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Upper limb neurodynamic test 1 in patients with clinical diagnosis of carpal tunnel syndrome: A diagnostic accuracy study

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dc.creatorTrillos Chacón, María Constanzaspa
dc.creatorSoto F.spa
dc.creatorBriceño Ayala, Leonardospa
dc.date.accessioned2020-05-25T23:56:12Z
dc.date.available2020-05-25T23:56:12Z
dc.date.created2018spa
dc.description.abstractStudy 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 Belfuseng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1016/j.jht.2017.05.004
dc.identifier.issn1545004X
dc.identifier.issn08941130
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/22360
dc.language.isoengspa
dc.publisherHanley and Belfus Inc.spa
dc.relation.citationEndPage338
dc.relation.citationIssueNo. 3
dc.relation.citationStartPage333
dc.relation.citationTitleJournal of Hand Therapy
dc.relation.citationVolumeVol. 31
dc.relation.ispartofJournal of Hand Therapy, ISSN:1545004X, 08941130, Vol.31, No.3 (2018); pp. 333-338spa
dc.relation.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85020661931&doi=10.1016%2fj.jht.2017.05.004&partnerID=40&md5=986f6ddbc576701f12b0f327ea14fff0spa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subject.keywordAdultspa
dc.subject.keywordAgedspa
dc.subject.keywordArticlespa
dc.subject.keywordCarpal tunnel syndromespa
dc.subject.keywordDiagnostic accuracyspa
dc.subject.keywordDiagnostic test accuracy studyspa
dc.subject.keywordDiagnostic valuespa
dc.subject.keywordFemalespa
dc.subject.keywordHumanspa
dc.subject.keywordMajor clinical studyspa
dc.subject.keywordMalespa
dc.subject.keywordMedical examinationspa
dc.subject.keywordNerve conductionspa
dc.subject.keywordNeurologic examinationspa
dc.subject.keywordPredictive valuespa
dc.subject.keywordScreening testspa
dc.subject.keywordSensitivity and specificityspa
dc.subject.keywordUpper limb neurodynamic test 1spa
dc.subject.keywordCarpal tunnel syndromespa
dc.subject.keywordElectrodiagnosisspa
dc.subject.keywordInnervationspa
dc.subject.keywordMiddle agedspa
dc.subject.keywordNerve conductionspa
dc.subject.keywordNeurologic examinationspa
dc.subject.keywordPathophysiologyspa
dc.subject.keywordPhysiologyspa
dc.subject.keywordReproducibilityspa
dc.subject.keywordUpper limbspa
dc.subject.keywordYoung adultspa
dc.subject.keywordAdultspa
dc.subject.keywordCarpal tunnel syndromespa
dc.subject.keywordElectrodiagnosisspa
dc.subject.keywordFemalespa
dc.subject.keywordHumansspa
dc.subject.keywordMalespa
dc.subject.keywordMiddle agedspa
dc.subject.keywordNeural conductionspa
dc.subject.keywordNeurologic examinationspa
dc.subject.keywordPredictive value of testsspa
dc.subject.keywordReproducibility of resultsspa
dc.subject.keywordUpper extremityspa
dc.subject.keywordYoung adultspa
dc.subject.keywordCarpal tunnel syndromespa
dc.subject.keywordManual therapyspa
dc.subject.keywordMusculoskeletal disordersspa
dc.subject.keywordNeurodynamic testsspa
dc.subject.keywordSensitivityspa
dc.subject.keywordSpecificityspa
dc.titleUpper limb neurodynamic test 1 in patients with clinical diagnosis of carpal tunnel syndrome: A diagnostic accuracy studyspa
dc.typearticleeng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaArtículospa
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