+ pain on opposite side - foraminal encroachment, facet pathology, disc defect
Valsalva Maneuver Patient seated, doc instructs patient to bear down by holding breath
and tightening abdomen.
+ local pain - disc defect, mass, osteophytes or other space occupying lesion.
, NWHSU Spinal Orthopedic Tests Questions
And Answers
Adson Test Patient is seated, dr stands behind patient and palpates radial pulse amplitude
and instructs patient to take a breath in an rotate head toward them and look up.
+ discomfort or altered pulse amplitude
... or instruct patient to take a breath and rotate and elevate chin away.
+ diminshed pulse - hypertophied scalenes, cervical rib or mass
+ paresthesia or radiculopathy - compression of the neural component of the brachial plexus
Allen Test Patient seated, doctor occludes radial and ulnar pulse and has patient pump fist.
Then patient opens palm and doc releases pressure on radial or ulnar artery.
+ delay of 10+ seconds indicates arterial insufficiency.
Roo's Test Patient seated with goal post arms - opens and closes hands for 3 minutes
+ paresthesia or radicular pain suspect narrowed costoclavicular space or hypertrophied scalene
muscles
Costoclavicular maneuver. Palpate bilateral radial pulses, doc brings shoulders into
extension and patient flexes chin to chest.
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