Adsons Test: Difference between revisions
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== Purpose<br> == | == Purpose<br> == | ||
Adson's test is a provocative test for [[ | Adson's test is a provocative test for [[Thoracic_Outlet_Syndrome_(TOS)|Thoracic Outlet Syndrome]] 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> == | == 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> == | ||
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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. | 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.<br> | ||
{{#ev:youtube|z5uIH69ke4E}} <br> | {{#ev:youtube|z5uIH69ke4E}} <br> | ||
Revision as of 06:16, 28 September 2013
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Purpose
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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]
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- 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.
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
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- ↑ Brotzman SB, Manske RC. Clinical Orthopaedic Rehabilitation: An Evidence-based Approach. 3rd ed. Philadelphia: Elsevier Health Sciences, 2011
- ↑ Borenstein DG, Wiesel SW, Boden SD. Low Back and Neck Pain: Comprehensive Diagnosis and Management. 3rd ed. Philadelphia: Elsevier Health Sciences, 2004.
- ↑ Waldman SD. Pain Management: Expert Consult. 2nd ed. Philadelphia: Elsevier Health Sciences, Jun 9, 2011
- ↑ 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.
- ↑ Malanga GA, Nadler S. Musculoskeletal Physical Examination: An Evidence-based Approach. Philadelphia: Elsevier Health Sciences, 2006
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