Upper Limb Neurodynamic Test of the Radial Nerve: A Study of Responses in Symptomatic and Asymptomatic Subjects
Abstract Study Design Clinical measurement. Introduction Nonspecific cervical pain is a common clinical presentation. The role of upper limb neurodynamic tests (ULNT), for evaluation and treatment intervention, is not well defined for this population. Purpose of the Study This study's purpose w...
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| creator | Petersen, Cheryl M., PT, DPT, DHS Zimmermann, Chris L., PT, PhD Hall, Kathy D., PT, EdD Przechera, Steve J., MPT, OCS, ATC Julian, Jenna V., DPT Coderre, Nicole N., DPT |
| description | Abstract Study Design Clinical measurement. Introduction Nonspecific cervical pain is a common clinical presentation. The role of upper limb neurodynamic tests (ULNT), for evaluation and treatment intervention, is not well defined for this population. Purpose of the Study This study's purpose was to determine if the radial-biased (RB)-ULNT discriminates any response differences between symptomatic subjects with a positive (+) RB-ULNT ( n = 36), symptomatic subjects with a negative (−) RB-ULNT ( n = 24), and asymptomatic subjects ( n = 60). Methods Sixty asymptomatic and 60 subjects presenting with nonspecific cervical and/or unilateral upper extremity pain were compared using the RB-ULNT. Symptomatic subjects were further divided in (+) and (−) RB-ULNT groups due to their response to the RB-ULNT. Within the symptomatic population, a positive response to the RB-ULNT was defined by the symptomatic subject reporting their sensations were increased with contralateral cervical lateral flexion and decreased with ipsilateral cervical lateral flexion. Sensation provocation and location were evaluated using the RB-ULNT in all the subjects during each stage of the testing. Results Significant differences on stage of reproduction and type of sensations were identified between 1) the (+) RB-ULNT symptomatic subjects, 2) the (−) RB-ULNT symptomatic subjects, and 3) the asymptomatic subjects. The (+) RB-ULNT group showed significantly increased pain responses during the first stage of the RB-ULNT compared with the (−) RB-ULNT group and the asymptomatic subjects. The (+) RB-ULNT also showed significantly decreased glenohumeral abduction passive range of motion when compared with the asymptomatic group. Conclusion Clinically, the differences found between the groups in their response to the RB-ULNT suggest heightened mechanosensitivity in the (+) RB-ULNT group. Level of Evidence 3a. |
| doi_str_mv | 10.1016/j.jht.2009.05.001 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_734100317</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0894113009000490</els_id><sourcerecordid>734100317</sourcerecordid><originalsourceid>FETCH-LOGICAL-c435t-8f8aeaadae0eb6f509a3921892631624ef6a114b3b78fc62f34305ddbf97dc733</originalsourceid><addsrcrecordid>eNp9kl2L1TAQhoMo7nH1B3gjAS-8ap006ZeCcFj8goPCnl3wLqTJlE1tm5q0C_33ppwDK3vhVSDzvJPM-w4hrxmkDFjxvku7uznNAOoU8hSAPSE7los8ARC_npIdVLVIGONwQV6E0EUgz6B8Ti5YnRfAWbUj7naa0NODHRr6AxfvzDqqwWp6g2GmrqXzHdJrZazqY93f4we6p8d5MetWvMYwuTFgoHakx3WYZjeoOarVaOg-_HNxXJoO9Rxekmet6gO-Op-X5PbL55urb8nh59fvV_tDogXP56RqK4VKGYWATdHmUCteZ6yqs4KzIhPYFoox0fCmrFpdZC0XHHJjmrYujS45vyTvTn0n7_4scRY52KCx79WIbgmy5IJBtKCM5NtHZOcWP8bPSQaCsULE9yLFTpT2LgSPrZy8HZRfIyS3MGQnYxhyC0NCLqPXUfPm3HlpBjQPirP7Efh4AjA6cW_Ry6AtjhqN9dEsaZz9b_tPj9S6t6PVqv-NK4aHKWTIJMjjtg3bMkANcT9q4H8BorWuow</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1041164624</pqid></control><display><type>article</type><title>Upper Limb Neurodynamic Test of the Radial Nerve: A Study of Responses in Symptomatic and Asymptomatic Subjects</title><source>MEDLINE</source><source>Access via ScienceDirect (Elsevier)</source><source>ProQuest Central UK/Ireland</source><creator>Petersen, Cheryl M., PT, DPT, DHS ; Zimmermann, Chris L., PT, PhD ; Hall, Kathy D., PT, EdD ; Przechera, Steve J., MPT, OCS, ATC ; Julian, Jenna V., DPT ; Coderre, Nicole N., DPT</creator><creatorcontrib>Petersen, Cheryl M., PT, DPT, DHS ; Zimmermann, Chris L., PT, PhD ; Hall, Kathy D., PT, EdD ; Przechera, Steve J., MPT, OCS, ATC ; Julian, Jenna V., DPT ; Coderre, Nicole N., DPT</creatorcontrib><description>Abstract Study Design Clinical measurement. Introduction