Finding Baseline Parameters Of The Neurodynamic Test of The Upper And Lower Limbs: False Positive Rate Among Healthy Asymptomatic Adult
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Date
2024-03
Journal Title
Journal ISSN
Volume Title
Publisher
International Journal of Physiotherapy
Abstract
Background: Neurodynamic tests are used by most physiotherapists in clinical examinations to differentiate the underlying pathoanatomic structures. We examined the false positive rate of upper limb neural tension test (ULTT) & seated slump test (STT) in healthy individuals with no history of any cervical & lumbar symptoms. To form baseline parameters to differentiate between normal and actual pathology.Methods: An observational cross-sectional study. Ninety-eight subjects participated, with 49 males & 49-female with mean ages of twenty-two 22.28 & 20.53 respectively. The test methods used were ULTT and SST. Tester 1 performed the test. Tester 2 was blinded & measured the range of motion employing universal goniometry.Results: The mean elbow extension for ULTT-R was 32.67 with 95% C. I between 30.38° to 34. 89°. And for ULTT-L, it was 34.75° with a 95% CI between 32.61 to 36.89. The mean knee extension for SST-R was 15.92° with 95% C. I between 12.81 to 19.03. And SST-L was 14.27 with 95 % C. I was between 11.51 to 17.04. To increase ULTT and SST's diagnostic accuracy, clinicians can use these results to establish baseline criteria for identifying pathological and non-pathological findings.Conclusion: Based on the 75th Percentile, we suggested that a positive test only be identified when peripheral symptoms are reproduced before 20° of knee extension on the right and 18° on the left side and elbow extension before 45° on the right and 41° on the left side.
Description
Keywords
Physical examination, Range of motion, upper limb neural tension test, Seated slump test.
Citation
Chitapure Tajuddin, Walimbe Vaibhavi, Kawathekar Utkarsha, Fatima Quraishi Maliha, AfsarpAtel Shaikh Amreen, Afsar Shaikh Saba . Finding Baseline Parameters Of The Neurodynamic Test of The Upper And Lower Limbs: False Positive Rate Among Healthy Asymptomatic Adult . International Journal of Physiotherapy. 2024 Jan; 11(1): 14-19