Upper Limb Tension Tests (ULTTs): Difference between revisions
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*To test for the presence of cervical radiculopathy<br> | *To test for the presence of cervical radiculopathy<br> | ||
*A component of the ''Test Item Cluster for the Diagnosis of Cervical Radiculopathy'' to determine the likelihood that a patient has | *A component of the ''Test Item Cluster for the Diagnosis of Cervical Radiculopathy'' to determine the likelihood that a patient has [[CPR_for_Cervical_Radiculopathy|cervical radiculopathy]]<br> | ||
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== Technique<ref>Flynn TW, Cleland JA, Whitman JM. Users' Guide To The Musculoskeletal Examination. Evidence in Motion; 2008.</ref><br> == | == Technique<ref>Flynn TW, Cleland JA, Whitman JM. Users' Guide To The Musculoskeletal Examination. Evidence in Motion; 2008.</ref><br> == | ||
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Inter-examiner Kappa= .76<br> | Inter-examiner Kappa= .76<br> | ||
[[Media:Http://www.youtube.com/watch%3Fv%3DdlGVm4uKCMY|media:http://www.youtube.com/watch?v=dlGVm4uKCMY]] <ref>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</ref><br> | [[Media:Http://www.youtube.com/watch%3Fv%3DdlGVm4uKCMY|media:http://www.youtube.com/watch?v=dlGVm4uKCMY]] <ref>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</ref><br> | ||
== Evidence<br> == | == Evidence<br> == | ||
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<references /> | <references /> | ||
Revision as of 11:59, 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
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
