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...

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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
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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
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https://repository.urosario.edu.co/handle/10336/22360
identifier_str_mv 1545004X
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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
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dc.publisher.spa.fl_str_mv Hanley and Belfus Inc.
institution Universidad del Rosario
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spelling 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