Upper Limb Tension Tests (ULTTs): Difference between revisions
Kim Jackson (talk | contribs) mNo edit summary |
Kim Jackson (talk | contribs) No edit summary |
||
| Line 1: | Line 1: | ||
<div class="editorbox"> | <div class="editorbox"> | ||
'''Original Editor '''- [[User:Jennifer Self|Jennifer Self]] | '''Original Editor '''- [[User:Jennifer Self|Jennifer Self ]] | ||
'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} | '''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} | ||
</div> | </div> | ||
== | == Purpose == | ||
*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 [[CPR for Cervical Radiculopathy|cervical radiculopathy]]<br> | |||
== Technique<ref>Flynn TW, Cleland JA, Whitman JM. Users' Guide To The Musculoskeletal Examination. Evidence in Motion; 2008.</ref><br> == | |||
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 == | |||
For more information visit this Physiopedia page [[Neurodynamic Assessment|Neurodynamic Assessment]] | |||
==References== | ==References== | ||
<references /> | |||
[[Category:Assessment]] | [[Category:Assessment]] | ||
[[Category:Special_Tests]] | [[Category:Special_Tests]] | ||
Revision as of 16:09, 31 March 2021
Original Editor - Jennifer Self
Top Contributors - Kim Jackson, Admin, Adrianna Simmons, Hetvi Gala, Jennifer Self, Aminat Abolade, Evan Thomas, Cindy John-Chu, Jeannine Escobar, Claire Knott, Lucinda hampton, Johnathan Fahrner and WikiSysop
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]
For more information visit this Physiopedia page Neurodynamic Assessment
References[edit | edit source]
- ↑ 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.
