Indications:

Roo’s test is a shoulder examination used to diagonose Thoratic Outlet Syndrome.

Procedure:

  1. Patient seated, shoulders 90° abducted, elbow flexed 90°, examiner instructs patient to open & close fists ~2x/sec for 3 minutes.
Roo's test for shoulder

Patient seated, shoulders 90° abducted, elbow flexed 90°, examiner instructs patient to open & close fists ~2x/sec for 3 minutes.

Interpretation:

Positive Inability to maintain action with associated numbness, tingling or weakness → TOS

Clinical notes:

Synonym: EAST (Elevated Arm Stress Test), Provocative Elevation Test
Clinician’s option: consider having patient take a deep breath to elevate first rib.
Clinically 3 minute duration is usually enough time for patients to exhibit symptoms of TOS.