Upper limb tests

Question 1

Tinnel’s test

Answer 1

Testing for:
Nerve entrapment (Carpal tunnel syndrome)

Tap on carpal tunnel (where median nerve passes through)

+ve test:
Reproduction of symptoms (tingling, numbness, electric shock sensation)

Question 2

Pahalan’s test

Answer 2

Testing for:
Carpal tunnel syndrome

Back of hands together (full 90* flexion)
Median nerve is compressed between carpal bones
push elbows down

+ve test:
Reproduction of symptoms (tingling, numbness)

Question 3

Roo’s test

Answer 3

Testing for:
TOS

Shoulders abducted to 90*
Open & close hands for 30 seconds

+ve test:
Weakness (unable to keep arms abducted)
Colour change

Question 4

Adson’s test

Answer 4

Testing for:
TOS (scalenus anterior)

Record baseline pulse
Extend & rotate neck to affected side
45* abduction, extension & external rotation
Record pulse

+ve test:
A decreased pulse

Question 5

Costoclavicular test

Answer 5

Testing for:
TOS (1st rib & clavicle)

Record baseline pulse
Retract & depress shoulders
Record pulse

+ve test:
A decreased pulse

Question 6

Wright’s test

Answer 6

Testing for:
TOS (pec minor)

Record baseline pulse
Shoulder & elbow abducted to 90*
Record pulse
Raise arm to 180*
Record pulse

+ve test:
A decreased pulse