Upper Limb Tension Tests (ULTTs): Difference between revisions
No edit summary |
No edit summary |
||
Line 36: | Line 36: | ||
*Contralateral cervical side bending increases symptoms, or ipsilateral side bending decreases symptoms | *Contralateral cervical side bending increases symptoms, or ipsilateral side bending decreases symptoms | ||
<br> {{#ev:youtube|dlGVm4uKCMY}} | |||
{{#ev:youtube|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> | <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> | ||
Line 73: | Line 72: | ||
<references /> | <references /> | ||
[[Category:Articles]] [[Category:Assessment]] [[Category:CPD/CE]] [[Category:Cervical]] [[Category:EIM_Student_Project_2]] [[Category:Musculoskeletal/Orthopaedics]] [[Category:Neurodynamics]] [[Category:Special_Tests]] | [[Category:Articles]] [[Category:Assessment]] [[Category:CPD/CE]] [[Category:Cervical]] [[Category:EIM_Student_Project_2]] [[Category:Musculoskeletal/Orthopaedics]] [[Category:Neurodynamics]] [[Category:Special_Tests]][[Category:Videos]] |
Revision as of 13:05, 19 November 2009
Original Editor - Jennifer Self
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
Technique[1]
[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
Evidence
[edit | edit source]
Diagnostic Accuracy[3]
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
Resources[edit | edit source]
add any relevant resources here
Recent Related Research (from Pubmed)[edit | edit source]
Failed to load RSS feed from http://eutils.ncbi.nlm.nih.gov/entrez/eutils/erss.cgi?rss_guid=1nySOMllQ3nZCgHLiTYbrfxTd5WMI2qpfDv5qpRKZPYqaPZYls|charset=UTF-8|short|max=10: Error parsing XML for RSS
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.
- ↑ 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
- ↑ Hartley A. Practical Joint Assessment. St Louis: Mosby; 1995.