132497 20241125101155.0 doi 10.1016/j.msksp.2023.102897 sideral 137640 ART-2023-137640 eng Bueno-Gracia, Elena Universidad de Zaragoza (orcid)0000-0002-0026-9224 Diagnostic accuracy of the upper limb neurodynamic test 1 using neurodynamic sequencing in diagnosis of carpal tunnel syndrome 2023 Access copy available to the general public Unrestricted Background 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. info:eu-repo/semantics/openAccess by-nc http://creativecommons.org/licenses/by-nc/3.0/es/ 2.2 2023 REHABILITATION 29 / 170 = 0.171 2023 Q1 T1 0.755 2023 Physical Therapy, Sports Therapy and Rehabilitation 2023 Q1 4.1 2023 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Fanlo-Mazas, Pablo Universidad de Zaragoza (orcid)0000-0003-3472-072X Malo-Urriés, Miguel Universidad de Zaragoza (orcid)0000-0001-9080-0543 Rodriguez-Mena, Diego Universidad de Zaragoza Montaner-Cuello, Alberto Universidad de Zaragoza (orcid)0009-0000-0252-5642 Ciuffreda, Gianluca Universidad de Zaragoza Shacklock, Michael Estébanez-de-Miguel, Elena Universidad de Zaragoza (orcid)0000-0002-5161-7479 1007 610 Universidad de Zaragoza Dpto. Medicina, Psiqu. y Derm. Area Medicina 1006 413 Universidad de Zaragoza Dpto. Fisiatría y Enfermería Área Fisioterapia 69 (2023), 102897 [7 pp.] Musculoeskelet. sci. pract. MUSCULOSKELETAL SCIENCE AND PRACTICE 2468-8630 3264012 http://zaguan.unizar.es/record/132497/files/texto_completo.pdf Versión publicada 2521493 http://zaguan.unizar.es/record/132497/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:132497 articulos driver 2024-11-22-12:08:56 ARTICLE