Validity of the upper limb neurodynamic test 1 for the diagnosis of carpal tunnel syndrome. The role of structural differentiation

Background: Several studies have analysed the use of the Upper Limb Neurodynamic Test 1 (ULNT1) for diagnosing Carpal Tunnel Syndrome (CTS) obtaining weak diagnostic accuracy, which could be related to the lack of consensus in the selected diagnostic criteria of ULNT1. In a recent review, it was suggested that many of the studies examining the validity of ULNTs used criteria that were too liberal to consider ULNTs positive. To address this shortcoming, some authors recommended that structural differentiation (SD), should be added as an essential criterion for classifying ULNTs as positive.

Source: Manual Therapy - April 1, 2017 Category: Physiotherapy Authors: E. Bueno-Gracia, J.M. Tric ás-Moreno, P. Fanlo-Mazas, M. Malo-Urriés, M. Haddad-Garay, E. Estébanez de Miguel, C. Hidalgo-García, J. Krauss, A. Ruiz-de-Escudero-Zapico Source Type: research