Roos Stress Test: Difference between revisions
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<div class="noeditbox">Welcome to [[Vrije Universiteit Brussel Evidence-based Practice Project|Vrije Universiteit Brussel's Evidence-based Practice project]]. This space was created by and for the students in the Rehabilitation Sciences and Physiotherapy program of the Vrije Universiteit Brussel, Brussels, Belgium. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!</div> <div class="editorbox"> | <div class="noeditbox">Welcome to [[Vrije Universiteit Brussel Evidence-based Practice Project|Vrije Universiteit Brussel's Evidence-based Practice project]]. This space was created by and for the students in the Rehabilitation Sciences and Physiotherapy program of the Vrije Universiteit Brussel, Brussels, Belgium. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!</div> <div class="editorbox"> | ||
'''Original Editors ''' - [[User:Yves Hubar|Yves Hubar]] | '''Original Editors ''' - [[User:Yves Hubar|Yves Hubar]] | ||
'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} | '''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} | ||
</div> | </div> | ||
== Search Strategy<br> == | == Search Strategy<br> == | ||
Literature was found using pubmed. | Literature was found using pubmed. | ||
== Definition/Description == | == Definition/Description == | ||
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== Clinically Relevant Anatomy == | == Clinically Relevant Anatomy == | ||
Please refer to the [[Thoracic Outlet Syndrome (TOS)|Thoracic Outlet Syndrome (TOS)]] page. | Please refer to the [[Thoracic Outlet Syndrome (TOS)|Thoracic Outlet Syndrome (TOS)]] page. | ||
== Purpose<br> == | == Purpose<br> == | ||
This test is a diagnostic tool used in the identification of [[ | This test is a diagnostic tool used in the identification of [[Thoracic Outlet Syndrome (TOS)|Thoracic Outlet Syndrome (TOS)]]<br>It is also known as the “elevated arm stress test”.<br> | ||
== Technique<br> == | == Technique<br> == | ||
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*'''Reproduction of the usual symptoms that involve the entire extremity!''' | *'''Reproduction of the usual symptoms that involve the entire extremity!''' | ||
Possible results if [[ | Possible results if [[Carpel Tunnel Syndrome|carpal tunnel syndrome]] is present:<br> | ||
*Numbness in first three fingers due to compression of nervus medianus | *Numbness in first three fingers due to compression of nervus medianus |
Revision as of 00:37, 5 July 2013
Original Editors - Yves Hubar
Top Contributors - Evan Thomas, Yves Hubar, Admin, Rachael Lowe, Kim Jackson, WikiSysop, Tony Lowe, Laura Ritchie, Naomi O'Reilly, Kai A. Sigel, Claire Knott and Wanda van Niekerk
Search Strategy
[edit | edit source]
Literature was found using pubmed.
Definition/Description[edit | edit source]
add text here
Clinically Relevant Anatomy[edit | edit source]
Please refer to the Thoracic Outlet Syndrome (TOS) page.
Purpose
[edit | edit source]
This test is a diagnostic tool used in the identification of Thoracic Outlet Syndrome (TOS)
It is also known as the “elevated arm stress test”.
Technique
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Starting postion: [1]
- The patient has both arms in the 90° abduction-external rotation postion
- Shoulders and elbows are in the frontal plane of the chest
Execution:
- The patient is to open and close the hands slowly over a 3-minute period
Results if normal:
- Only forearm muscle fatigue and minimal distress
Possible symptoms if TOS is present:
- gradual increase in pain at neck and shoulder, progressing down the arm
- Paraesthesia in forearm and fingers
- In case of arterial compression: arm pallor with arm elevated, reactive hyperemia when limb is lowered
- In case of vernous compression: Cyanosis and swelling
- Inability to complete test, and patient drops arms in lap in marked distress, recognized as reproduction of usual symptoms
- Reproduction of the usual symptoms that involve the entire extremity!
Possible results if carpal tunnel syndrome is present:
- Numbness in first three fingers due to compression of nervus medianus
Possible results in case of cervical disc syndrome:
- Pain in neck and shoulder from holding arms elevated but minimal distress in arm or hand.
Possible results in case of orthopedic shoulder problems:
- Intolerable symptoms confined to shoulder area
Diagnostic accuracy:[2]
- Sensitivity: 84%
- Specificity: 30%
- PPV: 68%
- NPV: 50%
Reliability:
- Inter and intra-examiner reliability have not yet been found in literature.
Key Research[edit | edit source]
add links and reviews of high quality evidence here (case studies should be added on new pages using the case study template)
Resources
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add appropriate resources here
Clinical Bottom Line[edit | edit source]
add text here
Recent Related Research (from Pubmed)[edit | edit source]
see tutorial on Adding PubMed Feed
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