Halstead Maneuver
Other Names
- Halstead Maneuver
- Reverse Adson's Test
- Halstead Test
- Halstead Provocative Maneuver
- Halstead Thoracic Outlet Test
- Traction Test for TOS
- Downward Traction TOS Test
Purpose
- To evaluate for Thoracic Outlet Syndrome as a cause of neck or shoulder pain
Description
- The patient is sitting or standing.
- Examiner continuously palpates the radial pulse on the side being tested.
- Examiner abducts the arm to 45°, extends shoulder to 45°,
- Externally rotates the upper extremity while applying a downward distraction to the arm.
- Patient is then asked to fully turn head away from the side being tested, extend the cervical spin
- Positive Test
- Reproduction of the patients symptoms
Pathology
Evidence
- Calis Et al[2]
- Sensitivity: 74-76%
- Specificty: 52-62%
- Diagnostic Accuracy: 67-72%
See Also
References
- ↑ Dhatt, Sarvdeep S., and Sharad Prabhakar, eds. Handbook of clinical examination in orthopedics: an illustrated guide. Springer, 2018.
- ↑ Calis, Mustafa, Mehmet Altuncuoglu, and Aysin Demirel. "Diagnostic values of clinical diagnostic tests in thoracic outlet syndrome." Turkiye Fiziksel Tip Ve Rehabilitasyon Dergisi-Turkish Journal of Physical Medicine and Rehabilitation 56.4 (2010): 155-160.
Created by:
John Kiel on 23 July 2019 23:46:29
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Last edited:
2 December 2025 15:50:02
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