Carpal Compression Test: Difference between revisions
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<div class="editorbox"> '''Original Editor '''- [[User:Anas Mohamed|Anas Mohamed]] '''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}}</div> | <div class="editorbox"> '''Original Editor '''- [[User:Anas Mohamed|Anas Mohamed]] '''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}}</div> | ||
=== Purpose === | === Purpose === | ||
[[File:Carpal Tunnel Syndrome.png|thumb]] | |||
Carpal Compression Test or Median Compression Test or Durkan’s test is a diagnostic test for [[Carpal Tunnel Syndrome|carpal tunnel syndrome]]. | Carpal Compression Test or Median Compression Test or Durkan’s test is a diagnostic test for [[Carpal Tunnel Syndrome|carpal tunnel syndrome]]. | ||
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'''Step 1.''' Patient position in standing or sitting. | '''Step 1.''' Patient position in standing or sitting. | ||
'''Step 2.''' | '''Step 2.''' The patient forearm is supinated and then the examiner applies direct pressure over the carpal tunnel (median nerve) between the thenar and hypothenar eminence for 30 seconds. | ||
'''Step 3.''' | '''Step 3.''' A positive test indicates any numbness, pain, or paresthesia in the distribution of [[Median Nerve|median nerve]]. | ||
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=== Evidence === | === Evidence === | ||
The research was done in 2016 to find a more suitable diagnostic test for carpal tunnel syndrome among carpal compression test (CCT), [[Tinel’s Test|Tinel’s test (TT)]] , and [[Phalen’s Test|Phalen’s test (PT)]]. The study shows sensitivity and specificity of the Carpal compression test were higher than both Tinel's and Phalen's tests. Also study suggest both CCT and TT were positive, the diagnosis is more likely to be CTS<ref name=":0">Almasi-Doghaee M, Boostani R, Saeedi M, Ebrahimzadeh S, Moghadam-Ahmadi A, Saeedi-Borujeni MJ. Carpal compression, Phalen's and Tinel's test: Which one is more suitable for carpal tunnel syndrome?. ''Iran J Neurol''. 2016;15(3):173-174.</ref>. | |||
{| class="wikitable" | {| class="wikitable" | ||
|+''See the [[Test Diagnostics|test diagnostics]] page for an explanation of statistics.'' | |+''See the [[Test Diagnostics|test diagnostics]] page for an explanation of statistics.'' | ||
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== References == | == References == | ||
<references /> | <references /> | ||
[[Category:Hand - Assessment and Examination]] | |||
[[Category:Wrist - Assessment and Examination]] | |||
[[Category:Special Tests]] |
Latest revision as of 18:44, 30 September 2021
Purpose[edit | edit source]
Carpal Compression Test or Median Compression Test or Durkan’s test is a diagnostic test for carpal tunnel syndrome.
Technique[edit | edit source]
Step 1. Patient position in standing or sitting.
Step 2. The patient forearm is supinated and then the examiner applies direct pressure over the carpal tunnel (median nerve) between the thenar and hypothenar eminence for 30 seconds.
Step 3. A positive test indicates any numbness, pain, or paresthesia in the distribution of median nerve.
Evidence[edit | edit source]
The research was done in 2016 to find a more suitable diagnostic test for carpal tunnel syndrome among carpal compression test (CCT), Tinel’s test (TT) , and Phalen’s test (PT). The study shows sensitivity and specificity of the Carpal compression test were higher than both Tinel's and Phalen's tests. Also study suggest both CCT and TT were positive, the diagnosis is more likely to be CTS[3].
[3] | Carpal compression test | Tinel's test | Phalen's test |
---|---|---|---|
sensitivity | 80.6% | 65.3% | 59.7% |
specificity | 52.9% | 47.1% | 35.3% |
References[edit | edit source]
- ↑ Carpal Compression Test. The Student Physical Therapist. Available from: https://youtu.be%7C5vC-r1FaZZE
- ↑ Patient Self Diagnose Carpal Tunnel Syndrome - Everything You Need To Know - Dr. Nabil Ebraheim. nabil ebraheim. Available from: https://youtu.be%7CJPC-ltrHTKY
- ↑ 3.0 3.1 Almasi-Doghaee M, Boostani R, Saeedi M, Ebrahimzadeh S, Moghadam-Ahmadi A, Saeedi-Borujeni MJ. Carpal compression, Phalen's and Tinel's test: Which one is more suitable for carpal tunnel syndrome?. Iran J Neurol. 2016;15(3):173-174.