How is the belt test (Adam Test) performed?

• A. The patient stands straight and twists
• B. The patient bends over to touch toes and then has stabilization of the pelvis
• C. The patient sits and raises legs
• D. The patient walks in a straight line

Answer: (B)

The belt test, traditionally known as the Adam test, is designed to assess for scoliosis by evaluating the curvature of the spine while the patient is in a forward-bending position. In this test, the patient stands and bends forward to touch their toes, allowing the clinician to observe spinal alignment. Stabilization of the pelvis during this process is crucial, as it helps to isolate the movement of the thoracic spine. This stabilization allows for clearer observation of any asymmetries in the rib cage or any other indications of spinal deformities that may relate to scoliosis. The forward bending position accentuates any existing spinal curves, making it easier to identify deviations in spinal alignment.