | edit source]

The patient is sitting or standing. The therapist continuously palpates the radial pulse on the side being tested. While still palpating the radial pulse, the therapist abducts the arm to 45 degrees, extends the shoulder to 45 degrees, and externally rotates the upper extremity while applying a downward distraction to the arm. The patient is then asked to fully turn her head away from the side being tested and extend the cervical spine.

Evidence[edit | edit source]

Evidence is unavailable in literature for the Halstead test. There is recommendations to use the Halstead maneuver is examination to diagnosis thoracic outlet syndrome[1]. However the testing position described is different from above and more similar to the costoclavicular test[2].

Resources[edit | edit source]

[3]

References[edit | edit source]

  1. Hixson KM, Horris HB, McLeod TCV, Bacon CEW. The Diagnostic Accuracy of Clinical Diagnostic Tests for Thoracic Outlet Syndrome. J Sport Rehabil. 2017 Sep;26(5):459-465.
  2. Demirbag D, Unlu E, Ozdemir F, Genchellac H, Temizoz O, Ozdemir H, Demir MK. The relationship between magnetic resonance imaging findings and postural maneuver and physical examination tests in patients with thoracic outlet syndrome: results of a double-blind, controlled study. Arch Phys Med Rehabil. 2007 Jul;88(7):844-51.
  3. Ccedseminars. Halstead Maneuver AKA Reverse Adson's Test. Available from: https://www.youtube.com/watch?v=uc9ynTvxltE [last accessed 16/2/2022]