000132497 001__ 132497
000132497 005__ 20241125101155.0
000132497 0247_ $$2doi$$a10.1016/j.msksp.2023.102897
000132497 0248_ $$2sideral$$a137640
000132497 037__ $$aART-2023-137640
000132497 041__ $$aeng
000132497 100__ $$0(orcid)0000-0002-0026-9224$$aBueno-Gracia, Elena$$uUniversidad de Zaragoza
000132497 245__ $$aDiagnostic accuracy of the upper limb neurodynamic test 1 using neurodynamic sequencing in diagnosis of carpal tunnel syndrome
000132497 260__ $$c2023
000132497 5060_ $$aAccess copy available to the general public$$fUnrestricted
000132497 5203_ $$aBackground
The upper limb neurodynamic test 1 is used in the diagnosis of median nerve neuropathies such as carpal tunnel syndrome but its diagnostic validity remains limited. Neurodynamic sequencing has been suggested to increase the specificity of the neurodynamic tests, however, to date, information on the diagnostic accuracy of this variation in neurodynamic testing is required.

Objectives
The aim of this study was to analyze the diagnostic validity of the local sequence of ULNT1 (LS-ULNT1) (i.e. a sequence that begins at the joint where the problem is (wrist) and progressively moves joints further away from it), in the diagnosis of CTS. A secondary aim was to describe the location of sensory responses to this modified neurodynamic test sequence.

Design
A prospective diagnostic accuracy study was designed.

Method
Nerve conduction studies were used as the gold standard. The LS-ULNT1 was performed in 58 consecutive patients (17 men, 44 women) with suspected CTS.

Results
Sensitivity of the LS-ULNT1 was 65.7% (CI 48.0–80.9%) and the specificity was 95.7% (CI 78.1–99.9%). The positive and negative likelihood ratios were >5 and < 0.5, respectively, indicating the ability of the test to generate small but sometimes important changes in post-test probability.

Conclusions
The overall results of this study showed that the LS-ULNT1 could be useful in confirming the diagnosis of CTS. The test demonstrated high specificity and the +LR indicated the ability of the test to generate changes in posttest probability, especially with a positive LS-ULNT1 result.
000132497 540__ $$9info:eu-repo/semantics/openAccess$$aby-nc$$uhttp://creativecommons.org/licenses/by-nc/3.0/es/
000132497 590__ $$a2.2$$b2023
000132497 592__ $$a0.755$$b2023
000132497 591__ $$aREHABILITATION$$b29 / 170 = 0.171$$c2023$$dQ1$$eT1
000132497 593__ $$aPhysical Therapy, Sports Therapy and Rehabilitation$$c2023$$dQ1
000132497 594__ $$a4.1$$b2023
000132497 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000132497 700__ $$0(orcid)0000-0003-3472-072X$$aFanlo-Mazas, Pablo$$uUniversidad de Zaragoza
000132497 700__ $$0(orcid)0000-0001-9080-0543$$aMalo-Urriés, Miguel$$uUniversidad de Zaragoza
000132497 700__ $$aRodriguez-Mena, Diego$$uUniversidad de Zaragoza
000132497 700__ $$0(orcid)0009-0000-0252-5642$$aMontaner-Cuello, Alberto$$uUniversidad de Zaragoza
000132497 700__ $$aCiuffreda, Gianluca$$uUniversidad de Zaragoza
000132497 700__ $$aShacklock, Michael
000132497 700__ $$0(orcid)0000-0002-5161-7479$$aEstébanez-de-Miguel, Elena$$uUniversidad de Zaragoza
000132497 7102_ $$11007$$2610$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Medicina
000132497 7102_ $$11006$$2413$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Fisioterapia
000132497 773__ $$g69 (2023), 102897 [7 pp.]$$pMusculoeskelet. sci. pract.$$tMUSCULOSKELETAL SCIENCE AND PRACTICE$$x2468-8630
000132497 8564_ $$s3264012$$uhttps://zaguan.unizar.es/record/132497/files/texto_completo.pdf$$yVersión publicada
000132497 8564_ $$s2521493$$uhttps://zaguan.unizar.es/record/132497/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000132497 909CO $$ooai:zaguan.unizar.es:132497$$particulos$$pdriver
000132497 951__ $$a2024-11-22-12:08:56
000132497 980__ $$aARTICLE