Upper Limb Tension Tests (ULTTs): Difference between revisions
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'''Original Editor '''- Your name will be added here if you created the original content for this page. | '''Original Editor '''- Your name will be added here if you created the original content for this page. | ||
'''Lead Editors''' - Your name will be added here if you are a lead editor on this page. [[Physiopedia:Editors|Read more.]] | '''Lead Editors''' - Your name will be added here if you are a lead editor on this page. [[Physiopedia:Editors|Read more.]] | ||
</div> | </div> | ||
== Purpose<br> == | == Purpose<br> == | ||
*To test for the presence of cervical radiculopathy<br> | *To test for the presence of cervical radiculopathy<br> | ||
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[[http://www.physio-pedia.com/index.php5?title=CPR_for_Cervical_Radiculopathy]]<br> | [[http://www.physio-pedia.com/index.php5?title=CPR_for_Cervical_Radiculopathy]]<br> | ||
== Technique<br> == | |||
The patient is supine. The examiner performs the following movement sequence: | The patient is supine. The examiner performs the following movement sequence: | ||
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*Contralateral/ipsilateral cervical side bending | *Contralateral/ipsilateral cervical side bending | ||
''' | '''Positive Test''' | ||
The test is positive if one or more of the following occurs: | The test is positive if one or more of the following occurs: | ||
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*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'''<sup></sup>'''<sup>2</sup>''' | |||
''' | |||
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. | ||
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+LR= 3.5 | +LR= 3.5 | ||
''' | '''Reliability''' | ||
Inter-examiner Kappa= .76<br> | |||
[[Media:Http://www.youtube.com/watch%3Fv%3DdlGVm4uKCMY|media:http://www.youtube.com/watch?v=dlGVm4uKCMY]] <sup>3</sup><br> | |||
== Evidence<br> == | |||
== Resources == | |||
add any relevant resources here | |||
[ | == Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed]) == | ||
<div class="researchbox"> | |||
<rss>Feed goes here!!|charset=UTF-8|short|max=10</rss> | |||
</div> | |||
== References == | |||
References will automatically be added here, see [[Adding References|adding references tutorial]]. | |||
<references /> | |||
#Flynn TW, Cleland JA, Whitman JM. Users' Guide To The Musculoskeletal Examination. Evidence in Motion; 2008.<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> | #Hartley A. Practical Joint Assessment. St Louis: Mosby; 1995.<br> | ||
#ULTT Median Nerve Bias. (2009, June 8). ClinicallyRelevant.com: Upper Limb Tension Test A [Video]. Retrieved Nov 15, 2009, from http://www.youtube.com/watch?v=dlGVm4uKCMY | #ULTT Median Nerve Bias. (2009, June 8). ClinicallyRelevant.com: Upper Limb Tension Test A [Video]. Retrieved Nov 15, 2009, from http://www.youtube.com/watch?v=dlGVm4uKCMY | ||
Revision as of 11:56, 17 November 2009
Original Editor - Your name will be added here if you created the original content for this page.
Lead Editors - Your name will be added here if you are a lead editor on this page. Read more.
Purpose
[edit | edit source]
- To test for the presence of cervical radiculopathy
- A component of the Test Item Cluster for the Diagnosis of Cervical Radiculopathy to determine the likelihood that a patient has cervical radiculopathy
[[1]]
Technique
[edit | edit source]
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 if one or more of the following occurs:
- Symptoms reproduced
- Side to side difference in elbow extension greater than 10 degrees
- Contralateral cervical side bending increases symptoms, or ipsilateral side bending decreases symptoms
Diagnostic Accuracy2
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
media:http://www.youtube.com/watch?v=dlGVm4uKCMY 3
Evidence
[edit | edit source]
Resources[edit | edit source]
add any relevant resources here
Recent Related Research (from Pubmed)[edit | edit source]
Extension:RSS -- Error: Not a valid URL: Feed goes here!!|charset=UTF-8|short|max=10
References[edit | edit source]
References will automatically be added here, see adding references tutorial.
- 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.
- ULTT Median Nerve Bias. (2009, June 8). ClinicallyRelevant.com: Upper Limb Tension Test A [Video]. Retrieved Nov 15, 2009, from http://www.youtube.com/watch?v=dlGVm4uKCMY
