Adsons Test: Difference between revisions
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Original Editor - | Original Editor - [[User:Oyemi Sillo|Oyemi Sillo]] | ||
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== Purpose<br> == | == Purpose<br> == | ||
Adson's test is a provocative test for [[Additional Information - Thoracic Outlet Syndrome|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> == | |||
#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. | |||
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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%. 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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| The content on or accessible through Physiopedia is for informational purposes only. Physiopedia is not a substitute for professional advice or expert medical services from a qualified healthcare provider. [[Physiopedia:Terms of Service|Read more]]. | | The content on or accessible through Physiopedia is for informational purposes only. Physiopedia is not a substitute for professional advice or expert medical services from a qualified healthcare provider. [[Physiopedia:Terms of Service|Read more]]. | ||
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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]
- 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]
References
[edit | edit source]
- ↑ 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
The content on or accessible through Physiopedia is for informational purposes only. Physiopedia is not a substitute for professional advice or expert medical services from a qualified healthcare provider. Read more. |