Costoclavicular Maneuver

Execution:

1. Patient is in upright sitting position
2. The examiner assists the patient in performing the following 4 movements:
   1. scapula retraction
   2. scapula depression
   3. scapula elevation
   4. scapula protraction
3. These positions are held for up to 30 seconds, while the patient rests the forearms on his/her thighs

 

Outcome: The examiner monitors a change in pulse and symptom onset and notes which positions exacerbate or ease symptoms

Study	Reliability	Sn	Sp	LR+	LR-
Watson et al. (2009)	NA	NA	NA	NA	NA