Elevated Arm Stress Test EAST (Roos Stress Test)

Definition:

The elevated arms stress test is an orthopaedic procedure used to identify signs and symptoms associated with thoracic outlet syndrome.

Test procedure:

Instruct your patient to raise their arms over their head and for three minutes actively open and close their hands.

Test findings: Positive & negative

 A reproduction and/or aggravation in symptoms is accepted as a positive. A negative would be for there to be no change in the patients’ symptoms.

 

Special considerations:

 

As with many other orthopaedic assessments, the elevated arms test can provide the examiner with false positives and isn’t completely accurate. The examiner must therefore rely on a wider clinical picture, accurate case history taking, other complementary tests/examinations and good clinical reasoning.