Upper Limb Tension Tests (ULTTs): Difference between revisions
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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'''< | '''Diagnostic Accuracy'''<ref>Hartley A. Practical Joint Assessment. St Louis: Mosby; 1995.</ref> | ||
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. |
Revision as of 11:57, 17 November 2009
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Purpose
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- 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[1]
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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 Accuracy[2]
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
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Resources[edit | edit source]
add any relevant resources here
Recent Related Research (from Pubmed)[edit | edit source]
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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