Cozen’s Test: Difference between revisions

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{{#ev:youtube|XSNBT21KHcg|250}} <ref>Cozen's Test. Online video available from: http://www.youtube.com/watch?v=XSNBT21KHcg, last accessed 03/22/2013</ref>  
{{#ev:youtube|XSNBT21KHcg|250}} <ref>Cozen's Test. Online video available from: https://www.youtube.com/watch?v=ehYTeDN4usc, last accessed 06/28/2013</ref>  


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== Technique  ==
== Technique  ==


To perform Cozen's test, the therapist stabilizes the patient's elbow with one hand with either the thumb or index finger of the same hand over the lateral epicondyle. The other hand positions the patient's hand into radial deviation and forearm pronation while the patient is asked to resisted wrist extension in this position against manual resistance of the therapist. The test is considered positive if it produces pain or reproduction of other symptoms in the area of the lateral epicondyle.<ref name="Valdes & LaStayo 2013">Valdes K, LaStayo P. The value of provocative tests for the wrist and elbow: a literature review. Journal of Hand Therapy, 2013; 26: 32-43.</ref>  
To perform Cozen's test, the therapist stabilizes the patient's elbow in 90 degrees of flexion with one hand while palpating over the lateral epicondyle. The other hand positions the patient's hand into radial deviation and forearm pronation while the patient is asked to resisted wrist extension in this position against manual resistance of the therapist. The test is considered positive if it produces pain or reproduction of other symptoms in the area of the lateral epicondyle.<ref name="Valdes & LaStayo 2013">Valdes K, LaStayo P. The value of provocative tests for the wrist and elbow: a literature review. Journal of Hand Therapy, 2013; 26: 32-43.</ref>  


== Helpful Tips  ==
== Helpful Tips  ==
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== Evidence  ==
== Evidence  ==


Sensitivity and specificity has not yet been determined.
Sensitivity and specificity has not yet been determined.  


== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed])  ==
== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed])  ==
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== References<br>  ==
== References<br>  ==


<references />
<references />  


[[Category:Special_Tests]] [[Category:Musculoskeletal/Orthopaedics]] [[Category:Elbow]]
[[Category:Special_Tests]] [[Category:Musculoskeletal/Orthopaedics]] [[Category:Elbow]]

Revision as of 07:13, 28 June 2013

Purpose
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[1]

The purpose of Cozen's test (also known as the "resisted wrist extension test") is to check for lateral epicondylalgia or "tennis elbow".

Technique[edit | edit source]

To perform Cozen's test, the therapist stabilizes the patient's elbow in 90 degrees of flexion with one hand while palpating over the lateral epicondyle. The other hand positions the patient's hand into radial deviation and forearm pronation while the patient is asked to resisted wrist extension in this position against manual resistance of the therapist. The test is considered positive if it produces pain or reproduction of other symptoms in the area of the lateral epicondyle.[2]

Helpful Tips[edit | edit source]

To reduce the likelihood of finding pathology at the origin of extensor digitorum, keep the patient’s fingers flexed during resisted wrist extension. During isometric wrist extension, the counter-force should be applied on the dorsoradial aspect of the fist to reduce involving extensor carpi ulnaris and thus obtaining a false-positive finding if there is pathology within this muscle/tendon.[3]

Evidence[edit | edit source]

Sensitivity and specificity has not yet been determined.

Recent Related Research (from Pubmed)[edit | edit source]

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References
[edit | edit source]

  1. Cozen's Test. Online video available from: https://www.youtube.com/watch?v=ehYTeDN4usc, last accessed 06/28/2013
  2. Valdes K, LaStayo P. The value of provocative tests for the wrist and elbow: a literature review. Journal of Hand Therapy, 2013; 26: 32-43.
  3. Kochar M, Dogra A. Effectiveness of a specific physiotherapy regimen on patients with tennis elbow: clinical study. Physiotherapy, 2002; 88: 333–341.