Upper Limb Tension Tests (ULTTs): Difference between revisions

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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<br> ==
== Purpose  ==


*To test for the presence of cervical radiculopathy<br>
*To test for the presence of cervical radiculopathy<br>
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[http://www.physio-pedia.com/Neurodynamic_Assessment Neurodynamic Assessment]
[http://www.physio-pedia.com/Neurodynamic_Assessment Neurodynamic Assessment]


== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed])  ==
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<rss>http://eutils.ncbi.nlm.nih.gov/entrez/eutils/erss.cgi?rss_guid=1nySOMllQ3nZCgHLiTYbrfxTd5WMI2qpfDv5qpRKZPYqaPZYls</rss>
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== References  ==
== References  ==


Revision as of 09:08, 6 December 2017

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


[2]

Evidence
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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]

Neurodynamic Assessment

References[edit | edit source]

  1. ↑ Flynn TW, Cleland JA, Whitman JM. Users' Guide To The Musculoskeletal Examination. Evidence in Motion; 2008.
  2. ↑ 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
  3. ↑ Hartley A. Practical Joint Assessment. St Louis: Mosby; 1995.
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