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Old 04-13-2007, 09:53 PM
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Jomar Jomar is offline
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Jomar Jomar is offline
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Community Support Team
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Join Date: Aug 2006
Posts: 27,700
15 yr Member
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Do you have any clue as to the difference?
Why loss of pulse with one dr and no loss with another?

Did they do the same intensity of position or differing positions?

Do you ever test your self by doing the "stick em up" or "hands up" test?

My left goes white at 30 sec and the right at 50 sec and then both will loose coordination and elbows will start to ache- so I pretty much stop then, arms get very heavy/weak by that time too.


[EAST Test or "Hands-up" Test
The patient brings their arms up as shown with elbows slightly behind the head. The patient then opens and closes their hands slowly for 3 minutes. A positive test is indicated by pain, heaviness or profound arm weakness or numbness and tingling of the hand.


Adson or Scalene Maneuver
The examiner locates the radial pulse. The patient rotates their head toward the tested arm and lets the head tilt backwards (extends the neck) while the examiner extends the arm. A positive test is indicated by a disappearance of the pulse.


Costoclavicular Maneuver
The examiner locates the radial pulse and draws the patient�s shoulder down and back as the patient lifts their chest in an exaggerated "at attention" posture. A positive test is indicated by an absence of a pulse. This test is particularly effective in patients who complain of symptoms while wearing a back-pack or a heavy jacket.


Allen Test
The examiner flexes the patient�s elbow to 90 degrees while the shoulder is extended horizontally and rotated laterally. The patient is asked to turn their head away from the tested arm. The radial pulse is palpated and if it disappears as the patient�s head is rotated the test is considered positive.


Provocative Elevation Test
This test is used on patients who already present with symptoms. The patient sits and the examiner grasps the patient's arms as shown. The patient is passive as the shoulders are elevated forward and into full elevation. The position is held for 30 seconds or more. This activity is evidenced by increased pulse, skin color change (more pink) and increased hand temperature. Neurological signs go from numbness to pins and needles or tingling as well as some pain as blood flow to the nerve returns. Similar to what is felt after an arm "falls asleep" and circulation returns. ]

{photos of the tests show on the website}
here - http://www.nismat.org/ptcor/thoracic_outlet/
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