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Elevated Arm Stress Test

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Other Names

  • Roos Stress Test
  • Roos Test
  • EAST test
  • Hands up test
  • Roo's Test
  • Elevated Arm Stress Test (EAST)


Elevated Arm Stress Test


Demonstration of the elevated arm stress test[1]
  • Patient is seated with both arms abducted to 90°, elbows flexed to 90° with hands pointed towards the ceiling
  • Patient must open and close hands repeatedly over 3 minute period
  • Normal: Muscle fatigue
  • Abnormal Results
    • Increasing pain progressing down neck and arms
    • Parasthesias
    • Pallor which resolves when arms brought to rest (arterial)
    • Cyanosis and swelling (venous)
    • Inability to complete tests
    • Reproduction of patient symptoms affecting entire extremity



Thoracic Outlet Syndrome

  • Lee et al[2]
    • Sensitivity: 84%
    • Specificity: 30%
    • PPV: 68%
    • NPV: 50%

See Also


  1. Otoshi, Kenichi, et al. "The prevalence and characteristics of thoracic outlet syndrome in high school baseball players." Health 9.08 (2017): 1223.
  2. Lee J, Laker S, Fredericson M. Thoracic outlet syndrome. PM R. 2010 Jan;2(1):64-70
Created by:
John Kiel on 14 July 2019 22:56:09
Last edited:
4 April 2023 00:28:29