Adsons Test: Difference between revisions

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== Purpose<br>  ==
== Purpose<br>  ==


add the purpose of this assessment technique here<br>  
Adson's test is a provocative test for [[Additional Information - Thoracic Outlet Syndrome|Thoracic Outlet Syndrome]]&nbsp;accompanied by compression of the Subclavian artery by a cervical rib or tightened anterior and middle scalene muscles.<ref name="clinical">Brotzman SB, Manske RC. Clinical Orthopaedic Rehabilitation: An Evidence-based Approach. 3rd ed. Philadelphia: Elsevier Health Sciences, 2011</ref><br>
 
== Technique<ref name="LBP">Borenstein DG, Wiesel SW, Boden SD. Low Back and Neck Pain: Comprehensive Diagnosis and Management. 3rd ed. Philadelphia: Elsevier Health Sciences, 2004.</ref><br>  ==
 
#Patient in upright position.
#Passively extend, abduct and externally rotate affected arm while palpating the radial pulse.
#Ask patient to take a deep breath and hold it in.
#Ask patient to extend neck and rotate the head towards affected side.
 
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The test is positive if there is a marked decrease, or disappearance, of the radial pulse. It is important to check the patient's radial pulse on the other arm to recognize the patient's normal pulse.


== Technique<br> ==
<br>  


Describe how to carry out this assessment technique here
{{#ev:youtube|z5uIH69ke4E}} <br>


== Evidence  ==
== Evidence  ==


Provide the evidence for this technique here
There is minimal evidence of its interexaminer reliability according to existing literature. It has been noted to have a specificity ranging from 18% to 87%, and sensitivity of up to 94%.&nbsp;There is little documentation regarding the reliability of the adson's test. <ref name="pain">Waldman SD. Pain Management: Expert Consult. 2nd ed. Philadelphia: Elsevier Health Sciences, Jun 9, 2011</ref><ref name="pain physician">Malanga GA, Landes P, Nadler SF (April 2003). "Provocative tests in cervical spine examination: historical basis and scientific analyses". Pain physician 6 (2): 199–205.</ref><ref name="musculoskeletal">Malanga GA, Nadler S. Musculoskeletal Physical Examination: An Evidence-based Approach. Philadelphia: Elsevier Health Sciences, 2006</ref>
 
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== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed])  ==
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<rss>http://www.ncbi.nlm.nih.gov/entrez/eutils/erss.cgi?rss_guid=1n7mwSuZ06KxdrgYvnohuutTaOUGpV-40lmCujSeyHm3qMvYlL|charset=UTF­8|short|max=10</rss>
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== References<br>  ==
== References<br>  ==
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[[Category:Shoulder]] [[Category:Thoracic]] [[Category:Assessment]]

Revision as of 06:13, 28 September 2013


Original Editor - Oyemi Sillo

Lead Editors - If you would like to be a lead editor on this page, please contact us.

Purpose
[edit | edit source]

Adson's test is a provocative test for Thoracic Outlet Syndrome accompanied by compression of the Subclavian artery by a cervical rib or tightened anterior and middle scalene muscles.[1]

Technique[2]
[edit | edit source]

  1. Patient in upright position.
  2. Passively extend, abduct and externally rotate affected arm while palpating the radial pulse.
  3. Ask patient to take a deep breath and hold it in.
  4. Ask patient to extend neck and rotate the head towards affected side.


The test is positive if there is a marked decrease, or disappearance, of the radial pulse. It is important to check the patient's radial pulse on the other arm to recognize the patient's normal pulse.



Evidence[edit | edit source]

There is minimal evidence of its interexaminer reliability according to existing literature. It has been noted to have a specificity ranging from 18% to 87%, and sensitivity of up to 94%. There is little documentation regarding the reliability of the adson's test. [3][4][5]



Recent Related Research (from Pubmed)[edit | edit source]


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References
[edit | edit source]

  1. ↑ Brotzman SB, Manske RC. Clinical Orthopaedic Rehabilitation: An Evidence-based Approach. 3rd ed. Philadelphia: Elsevier Health Sciences, 2011
  2. ↑ Borenstein DG, Wiesel SW, Boden SD. Low Back and Neck Pain: Comprehensive Diagnosis and Management. 3rd ed. Philadelphia: Elsevier Health Sciences, 2004.
  3. ↑ Waldman SD. Pain Management: Expert Consult. 2nd ed. Philadelphia: Elsevier Health Sciences, Jun 9, 2011
  4. ↑ Malanga GA, Landes P, Nadler SF (April 2003). "Provocative tests in cervical spine examination: historical basis and scientific analyses". Pain physician 6 (2): 199–205.
  5. ↑ Malanga GA, Nadler S. Musculoskeletal Physical Examination: An Evidence-based Approach. Philadelphia: Elsevier Health Sciences, 2006
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