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Caption
HOW TO PERFORM TEST |
POSITIVE SIGN |
INDICATION |
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Client Supine. (with head supported over the edge) Therapist places clients head in extension and ipsilateral side flexion. Therapist rotates clients head ipsilaterally and holds for 30 seconds * Perform with care!! |
Clients eyes flutter, Dizziness, Nystagmus | Vertebral artery compression | |
HOW TO PERFORM TEST |
POSITIVE SIGN |
INDICATION |
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Client Seated.
1. Client extends arms with palms up. 2. Client closes eyes. 3. Client extends and rotates head. |
Arms waver with eyes closed
or with C/Spine extension and rotation |
Non Vascular Cause (if arms move with just eyes closed) Vascular Impairment to Brain (if arms move with C/Spine extension and rotation) |
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HOW TO PERFORM TEST |
POSITIVE SIGN |
INDICATION |
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Client Seated
Palpate client’s radial pulse. Client ipsilaterally rotates and extends head. Laterally rotate and extends clients arm. Client takes a deep breath and holds. |
Radial pulse disappears | T.O.S. (Thoracic Outlet Syndrome) | |
HOW TO PERFORM TEST |
POSITIVE SIGN |
INDICATION |
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Client Seated
Client hyperextends and contrilaterally rotates head. Place client’s arm into lateral rotation and extension. Palpate client’s radial pulse and apply a downwards arm traction. |
Radial pulse disappears | T.O.S. (Thoracic Outlet Syndrome) | |
HOW TO PERFORM TEST |
POSITIVE SIGN |
INDICATION |
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Client Seated
Client contrilaterally rotates head. Client abducts arm (to 90 degrees) and laterally rotates arm. Elbow is flexed to 90 degrees. Palpate radial pulse. |
Radial pulse disappears | T.O.S. (Thoracic Outlet Syndrome) | |
HOW TO PERFORM TEST |
POSITIVE SIGN |
INDICATION |
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Client Seated
Client hyperabducts arm (placing arm over head). Palpate radial pulse. |
Radial pulse disappears | T.O.S. (Thoracic Outlet Syndrome - Costoclavicular) | |
HOW TO PERFORM TEST |
POSITIVE SIGN |
INDICATION |
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Client Seated
Have client abduct (to 90 degrees) and laterally rotate both arms. Flex elbows to 90 degrees. Ask client to open and close hands for 3 minutes. |
Tingling, Ischemic pain, or Extreme fatigue. |
T.O.S. (Thoracic Outlet Syndrome) | |
HOW TO PERFORM TEST |
POSITIVE SIGN |
INDICATION |
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Client Seated. (elbows to the side, hands crossed)
Grasp client’s arms from behind Passively elevate the shoulder girdle superiorly and anteriorly. Hold for 30 seconds or more. |
Relief Phenomenon (Arterial, Venous & Neurological relief) | T.O.S. (Thoracic Outlet Syndrome) | |
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