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10 Cards in this Set
- Front
- Back
- 3rd side (hint)
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Adson’s A&M Scalenes |
You are testing for TOS of the anterior and middle scalenes, The action of this test evaluates the first rib, compressing the neurovascular bundle against the tight scalene. The therapist stands behind the client on the testing side (right side). With the client’s elbow in extension, palpate for the radial pulse. Then, passively abduct and laterally rotate the arm, keeping your hand on the radial pulse. The therapist then instructs the client to rotate their head to the opposite shoulder (left side) hold for one minute. A positive test would be a diminished radial pulse, or numbness and tingling, or recreated symptons |
Compression of Scalenes |
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Eden’s (Costoclavicular) TOS |
The client is standing. The therapist is standing behind client on the testing side (right side). With the client’s elbow in full extension, palpate for the radial pulse. Then passively abduct and laterally rotate the shoulder, keeping your hand on the radial pulse. Instruct the client to rotate their head to the testing side. A positive test would be a diminished pulse, or recreated symptoms, such as numbness and tingling in the median nerve fibres, like the thumb, first, second, and half of the third fingers. |
Costoclavicular compression |
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Military Brace (Costoclavicular) TOS |
To test for TOS, first rib and Costoclavicular The client is standing. The therapist stands facing the client. Instruct the client to depress their shoulders (bilateral) and laterally rotate the shoulders. Next, palpate the radial pulse with one hand. A positive test would be numbness and tingling in the arms or the radial pulse diminishes. |
Costoclavicular |
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Wright’s (Pectoralis Minor) TOS |
This is to test for Thoracic. Outlet syndrome of the Pectoralis Minor. The client is standing. The therapist stands slightly behind the client on the testing side. Instruct or passively move the client’s arm into full abduction and elbow flexion. The forearm can rest on the client’s head. A positive test would be pain in the arm numbness in the fingers, and a cold feeling. |
Pectoralis Minor |
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Cervical Compression (Nerve Root Compression) |
This test is used to test for Nerve root compressions and lesions. Client is seated with their legs hanging freely over the table. The therapist is standing facing the client. Place both palms of the hands at the sagittal and coronal suture of the cranium. Press firmly down on the client’s head towards the table. Make sure you are pressing straight down and not flexing or rotating the client’s head in any direction. A positive test would have pain in the head, neck and shoulder area. |
Nerve Root Compression |
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Cervical Distraction (Relief of nerve root compression) |
The best way to do this, is to heave the client supine on the table and Cup the client’s head with the palms of your hands underneath the mastoid process. Pull up with the client’s head as if trying to lift the head off the shoulder. A positive result would be the symptoms of pain are relieved. |
Relief of Nerve Root Compression |
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Slump test ( Nerve Roots) |
This test is to test for nerve root compression/lesion and neural tension. The client is seated with their legs hanging off the table. The therapist stands next to the client and instructs the client to medially rotate the shoulders and flex the neck to the chest (slump). If pain or neuropathy is felt down the arms, stop the test at this point. If there is no pain, continue. Next, instruct the client to extend the knee and dorsiflex the ankle. A positive test would be pain is felt along the spine, or there’s a referral pattern down a limb. Many clients will feel an uncomfortable tension in the back or hamstrings, but this is not the same as a positive sign. |
Slump shoulders, bend the head forwards the chin, lift the leg, and dorsiflexion the ankle. |
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Cervical Compression (Nerve compression) |
Place your hands on top of the clients head, and lightly push down, creating a compression, if it is positive, it will create pain in the head neck and shoulder area. |
Push down on top of head |
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Cervical distraction (Nerve root compression and lesion) |
Doing this is the supine position is much easier, and all you would do is create traction in the cervical area, a positive sign is the symptoms are relived. |
creating traction |
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Valsalva's Test ( test for a lesion, herniated disc, osteophyte, or tumor) |
Pretend you are taking a poop, by taking a breath and hold it while bearing down. |
pretend your taking a poop |