Nonspecific cervical pain is a common clinical presentation. The role of upper limb neurodynamic tests (ULNT), for evaluation and treatment intervention, is not well defined for this population. Purpose of the Study This study's purpose was to determine if the radial-biased (RB)-ULNT discriminates any response differences between symptomatic subjects with a positive (+) RB-ULNT ( n = 36), symptomatic subjects with a negative (−) RB-ULNT ( n = 24), and asymptomatic subjects ( n = 60). Methods Sixty asymptomatic and 60 subjects presenting with nonspecific cervical and/or unilateral upper extremity pain were compared using the RB-ULNT. Symptomatic subjects were further divided in (+) and (−) RB-ULNT groups due to their response to the RB-ULNT. Within the symptomatic population, a positive response to the RB-ULNT was defined by the symptomatic subject reporting their sensations were increased with contralateral cervical lateral flexion and decreased with ipsilateral cervical lateral flexion. Sensation provocation and location were evaluated using the RB-ULNT in all the subjects during each stage of the testing. Results Significant differences on stage of reproduction and type of sensations were identified between 1) the (+) RB-ULNT symptomatic subjects, 2) the (−) RB-ULNT symptomatic subjects, and 3) the asymptomatic subjects. The (+) RB-ULNT group showed significantly increased pain responses during the first stage of the RB-ULNT compared with the (−) RB-ULNT group and the asymptomatic subjects. The (+) RB-ULNT also showed significantly decreased glenohumeral abduction passive range of motion when compared with the asymptomatic group. Conclusion Clinically, the differences found between the groups in their response to the RB-ULNT suggest heightened mechanosensitivity in the (+) RB-ULNT group. Level of Evidence 3a.</description><identifier>ISSN: 0894-1130</identifier><identifier>EISSN: 1545-004X</identifier><identifier>DOI: 10.1016/j.jht.2009.05.001</identifier><identifier>PMID: 19560318</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Aged ; Bias ; Confidence intervals ; Female ; Humans ; Ischemia ; Male ; Middle Aged ; Neck - innervation ; Neck - physiopathology ; Nervous system ; Neuralgia - diagnosis ; Neuralgia - physiopathology ; Neurologic Examination - methods ; Pain Measurement ; Physical Medicine and Rehabilitation ; Radial Nerve - physiopathology ; Radial Neuropathy - diagnosis ; Radial Neuropathy - physiopathology ; Range of Motion, Articular - physiology ; Standard deviation ; Upper Extremity - innervation ; Upper Extremity - physiopathology</subject><ispartof>Journal of hand therapy, 2009-10, Vol.22 (4), p.344-354</ispartof><rights>Hanley & Belfus</rights><rights>2009 Hanley & Belfus</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c435t-8f8aeaadae0eb6f509a3921892631624ef6a114b3b78fc62f34305ddbf97dc733</citedby><cites>FETCH-LOGICAL-c435t-8f8aeaadae0eb6f509a3921892631624ef6a114b3b78fc62f34305ddbf97dc733</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1041164624?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995,64385,64387,64389,72469</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19560318$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Petersen, Cheryl M., PT, DPT, DHS</creatorcontrib><creatorcontrib>Zimmermann, Chris L., PT, PhD</creatorcontrib><creatorcontrib>Hall, Kathy D., PT, EdD</creatorcontrib><creatorcontrib>Przechera, Steve J., MPT, OCS, ATC</creatorcontrib><creatorcontrib>Julian, Jenna V., DPT</creatorcontrib><creatorcontrib>Coderre, Nicole N., DPT</creatorcontrib><title>Upper Limb Neurodynamic Test of the Radial Nerve: A Study of Responses in Symptomatic and Asymptomatic Subjects</title><title>Journal of hand therapy</title><addtitle>J Hand Ther</addtitle><description>Abstract Study Design Clinical measurement. Introduction Nonspecific cervical pain is a common clinical presentation. The role of upper limb neurodynamic tests (ULNT), for evaluation and treatment intervention, is not well defined for this population. Purpose of the Study This study's purpose was to determine if the radial-biased (RB)-ULNT discriminates any response differences between symptomatic subjects with a positive (+) RB-ULNT ( n = 36), symptomatic subjects with a negative (−) RB-ULNT ( n = 24), and