Adsons Test: Difference between revisions

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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>  
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>  ==


#Patient in upright position.  
#Patient in upright position.  
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== Evidence  ==
== Evidence  ==


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>  
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. <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])  ==
<div class="researchbox"><rss>http://www.ncbi.nlm.nih.gov/entrez/eutils/erss.cgi?rss_guid=1n7mwSuZ06KxdrgYvnohuutTaOUGpV</rss></div>
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== References  ==
== References  ==


<references /><br>  
<references />


[[Category:Assessment]] [[Category:Special_Tests]] [[Category:Shoulder Special Tests]] [[Category:Cervical_Spine]] [[Category:Thoracic_Spine]] [[Category:Shoulder]] [[Category:Musculoskeletal/Orthopaedics]]
[[Category:Assessment]] [[Category:Special_Tests]] [[Category:Shoulder Special Tests]] [[Category:Cervical_Spine]] [[Category:Thoracic_Spine]] [[Category:Shoulder]] [[Category:Musculoskeletal/Orthopaedics]]

Revision as of 06:03, 6 December 2017

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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.

[3]

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. [4][5][6]


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. ↑ Physiotutors. Adson Test | Thoracic Outlet Syndrome (TOS). Available from:https://www.youtube.com/watch?v=-7346RaEGKU
  4. ↑ Waldman SD. Pain Management: Expert Consult. 2nd ed. Philadelphia: Elsevier Health Sciences, Jun 9, 2011
  5. ↑ 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.
  6. ↑ Malanga GA, Nadler S. Musculoskeletal Physical Examination: An Evidence-based Approach. Philadelphia: Elsevier Health Sciences, 2006
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