Upper Limb Tension Tests (ULTTs): Difference between revisions
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'''==Purpose:==''' | '''==Purpose:==''' | ||
To test for the presence of cervical radiculopathy | *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 cervical radiculopathy<br> | |||
'''==Description:==''' | [[http://www.physio-pedia.com/index.php5?title=CPR_for_Cervical_Radiculopathy]]<br> | ||
'''==Description:<sup>1</sup>==''' | |||
The patient is supine. The examiner performs the following movement sequence: | The patient is supine. The examiner performs the following movement sequence: | ||
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*Contralateral cervical side bending increases symptoms, or ipsilateral side bending decreases symptoms | *Contralateral cervical side bending increases symptoms, or ipsilateral side bending decreases symptoms | ||
'''==Diagnostic Accuracy:==''' | '''==Diagnostic Accuracy:<sup>2</sup>==''' | ||
Reference standard cervical radiculopathy as diagnosed by needle electromyography and nerve conduction studies. | Reference standard cervical radiculopathy as diagnosed by needle electromyography and nerve conduction studies. | ||
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Inter-examiner Kappa= .76 | Inter-examiner Kappa= .76 | ||
<br> | |||
[[media:http://www.youtube.com/watch?v=dlGVm4uKCMY]]<br> | |||
=='''References:=='''<br> | =='''References:=='''<br> | ||
Revision as of 20:12, 15 November 2009
==Purpose:==
- 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
[[1]]
==Description:1==
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:2==
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
media:http://www.youtube.com/watch?v=dlGVm4uKCMY
==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