asymptomatic subjects ( n = 60). Methods Sixty asymptomatic and 60 subjects presenting with nonspecific cervical and/or unilateral upper extremity pain were compared using the RB-ULNT. Symptomatic subjects were further divided in (+) and (−) RB-ULNT groups due to their response to the RB-ULNT. Within the symptomatic population, a positive response to the RB-ULNT was defined by the symptomatic subject reporting their sensations were increased with contralateral cervical lateral flexion and decreased with ipsilateral cervical lateral flexion. Sensation provocation and location were evaluated using the RB-ULNT in all the subjects during each stage of the testing. Results Significant differences on stage of reproduction and type of sensations were identified between 1) the (+) RB-ULNT symptomatic subjects, 2) the (−) RB-ULNT symptomatic subjects, and 3) the asymptomatic subjects. The (+) RB-ULNT group showed significantly increased pain responses during the first stage of the RB-ULNT compared with the (−) RB-ULNT group and the asymptomatic subjects. The (+) RB-ULNT also showed significantly decreased glenohumeral abduction passive range of motion when compared with the asymptomatic group. Conclusion Clinically, the differences found between the groups in their response to the RB-ULNT suggest heightened mechanosensitivity in the (+) RB-ULNT group. Level of Evidence 3a.</description><subject>Adult</subject><subject>Aged</subject><subject>Bias</subject><subject>Confidence intervals</subject><subject>Female</subject><subject>Humans</subject><subject>Ischemia</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Neck - innervation</subject><subject>Neck - physiopathology</subject><subject>Nervous system</subject><subject>Neuralgia - diagnosis</subject><subject>Neuralgia - physiopathology</subject><subject>Neurologic Examination - methods</subject><subject>Pain Measurement</subject><subject>Physical Medicine and Rehabilitation</subject><subject>Radial Nerve - physiopathology</subject><subject>Radial Neuropathy - diagnosis</subject><subject>Radial Neuropathy - physiopathology</subject><subject>Range of Motion, Articular - physiology</subject><subject>Standard deviation</subject><subject>Upper Extremity - innervation</subject><subject>Upper Extremity - physiopathology</subject><issn>0894-1130</issn><issn>1545-004X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kl2L1TAQhoMo7nH1B3gjAS-8ap006ZeCcFj8goPCnl3wLqTJlE1tm5q0C_33ppwDK3vhVSDzvJPM-w4hrxmkDFjxvku7uznNAOoU8hSAPSE7los8ARC_npIdVLVIGONwQV6E0EUgz6B8Ti5YnRfAWbUj7naa0NODHRr6AxfvzDqqwWp6g2GmrqXzHdJrZazqY93f4we6p8d5MetWvMYwuTFgoHakx3WYZjeoOarVaOg-_HNxXJoO9Rxekmet6gO-Op-X5PbL55urb8nh59fvV_tDogXP56RqK4VKGYWATdHmUCteZ6yqs4KzIhPYFoox0fCmrFpdZC0XHHJjmrYujS45vyTvTn0n7_4scRY52KCx79WIbgmy5IJBtKCM5NtHZOcWP8bPSQaCsULE9yLFTpT2LgSPrZy8HZRfIyS3MGQnYxhyC0NCLqPXUfPm3HlpBjQPirP7Efh4AjA6cW_Ry6AtjhqN9dEsaZz9b_tPj9S6t6PVqv-NK4aHKWTIJMjjtg3bMkANcT9q4H8BorWuow</recordid><startdate>20091001</startdate><enddate>20091001</enddate><creator>Petersen, Cheryl M., PT, DPT, DHS</creator><creator>Zimmermann, Chris L., PT, PhD</creator><creator>Hall, Kathy D., PT, EdD</creator><creator>Przechera, Steve J., MPT, OCS, ATC</creator><creator>Julian, Jenna V., DPT</creator><creator>Coderre, Nicole N., DPT</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7QP</scope><scope>7RV</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>20091001</creationdate><title>Upper Limb Neurodynamic Test of the Radial Nerve: A Study of Responses in Symptomatic and Asymptomatic Subjects</title><author>Petersen, Cheryl M., PT, DPT, DHS ; Zimmermann, Chris L., PT, PhD ; Hall, Kathy D., PT, EdD ; Przechera, Steve J., MPT, OCS, ATC ; Julian, Jenna V., DPT ; Coderre, Nicole N., DPT</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c435t-8f8aeaadae0eb6f509a3921892631624ef6a114b3b78fc62f34305ddbf97dc733</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Bias</topic><topic>Confidence intervals</topic><topic>Female</topic><topic>Humans</topic><topic>Ischemia</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Neck - innervation</topic><topic>Neck - physiopathology</topic><topic>Nervous system</topic><topic>Neuralgia - diagnosis</topic><topic>Neuralgia - physiopathology</topic><topic>Neurologic Examination - methods</topic><topic>Pain