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Adam’s Sign (Adam’s Forward Bend)

Noticable rib humping when flexed forward. Classic for: Scoliosis.

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Chest Circumference Test

Chest expansion <6 cm when comparing inhalation to exhalation measurements. Classic for: Unilateral lung pathology or Ankylosing Spondylitis.

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Sternal & Rib Compression

Differentiate visceral (produces no pain) from musculoskeletal problem (pain reproduced) in Thoracic region.

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Schepelmann’s

Differentiate neuritis (pain toward side of lateral flexion) from intercostal strain (pain on contralateral side of lateral flexion).

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Spring Test

 Symptom reproduction and stiffness. Classic for: Identifying joint lesion(s).

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Thoracic Compression

Reproduction of symptoms. Classic for: Identifying potential thoracic compression fracture.

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Prone Extension Test

Structural kyphosis with limited movement/change versus functional kyphosis that would have extension and mobility.