Eden Test

Orthopedic Exam / Special Tests for Physical Therapy: SHOULDER

Special Test: EDEN TEST

Thoracic Outlet Syndrome (TOS)

TOS involves the compression at the superior thoracic outlet, resulting from excess pressure placed on a neurovascular bundle passing between the anterior scalene and middle scalene muscles. TOS can also affect one or more of the nerves or blood vessels as they pass between the chest and upper extremity.

Thoracic Outlet Syndrome symptoms include arm, shoulder, and/ or neck pain, numbness in the fingers, hand and/or arms, weakness and impaired circulation to the upper extremities.

Costoclavicular Syndrome:

Costoclavicular syndrome is one of the forerunners of thoracic outlet syndrome in which the subclavian artery and vein and, the brachial plexus, are compressed between the clavicle and normal first rib, with the assumption of certain body postures, for example, the military brace position.


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Special Test: EDEN TEST


  • To test for: the presense of  Costoclavicular Syndrome, aka Neurovascular Compression (TOS) between the clavicle and Rib 1.

Video Demo Instructions, Procedure, Positive Test:

Special Test: EDEN TEST: Video Demo (Procedure below)


Special Test: Eden Test: PROCEDURE

• Patient is standing
• Monitor patient’s radial pulse on the affected arm
• Patient depresses and retracts the shoulder of their affected arm.

Special Test: Eden Test: POSITIVE SIGN

  • Patient’s symptoms reoccur (numbness, tingling in hands and fingers) or the patient’s radial pulse diminishes.