MILITARY BRACE

POSITION

​• ​Test positioning

The client stands in the anatomical position.

​• ​Action

The therapist stands behind the client and unilaterally assesses the radial pulse.

The client's same arm is then passively extended and abducted to 30-degrees by the therapist, while the client simultaneously hyperextends the head and neck.

​• ​Positive finding

A diminished or absent radial pulse may indicate potential thoracic outlet syndrome.

​• ​Special considerations & comments

The therapist should assess the rate and rhythm of the pulse and note any changes.

This assessment should be compared bilaterally.

This test is also called the costoclavicular syndrome test, as it is believed a positive finding may be related to a compression of the subclavian artery as it travels under the clavicle and ribs.

The Military Brace Test incorporates principles from orthopedic and sports medicine, with significant contributions from Dr. James Cyriax and Dr. John C. Kennedy in understanding shoulder instability and neurovascular compromise.