Upper limb neurodynamic test 1 in patients with clinical diagnosis of carpal tunnel syndrome: A diagnostic accuracy study
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 carpa...
- Autores:
- Tipo de recurso:
- Fecha de publicación:
- 2018
- Institución:
- Universidad del Rosario
- Repositorio:
- Repositorio EdocUR - U. Rosario
- Idioma:
- eng
- OAI Identifier:
- oai:repository.urosario.edu.co:10336/22360
- Acceso en línea:
- https://doi.org/10.1016/j.jht.2017.05.004
https://repository.urosario.edu.co/handle/10336/22360
- Palabra clave:
- Adult
Aged
Article
Carpal tunnel syndrome
Diagnostic accuracy
Diagnostic test accuracy study
Diagnostic value
Female
Human
Major clinical study
Male
Medical examination
Nerve conduction
Neurologic examination
Predictive value
Screening test
Sensitivity and specificity
Upper limb neurodynamic test 1
Carpal tunnel syndrome
Electrodiagnosis
Innervation
Middle aged
Nerve conduction
Neurologic examination
Pathophysiology
Physiology
Reproducibility
Upper limb
Young adult
Adult
Carpal tunnel syndrome
Electrodiagnosis
Female
Humans
Male
Middle aged
Neural conduction
Neurologic examination
Predictive value of tests
Reproducibility of results
Upper extremity
Young adult
Carpal tunnel syndrome
Manual therapy
Musculoskeletal disorders
Neurodynamic tests
Sensitivity
Specificity
- Rights
- License
- Abierto (Texto Completo)
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dc.title.spa.fl_str_mv |
Upper limb neurodynamic test 1 in patients with clinical diagnosis of carpal tunnel syndrome: A diagnostic accuracy study |
title |
Upper limb neurodynamic test 1 in patients with clinical diagnosis of carpal tunnel syndrome: A diagnostic accuracy study |
spellingShingle |
Upper limb neurodynamic test 1 in patients with clinical diagnosis of carpal tunnel syndrome: A diagnostic accuracy study Adult Aged Article Carpal tunnel syndrome Diagnostic accuracy Diagnostic test accuracy study Diagnostic value Female Human Major clinical study Male Medical examination Nerve conduction Neurologic examination Predictive value Screening test Sensitivity and specificity Upper limb neurodynamic test 1 Carpal tunnel syndrome Electrodiagnosis Innervation Middle aged Nerve conduction Neurologic examination Pathophysiology Physiology Reproducibility Upper limb Young adult Adult Carpal tunnel syndrome Electrodiagnosis Female Humans Male Middle aged Neural conduction Neurologic examination Predictive value of tests Reproducibility of results Upper extremity Young adult Carpal tunnel syndrome Manual therapy Musculoskeletal disorders Neurodynamic tests Sensitivity Specificity |
title_short |
Upper limb neurodynamic test 1 in patients with clinical diagnosis of carpal tunnel syndrome: A diagnostic accuracy study |
title_full |
Upper limb neurodynamic test 1 in patients with clinical diagnosis of carpal tunnel syndrome: A diagnostic accuracy study |
title_fullStr |
Upper limb neurodynamic test 1 in patients with clinical diagnosis of carpal tunnel syndrome: A diagnostic accuracy study |
title_full_unstemmed |
Upper limb neurodynamic test 1 in patients with clinical diagnosis of carpal tunnel syndrome: A diagnostic accuracy study |
title_sort |
Upper limb neurodynamic test 1 in patients with clinical diagnosis of carpal tunnel syndrome: A diagnostic accuracy study |
dc.subject.keyword.spa.fl_str_mv |
Adult Aged Article Carpal tunnel syndrome Diagnostic accuracy Diagnostic test accuracy study Diagnostic value Female Human Major clinical study Male Medical examination Nerve conduction Neurologic examination Predictive value Screening test Sensitivity and specificity Upper limb neurodynamic test 1 Carpal tunnel syndrome Electrodiagnosis Innervation Middle aged Nerve conduction Neurologic examination Pathophysiology Physiology Reproducibility Upper limb Young adult Adult Carpal tunnel syndrome Electrodiagnosis Female Humans Male Middle aged Neural conduction Neurologic examination Predictive value of tests Reproducibility of results Upper extremity Young adult Carpal tunnel syndrome Manual therapy Musculoskeletal disorders Neurodynamic tests Sensitivity Specificity |
topic |
Adult Aged Article Carpal tunnel syndrome Diagnostic accuracy Diagnostic test accuracy study Diagnostic value Female Human Major clinical study Male Medical examination Nerve conduction Neurologic examination Predictive value Screening test Sensitivity and specificity Upper limb neurodynamic test 1 Carpal tunnel syndrome Electrodiagnosis Innervation Middle aged Nerve conduction Neurologic examination Pathophysiology Physiology Reproducibility Upper limb Young adult Adult Carpal tunnel syndrome Electrodiagnosis Female Humans Male Middle aged Neural conduction Neurologic examination Predictive value of tests Reproducibility of results Upper extremity Young adult Carpal tunnel syndrome Manual therapy Musculoskeletal disorders Neurodynamic tests Sensitivity Specificity |
