Upper Limb Tension Tests (ULTTs)
==Purpose:==
To test for the presence of cervical radiculopathy
media:http://www.youtube.com/watch?v=dlGVm4uKCMY
==Description:==
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 ifone of moreof the following occurs:
- Symptoms reproduced
- Side to side difference in elbowe extension greater than 10 degrees
- Contralateral cervical side bending increases symptoms, or ipsilateral side bending decreases symptoms
==Diagnostic Accuracy:==
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
==References:==
Flynn TW, Cleland JA, Whitman JM. Users' Guide To The Musculoskeletal Examination. Evidence in Motion; 2008.
Hartley A. Practical Joint Assessment. St Louis: Mosby; 1995.
clinicallyrelevant.com
