The evaluation maneuver includes the affected person abducting and externally rotating each arms to 90 levels, then opening and shutting the palms slowly for 3 minutes. The take a look at goals to impress signs within the higher extremity by compressing the neurovascular buildings within the thoracic outlet. A optimistic discovering is indicated by ischemic ache, heaviness, numbness, or tingling within the affected arm, or copy of the affected person’s signs.
This diagnostic process is critical within the analysis of suspected thoracic outlet syndrome, a situation affecting the house between the collarbone and the primary rib. By stressing the neurovascular bundle, it may possibly assist to establish compression and related symptom manifestation. Its worth lies in its relative simplicity and non-invasiveness as a preliminary screening device. The take a look at has been utilized as a part of a complete evaluation protocol since its description in medical apply.