description |
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. © 2017 Hanley and Belfus |
publishDate |
2018 |
dc.date.created.spa.fl_str_mv |
2018 |
dc.date.accessioned.none.fl_str_mv |
2020-05-25T23:56:12Z |
dc.date.available.none.fl_str_mv |
2020-05-25T23:56:12Z |
dc.type.eng.fl_str_mv |
article |
dc.type.coarversion.fl_str_mv |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
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http://purl.org/coar/resource_type/c_6501 |
dc.type.spa.spa.fl_str_mv |
Artículo |
dc.identifier.doi.none.fl_str_mv |
https://doi.org/10.1016/j.jht.2017.05.004 |
dc.identifier.issn.none.fl_str_mv |
1545004X 08941130 |
dc.identifier.uri.none.fl_str_mv |
https://repository.urosario.edu.co/handle/10336/22360 |
url |
https://doi.org/10.1016/j.jht.2017.05.004 https://repository.urosario.edu.co/handle/10336/22360 |
identifier_str_mv |
1545004X 08941130 |
dc.language.iso.spa.fl_str_mv |
eng |
language |
eng |
dc.relation.citationEndPage.none.fl_str_mv |
338 |
dc.relation.citationIssue.none.fl_str_mv |
No. 3 |
dc.relation.citationStartPage.none.fl_str_mv |
333 |
dc.relation.citationTitle.none.fl_str_mv |
Journal of Hand Therapy |
dc.relation.citationVolume.none.fl_str_mv |
Vol. 31 |
dc.relation.ispartof.spa.fl_str_mv |
Journal of Hand Therapy, ISSN:1545004X, 08941130, Vol.31, No.3 (2018); pp. 333-338 |
dc.relation.uri.spa.fl_str_mv |
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http://purl.org/coar/access_right/c_abf2 |
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Abierto (Texto Completo) |
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Abierto (Texto Completo) http://purl.org/coar/access_right/c_abf2 |
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Hanley and Belfus Inc. |
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Universidad del Rosario |
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reponame:Repositorio Institucional EdocUR |
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520540246001c4a0109-79a7-430a-a757-5e854a9ec325194973506002020-05-25T23:56:12Z2020-05-25T23:56:12Z2018Study 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. © 2017 Hanley and Belfusapplication/pdfhttps://doi.org/10.1016/j.jht.2017.05.0041545004X08941130https://repository.urosario.edu.co/handle/10336/22360engHanley and Belfus Inc.338No. 3333Journal of Hand TherapyVol. 31Journal of Hand Therapy, ISSN:1545004X, 08941130, Vol.31, No.3 (2018); pp. 333-338https://www.scopus.com/inward/record.uri?eid=2-s2.0-85020661931&doi=10.1016%2fj.jht.2017.05.004&partnerID=40&md5=986f6ddbc576701f12b0f327ea14fff0Abierto (Texto Completo)http://purl.org/coar/access_right/c_abf2instname:Universidad del Rosarioreponame:Repositorio Institucional EdocURAdultAgedArticleCarpal tunnel syndromeDiagnostic accuracyDiagnostic test accuracy studyDiagnostic valueFemaleHumanMajor clinical studyMaleMedical examinationNerve conductionNeurologic examinationPredictive valueScreening testSensitivity and specificityUpper limb neurodynamic test 1Carpal tunnel syndromeElectrodiagnosisInnervationMiddle agedNerve conductionNeurologic examinationPathophysiologyPhysiologyReproducibilityUpper limbYoung adultAdultCarpal tunnel syndromeElectrodiagnosisFemaleHumansMaleMiddle agedNeural conductionNeurologic examinationPredictive value of testsReproducibility of resultsUpper extremityYoung adultCarpal tunnel syndromeManual therapyMusculoskeletal disordersNeurodynamic testsSensitivitySpecificityUpper limb neurodynamic test 1 in patients with clinical diagnosis of carpal tunnel syndrome: A diagnostic accuracy studyarticleArtículohttp://purl.org/coar/version/c_970fb48d4fbd8a85http://purl.org/coar/resource_type/c_6501Trillos Chacón, María ConstanzaSoto F.Briceño Ayala, LeonardoORIGINAL1-s2-0-S089411301730131X-main.pdfapplication/pdf288244https://repository.urosario.edu.co/bitstreams/3b14be27-d71c-41ae-a731-f9995e8c6b61/download776009c102f6be1e3f67ec2e033b10fcMD51TEXT1-s2-0-S089411301730131X-main.pdf.txt1-s2-0-S089411301730131X-main.pdf.txtExtracted texttext/plain32518https://repository.urosario.edu.co/bitstreams/c4afb9ee-5af5-4524-bc5e-74af737cbc21/download30b50acaf99ac85ea44c221aa44a0168MD52THUMBNAIL1-s2-0-S089411301730131X-main.pdf.jpg1-s2-0-S089411301730131X-main.pdf.jpgGenerated Thumbnailimage/jpeg4858https://repository.urosario.edu.co/bitstreams/2db891b7-6dd4-42f9-a3bf-36910d416a3b/download3531b11713d631c0e9ce1940487e9750MD5310336/22360oai:repository.urosario.edu.co:10336/223602022-05-02 07:37:17.46913https://repository.urosario.edu.coRepositorio institucional EdocURedocur@urosario.edu.co |