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When is it OK to squeeze a test?

Exit forum ID Forum Discussion When is it OK to squeeze a test?

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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  • #3612

    Christopher Stepien
    Participant

      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?
      #3614

      William Brady, DC
      Participant

        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.

        #3616

        Christopher Stepien
        Participant

          Respect. Excellent.

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