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Evans RC: Illustrated Essentials in Orthopedic Physical Assessment.The shoulder abduction relief sign in cervical radiculopathy. A systematic review of the diagnostic accuracy of provocative tests of the neck for diagnosing cervical radiculopathy. Rubinstein SM, Pool JJ, van Tulder MW, Riphagen II, de Vet HC.Reliability and diagnostic accuracy of the clinical examination and patient self-report measures for cervical radiculopathy. Wainner RS, Fritz JM, Irrgang JJ, Boninger ML, Delitto A, Allison S.The shoulder abduction test in the diagnosis of radicular pain in cervical extradural compressive monoradiculopathies. If the symptoms are increased with this maneuver, the implication is that pressure is increasing in the interscalene triangle.If the nerve root irritation increases during the course of the above test, one must suspect a thoracic outlet syndrome (due to changes in the scalene muscles or to a cervical rib).The C4–C6 nerve roots are primarily examined in this test.
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See Also: Spurling Test | Cervical Radiculopathy Shoulder Abduction Test- Bakody Sign What does a positive Shoulder Abduction Test mean? The patient is asked to maintain this position for 30 seconds.The examiner asks the patient to make an active or passive abduction of the shoulder, flexes the elbow, and places the palm of the hand on the top of the patient head (elevate the arm through abduction, so that the hand or forearm rests on top of the head).The patient is positioned in Seated or standing position, with the Stands in front of the patient.