Adams Forward Bend Test

The Adams Forward Bend Test is a physical screening tool that detects scoliosis by identifying noticeable symptoms such as asymmetry in the spine or rib prominence when a patient bends forward. It helps differentiate between functional and structural scoliosis and is commonly used in school screenings and routine check-ups.

The forward bend test alone is insufficient for scoliosis diagnosis due to its high chance of false-negative results and the fact that you cannot make a formal scoliosis diagnosis without Cobb angle measurements at 10 degrees or more. The Adam's Forward Bend Test is most effective when combined with other assessments, such as a scoliometer. Studies show that the test has a sensitivity of 0.83 and a specificity of 0.99 among patients with scoliosis curves exceeding 40 degrees.

A positive Adams Forward Bend Test occurs when the patient displays noticeable postural changes, such as a rib hump or uneven shoulders, indicating potential scoliosis. If the curvature remains prominent during forward bending, it suggests structural scoliosis, while reduced or symmetrical curvature upon bending suggests functional scoliosis.