Upper Limb Tension Tests (ULTTs): Difference between revisions

m (Kim Jackson moved page Upper limb tension test A to Upper Limb Tension Tests (ULTTs): Change Title)
(deleted most to direct to comprehensive guide to ULTT, keeping page as people will look this up on the search engine)
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'''Original Editor '''- [[User:Jennifer Self|Jennifer Self ]]  
'''Original Editor '''- [[User:Jennifer Self|Jennifer Self]]  


'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}}   
'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}}   
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== Purpose  ==
== For a comprehensive guide to all ULTT see [[Neurodynamic Assessment|here]]  ==
 
[[Category:Assessment]]  
*To test for the presence of cervical radiculopathy<br>
[[Category:Special_Tests]]  
 
[[Category:Neurodynamics]]  
*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>
[[Category:Cervical Spine]]  
 
[[Category:Musculoskeletal/Orthopaedics]]  
== Technique<ref>Flynn TW, Cleland JA, Whitman JM. Users' Guide To The Musculoskeletal Examination. Evidence in Motion; 2008.</ref><br>  ==
[[Category:EIM_Residency_Project]]  
 
[[Category:Primary Contact]]
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
 
<br> {{#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>
 
== Evidence<br>  ==
 
'''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.
 
Sensitivity= .50
 
Specificity= .86
 
-LR= .58
 
+LR= 3.5
 
'''Reliability'''
 
Inter-examiner Kappa= .76<br>
 
== Resources  ==
 
[http://www.physio-pedia.com/Neurodynamic_Assessment Neurodynamic Assessment]
 
== References ==
 
<references />
 
[[Category:Assessment]] [[Category:Special_Tests]] [[Category:Neurodynamics]] [[Category:Cervical Spine]] [[Category:Musculoskeletal/Orthopaedics]] [[Category:EIM_Residency_Project]] [[Category:Primary Contact]]

Revision as of 00:07, 20 April 2019

Original Editor - Jennifer Self

Top Contributors - Kim Jackson, Admin, Adrianna Simmons, Jennifer Self, Hetvi Gala, Evan Thomas, Aminat Abolade, Jeannine Escobar, Cindy John-Chu, Johnathan Fahrner, WikiSysop, Claire Knott and Lucinda hampton

For a comprehensive guide to all ULTT see here[edit | edit source]

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