{"id":12622,"date":"2022-11-08T16:01:53","date_gmt":"2022-11-08T15:01:53","guid":{"rendered":"https:\/\/www.physiotutors.com\/?post_type=wiki&p=12622"},"modified":"2022-11-08T16:01:53","modified_gmt":"2022-11-08T15:01:53","slug":"pressure-provocation-test","status":"publish","type":"wiki","link":"https:\/\/www.physiotutors.com\/wiki\/pressure-provocation-test\/","title":{"rendered":"Pressure Provocation Test"},"featured_media":12623,"template":"","class_list":["post-12622","wiki","type-wiki","status-publish","has-post-thumbnail","hentry"],"acf":{"sections":[{"acf_fc_layout":"page-header-detail-page","background":{"background_image":12623,"background_image_alt_text":"Pressure Provocation Test"},"heading":"Pressure Provocation Test | Cubital Tunnel Syndrome Assessment","subheading":"Elbow Assessment","content_editor":"","button_type":"internal_link","button_label":"Check our shop","button_style":"button-five","button_internal_link":4646,"button_anchor":"","button_url":"","button_file":"","label":""},{"acf_fc_layout":"submenu","links":[{"button_type":"anchor","button_label":"Learn","button_internal_link":null,"button_anchor":"section-number-3","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Assessment E-Book","button_internal_link":null,"button_anchor":"section-number-4","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Reviews","button_internal_link":null,"button_anchor":"section-number-5","button_url":"","button_file":null}],"dropdown_label":"Go to","button_right":{"button_type":"internal_link","button_label":"Become a member","button_style":"button-three","button_internal_link":16662,"button_anchor":"","button_url":"","button_file":""},"button_description":"Find this wiki on the Physiotutors platform"},{"acf_fc_layout":"content-content","section_options":{"vertical_alignment":"top","column_right_box":false,"column_left_width":"col-12 col-lg-4 offset"},"column_left":{"content_editor":"

Learn<\/h4>"},"column_right":{"content_editor":"

Pressure Provocation Test\u00a0| Cubital Tunnel Syndrome Assessment<\/h2>\nUlnar neuropathy, which encompasses cubital tunnel syndrome, can be an acute condition after elbow trauma and be encountered in the setting of chronic compression neuropathy.\n\nPatients typically describe numbness and tingling of the ulnar-sided digits of the hand, the small finger, and the ulnar aspect of the ring finger. These symptoms are worse at night and especially when the elbow is flexed.\n\nNovak et al (1994)<\/a> conducted a cohort study to investigate the diagnostic accuracy of various tests for cubital tunnel syndrome. In their study, the pressure provocation test yielded a sensitivity of 55% and specificity of 98% when held for 30 seconds and the sensitivity rose to 89% when held for 60 seconds. These promising results would help in including as well as excluding cubital tunnel syndrome though was the study by Novak the only one investigating the diagnostic accuracy which is why we regard the results as having moderate clinical value.\n
\n\n[embed]https:\/\/www.youtube.com\/watch?v=zIiszS8jsnc[\/embed]\n\n<\/div>\nTo conduct the test the patient is in sitting position. The elbow of the patient is flexed to 20\u00b0 and the forearm is supinated. Then the examiner places the middle and index finger are placed on the ulnar nerve immediately proximal to the cubital tunnel. Pressure is then applied for a total of 60 seconds.\n\nThe test is repeated on the other side.\n\nThis test is considered positive if symptoms, usually numbness or paresthesia in the distribution of the ulnar nerve, are reproduced.\n\n[cta]\n\nOther orthopedic tests to assess for cubital tunnel syndrome are:\n