This topic contains 2 replies, has 3 voices, and was last updated by 
Christopher Stepien September 21, 2016 at 10:23 am.
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Christopher Stepien
Dr. Brady is famous for saying “Don’t squeeze the test.”
I want to know when we can squeeze the test. I assume:
- If all tests are normal AND symptoms are present close to the tissues tested OR symptoms occur with high load.
- If all tests are normal AND structural dysfunction is under the surface with load > capacity.
Given these points above, an added condition for “squeezing the test” is “palpating some tissue tension as the end-range approaches.Are these good rules to follow?
William Brady, DC
First off, don’t squeeze the tests 99% of the time. This means a negative test can and should be left alone- your problem is elsewhere and/or pathology. Put another way- making a negative test even more negative is a waste of time.
1% exceptions- You can squeeze the test when:
A patient is a very high end athlete that requires excessive function.
A patient has excessive or normal range but is loaded with adhesion (diagnosed via palpation) This can occur when a patient stretches a lot, has a connective tissue disorder (Marfans) or a morphology issue that creates instability.I have yet to meet a provider that would benefit more from squeezing a test than slowing down and making a complete diagnosis, mastering the level material and applying good load management skills.
Christopher Stepien
Respect. Excellent.
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