Upper Limb Tension Tests (ULTTs): Difference between revisions
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To test for the presence of cervical radiculopathy | To test for the presence of cervical radiculopathy | ||
'''==Description:==''' | [[media:http://www.youtube.com/watch?v=dlGVm4uKCMY]]<br> | ||
'''==Description:==''' | |||
The patient is supine. The examiner performs the following movement sequence: | The patient is supine. The examiner performs the following movement sequence: | ||
*Scapular depression | *Scapular depression | ||
*Shoulder abduction | *Shoulder abduction | ||
*Forearm supination, wrist and finger extension | *Forearm supination, wrist and finger extension | ||
*Shoulder lateral elevation | *Shoulder lateral elevation | ||
*Elbow extension | *Elbow extension | ||
*Contralateral/ipsilateral cervical side bending | *Contralateral/ipsilateral cervical side bending | ||
'''==Positive Test:==''' | '''==Positive Test:==''' | ||
The test is positive ifone of moreof the following occurs: | The test is positive ifone of moreof the following occurs: | ||
*Symptoms reproduced | *Symptoms reproduced | ||
*Side to side difference in elbowe extension greater than 10 degrees | *Side to side difference in elbowe extension greater than 10 degrees | ||
*Contralateral cervical side bending increases symptoms, or ipsilateral side bending decreases symptoms | *Contralateral cervical side bending increases symptoms, or ipsilateral side bending decreases symptoms | ||
'''==Diagnostic Accuracy:==''' | '''==Diagnostic Accuracy:==''' | ||
Reference standard cervical radiculopathy as diagnosed by needle electromyography and nerve conduction studies. | Reference standard cervical radiculopathy as diagnosed by needle electromyography and nerve conduction studies. | ||
| Line 41: | Line 43: | ||
+LR= 3.5 | +LR= 3.5 | ||
'''==Reliability: '''== | '''==Reliability: '''== | ||
Inter-examiner Kappa= .76 | |||
=='''References:=='''<br> | |||
Flynn TW, Cleland JA, Whitman JM. Users' Guide To The Musculoskeletal Examination. Evidence in Motion; 2008.<br> | |||
Hartley A. Practical Joint Assessment. St Louis: Mosby; 1995.<br> | |||
clinicallyrelevant.com | |||
Revision as of 19:54, 15 November 2009
==Purpose:==
To test for the presence of cervical radiculopathy
media:http://www.youtube.com/watch?v=dlGVm4uKCMY
==Description:==
The patient is supine. The examiner performs the following movement sequence:
- Scapular depression
- Shoulder abduction
- Forearm supination, wrist and finger extension
- Shoulder lateral elevation
- Elbow extension
- Contralateral/ipsilateral cervical side bending
==Positive Test:==
The test is positive ifone of moreof the following occurs:
- Symptoms reproduced
- Side to side difference in elbowe extension greater than 10 degrees
- Contralateral cervical side bending increases symptoms, or ipsilateral side bending decreases symptoms
==Diagnostic Accuracy:==
Reference standard cervical radiculopathy as diagnosed by needle electromyography and nerve conduction studies.
Sensitivity= .50
Specificity= .86
-LR= .58
+LR= 3.5
==Reliability: ==
Inter-examiner Kappa= .76
==References:==
Flynn TW, Cleland JA, Whitman JM. Users' Guide To The Musculoskeletal Examination. Evidence in Motion; 2008.
Hartley A. Practical Joint Assessment. St Louis: Mosby; 1995.
clinicallyrelevant.com
