Upper Limb Tension Tests (ULTTs): Difference between revisions
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To test for the presence of cervical radiculopathy | To test for the presence of cervical radiculopathy | ||
[[media:http://www.youtube.com/watch?v=dlGVm4uKCMY]]<br> | [[Media:Http://www.youtube.com/watch%3Fv%3DdlGVm4uKCMY|media:http://www.youtube.com/watch?v=dlGVm4uKCMY]]<br> | ||
'''==Description:==''' | '''==Description:==''' | ||
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'''==Positive Test:==''' | '''==Positive Test:==''' | ||
The test is positive | The test is positive if one or more of the following occurs: | ||
*Symptoms reproduced | *Symptoms reproduced | ||
*Side to side difference in | *Side to side difference in elbow extension greater than 10 degrees | ||
*Contralateral cervical side bending increases symptoms, or ipsilateral side bending decreases symptoms | *Contralateral cervical side bending increases symptoms, or ipsilateral side bending decreases symptoms | ||
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Inter-examiner Kappa= .76 | Inter-examiner Kappa= .76 | ||
=='''References:=='''<br> | =='''References:=='''<br> | ||
Flynn TW, Cleland JA, Whitman JM. Users' Guide To The Musculoskeletal Examination. Evidence in Motion; 2008.<br> | Flynn TW, Cleland JA, Whitman JM. Users' Guide To The Musculoskeletal Examination. Evidence in Motion; 2008.<br> | ||
Hartley A. Practical Joint Assessment. St Louis: Mosby; 1995.<br> | Hartley A. Practical Joint Assessment. St Louis: Mosby; 1995.<br> | ||
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 | |||
Revision as of 20:02, 15 November 2009
==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 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
==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.
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
