Testing for:
Neurovascular Compression (TOS) caused by the middle scalene.
Procedure:
- Patient is seated
- Passively extend and slightly externally rotate their affected arm
- Monitor their radial pulse
- Patient rotates their head away from the affected side
- Patient takes a deep breath and holds it from 15-30 seconds.
Positive Sign:
Patient’s symptoms reoccur (numbness, tingling in hands and fingers)or The patient’s radial pulse diminishes.