Synonym: reverse Adson’s Test

Indications:

Halstead’s Maneuver test is a shoulder examination used to test for Thoracic Outlet Syndrome.

Procedure:

  1. Patient seated, examiner applies downward traction on patient’s arm while palpating the radial pulse, pateint may then be instructed to extend back or rotate head away from extremity of interest.
Halstead's Maneuver test for shoulder

Patient seated, examiner applies downward traction on patient’s arm while palpating the radial pulse, pateint may then be instructed to extend back or rotate head away from extremity of interest.

Interpretation:

Positive Diminished or loss pulse → TOS

Clinical notes:

May be done bilaterally.