Upper limb neurodynamic test 1 in patients with clinical diagnosis of carpal tunnel syndrome: A diagnostic accuracy study
| Autor: | Felipe Soto, Maria Constanza Trillos, Leonardo Briceno-Ayala |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Reproducibility of results
Male Neurodynamic tests Nerve conduction Upper limb neurodynamic test 1 Physiology Screening test Neural Conduction Diagnostic accuracy Musculoskeletal disorders Likelihood ratios in diagnostic testing Sensitivity 0302 clinical medicine Positive predicative value Medical diagnosis Middle aged Upper limb Diagnostic value Neurologic Examination Diagnostic test accuracy study Innervation Electrodiagnosis Rehabilitation Middle Aged Carpal Tunnel Syndrome Reproducibility Sensitivity and specificity medicine.anatomical_structure Predictive value of tests Specificity Medical examination Population study Female Radiology Manual therapy Human Adult medicine.medical_specialty Upper extremity Predictive value Physical Therapy Sports Therapy and Rehabilitation Major clinical study Pathophysiology Article Upper Extremity Young Adult 03 medical and health sciences Predictive Value of Tests medicine Humans Carpal tunnel syndrome Aged 030203 arthritis & rheumatology business.industry Reproducibility of Results medicine.disease Neurologic examination nervous system diseases Young adult Neural conduction Physical therapy business 030217 neurology & neurosurgery |
| Zdroj: | Repositorio EdocUR-U. Rosario Universidad del Rosario instacron:Universidad del Rosario |
| ISSN: | 0894-1130 |
| DOI: | 10.1016/j.jht.2017.05.004 |
| Popis: | Study Design Diagnostic accuracy. Introduction Upper limb neurodynamic test 1 (ULNT1) is used to evaluate the mechanical sensitivity especially in the peripheral nerves of the upper limbs. The reproduction of typical symptoms in the affected hand improves the estimation of the probability of carpal tunnel syndrome (CTS). However the test has not been evaluated sufficiently to determine its real usefulness. In the present study the diagnostic accuracy of ULNT1 as a clinical test for CTS was determined. Methods We used the ULNT1 as the index test and nerve conduction as the reference standard. 120 subjects, (240 hands), with a medical diagnosis of CTS were evaluated. The study population was a consecutive series of participants. Sensitivity, specificity, positive and negative predictive values, accuracy, and positive likelihood ratio were calculated. Results ULNT1 was found to have a sensitivity of 93 % and a specificity of 6.67 %. The positive likelihood ratio was 1.04 and the negative likelihood ratio was 1.00. The positive predictive value was 86.9 % and the negative predictive value was 12.5%. Discussion Acute or relatively mild CTS cases may not be accurately identified through nerve conduction tests. The findings of this study coincide with other studies in the finding that ULNT1 has a significant diagnostic and clinical screening value for CTS in people at-risk, or with upper limb symptoms. Conclusion(s) This research suggests the use of ULNT1 as a screening test for CTS, followed by tests that are more specific. Level of Evidence III-2. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect