Synonym: TOS Relief Maneuver

Indications:

Shoulder Girdle Passive Elevation test is a shoulder examination used to test for Thoracic Outlet Syndrome.

Procedure:

  1. Patient seated with arms crossed in front of body, examiner from behind the patient passively elevates the shoulder girdle.
Shoulder girdle passive elevation test

Patient seated with arms crossed in front of body, examiner from behind the patient passively elevates the shoulder girdle.

Interpretation:

Positive Decrease in thoracic outlet syndrome symptoms → Neurological relief → Decrease numbness & tingling
Venous relief → Decrease cyanosis, venous engorgement
Arterial relief → Stronger pulse, change in skin color, increased hand temperature

Clinical notes:

Etiology of thoracic outlet syndrome: neurologic compression (97%), venous compression (2%), arterial compression (1%).