Upper Limb Tension Tests (ULTTs): Difference between revisions
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== Purpose == | == Purpose == | ||
*To test for the presence of cervical radiculopathy<br> | *[[File:Sagittal section of the cervical spine Primal.png|thumb| Sagittal section of the cervical spine ]]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> | *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> | ||
Revision as of 17:32, 2 April 2021
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
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.