Measurement</topic><topic>Physical Medicine and Rehabilitation</topic><topic>Radial Nerve - physiopathology</topic><topic>Radial Neuropathy - diagnosis</topic><topic>Radial Neuropathy - physiopathology</topic><topic>Range of Motion, Articular - physiology</topic><topic>Standard deviation</topic><topic>Upper Extremity - innervation</topic><topic>Upper Extremity - physiopathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Petersen, Cheryl M., PT, DPT, DHS</creatorcontrib><creatorcontrib>Zimmermann, Chris L., PT, PhD</creatorcontrib><creatorcontrib>Hall, Kathy D., PT, EdD</creatorcontrib><creatorcontrib>Przechera, Steve J., MPT, OCS, ATC</creatorcontrib><creatorcontrib>Julian, Jenna V., DPT</creatorcontrib><creatorcontrib>Coderre, Nicole N., DPT</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of hand therapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Petersen, Cheryl M., PT, DPT, DHS</au><au>Zimmermann, Chris L., PT, PhD</au><au>Hall, Kathy D., PT, EdD</au><au>Przechera, Steve J., MPT, OCS, ATC</au><au>Julian, Jenna V., DPT</au><au>Coderre, Nicole N., DPT</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Upper Limb Neurodynamic Test of the Radial Nerve: A Study of Responses in Symptomatic and Asymptomatic Subjects</atitle><jtitle>Journal of hand therapy</jtitle><addtitle>J Hand Ther</addtitle><date>2009-10-01</date><risdate>2009</risdate><volume>22</volume><issue>4</issue><spage>344</spage><epage>354</epage><pages>344-354</pages><issn>0894-1130</issn><eissn>1545-004X</eissn><abstract>Abstract Study Design Clinical measurement. Introduction Nonspecific cervical pain is a common clinical presentation. The role of upper limb neurodynamic tests (ULNT), for evaluation and treatment intervention, is not well defined for this population. Purpose of the Study This study's purpose was to determine if the radial-biased (RB)-ULNT discriminates any response differences between symptomatic subjects with a positive (+) RB-ULNT ( n = 36), symptomatic subjects with a negative (−) RB-ULNT ( n = 24), and asymptomatic subjects ( n = 60). Methods Sixty asymptomatic and 60 subjects presenting with nonspecific cervical and/or unilateral upper extremity pain were compared using the RB-ULNT. Symptomatic subjects were further divided in (+) and (−) RB-ULNT groups due to their response to the RB-ULNT. Within the symptomatic population, a positive response to the RB-ULNT was defined by the symptomatic subject reporting their sensations were increased with contralateral cervical lateral flexion and decreased with ipsilateral cervical lateral flexion. Sensation provocation and location were evaluated using the RB-ULNT in all the subjects during each stage of the testing. Results Significant differences on stage of reproduction and type of sensations were identified between 1) the (+) RB-ULNT symptomatic subjects, 2) the (−) RB-ULNT symptomatic subjects, and 3) the asymptomatic subjects. The (+) RB-ULNT group showed significantly increased pain responses during the first stage of the RB-ULNT compared with the (−) RB-ULNT group and the asymptomatic subjects. The (+) RB-ULNT also showed significantly decreased glenohumeral abduction passive range of motion when compared with the asymptomatic group. Conclusion Clinically, the differences found between the groups in their response to the RB-ULNT suggest heightened mechanosensitivity in the (+) RB-ULNT group. Level of Evidence 3a.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>19560318</pmid><doi>10.1016/j.jht.2009.05.001</doi><tpages>11</tpages></addata></record> |
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| subjects | Adult Aged Bias Confidence intervals Female Humans Ischemia Male Middle Aged Neck - innervation Neck - physiopathology Nervous system Neuralgia - diagnosis Neuralgia - physiopathology Neurologic Examination - methods Pain Measurement Physical Medicine and Rehabilitation Radial Nerve - physiopathology Radial Neuropathy - diagnosis Radial Neuropathy - physiopathology Range of Motion, Articular - physiology Standard deviation Upper Extremity - innervation Upper Extremity - physiopathology |
| title | Upper Limb Neurodynamic Test of the Radial Nerve: A Study of Responses in Symptomatic and Asymptomatic Subjects |
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