{"id":12660,"date":"2022-11-10T15:59:14","date_gmt":"2022-11-10T14:59:14","guid":{"rendered":"https:\/\/www.physiotutors.com\/?post_type=wiki&amp;p=12660"},"modified":"2022-11-10T15:59:14","modified_gmt":"2022-11-10T14:59:14","slug":"carpal-compression-test","status":"publish","type":"wiki","link":"https:\/\/www.physiotutors.com\/wiki\/carpal-compression-test\/","title":{"rendered":"Carpal Compression Test"},"featured_media":12661,"template":"","class_list":["post-12660","wiki","type-wiki","status-publish","has-post-thumbnail","hentry"],"acf":{"sections":[{"acf_fc_layout":"page-header-detail-page","background":{"background_image":12661,"background_image_alt_text":"Carpal Compression Test"},"heading":"Carpal Compression Test | Carpal Tunnel Syndrome","subheading":"Wrist & Hand 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":"<h4>Learn<\/h4>"},"column_right":{"content_editor":"<h6>Carpal Compression Test | Carpal Tunnel Syndrome<\/h2>\nThe definitive diagnosis of Carpal Tunnel Syndrome requires nerve conduction testing and or EMG testing BUT these are costly and not readily available to many clinicians. Therefore, physical examination tests such as the Tinel sign and Phalen\u2019s test have been developed but they don\u2019t yield high accuracy. More recently, the carpal compression test was proposed and showed higher diagnostic accuracy over the Tinel sign and Phalen's test. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5027153\/\" target=\"_blank\" rel=\"noopener\">Almasi-Doghaee et al. (2016)<\/a> report a sensitivity of 80.6% and specificity of 52.9% which translates to rather poor likelihood ratios and which is why we still regard the clinical value as weak.\n<div class=\"embed-container\">\n\n[embed]https:\/\/www.youtube.com\/watch?v=OfDuo3CPX1o[\/embed]\n\n<\/div>\nTo conduct the test, the patient\u2019s forearm is supinated and the examiner compresses the carpal tunnel between the thenar and hypothenar eminence for 30 seconds.\n\nThe test is considered positive if symptoms such as paresthesia, numbness, and dull pain in the median nerve territory are reproduced.\n\nOther common tests to assess Carpal Tunnel Syndrome are:\n<ul>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/tinel-sign\/\">Tinel's Sign at the Wrist<\/a><\/li>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/flick-sign\/\">Flick Sign<\/a><\/li>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/carpal-tunnel-syndrome-cluster\/\">Clinical Prediction Rule for CTS<\/a><\/li>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/phalens-test\/\">Phalen's Test<\/a><\/li>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/upper-limb-tension-test-1\/\">Upper Limb Neurodynamic Test 1 (ULTT1)<\/a><\/li>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/hand-elevation-test\/\">Hand Elevation Test<\/a><\/li>\n<\/ul>\n[cta]\n\n&nbsp;\n"}},{"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":"<h4>References<\/h4>"},"column_right":{"content_editor":"<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5027153\/\" target=\"_blank\" rel=\"noopener\">Almasi-Doghaee, M., Boostani, R., Saeedi, M., Ebrahimzadeh, S., Moghadam-Ahmadi, A., &amp; Saeedi-Borujeni, M. J. (2016). Carpal compression, Phalen\u2019s and Tinel\u2019s test: Which one is more suitable for carpal tunnel syndrome?.\u00a0Iranian journal of neurology,\u00a015(3), 173.<\/a>\n\n<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/26631997\/\" target=\"_blank\" rel=\"noopener\">Fowler, J. R., Cipolli, W., &amp; Hanson, T. (2015). A comparison of three diagnostic tests for carpal tunnel syndrome using latent class analysis.\u00a0<i>JBJS<\/i>,\u00a0<i>97<\/i>(23), 1958-1961.<\/a>\n\n<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/20690027\/\" target=\"_blank\" rel=\"noopener\">Amirfeyz, R., Clark, D., Parsons, B., Melotti, R., Bhatia, R., Leslie, I., &amp; Bannister, G. (2011). Clinical tests for carpal tunnel syndrome in contemporary practice.\u00a0<i>Archives of orthopaedic and trauma surgery<\/i>,\u00a0<i>131<\/i>(4), 471-474.<\/a>"}},{"acf_fc_layout":"cta-image-v2","layout":"","background":"transparent","heading":"","content_editor":"<p class=\"subheading\">Like what you\u2019re learning?<\/p>\n<p class=\"heading-two\">BUY THE FULL PHYSIOTUTORS <strong>ASSESSMENT BOOK<\/strong><\/p>\n\n<ul>\n \t<li>600+ Pages e-Book<\/li>\n \t<li>Interactive Content (Direct Video Demonstration, PubMed articles)<\/li>\n \t<li>Statistical Values for all Special Tests from the latest research<\/li>\n \t<li>Available in \ud83c\uddec\ud83c\udde7 \ud83c\udde9\ud83c\uddea \ud83c\uddeb\ud83c\uddf7 \ud83c\uddea\ud83c\uddf8 \ud83c\uddee\ud83c\uddf9 \ud83c\uddf5\ud83c\uddf9 \ud83c\uddf9\ud83c\uddf7<\/li>\n \t<li>And much more!<\/li>\n<\/ul>","button_type":"internal_link","button_label":"Check out our shop","button_style":"button-two","button_internal_link":4464,"button_anchor":"","button_url":"","button_file":null,"side_button":{"side_button_content_editor":""},"bottom_button":{"bottom_button_content_editor":""},"image":22705,"image_alt_text":""},{"acf_fc_layout":"review-slider","heading":"WHAT CUSTOMERS HAVE TO SAY ABOUT THE ASSESSMENT E-BOOK","image_shortcode":"","image":"","image_alt_text":"","shortcode":"[wprevpro_usetemplate tid=\"2\"]","button_type":"internal_link","button_label":"","button_style":"button-one","button_internal_link":"","button_anchor":"","button_url":"","button_file":null},{"acf_fc_layout":"cta-full-width-v2","logo":{"logo_image":22443,"logo_image_alt_text":""},"heading":"<strong>Download<\/strong> the free Physiotutors app now!","content_editor":"","download_image":{"download_image_image":22444,"download_image_image_alt_text":""},"mobile_download_image":{"mobile_download_image_image":22445,"mobile_download_image_image_alt_text":""},"download_image_link":"https:\/\/onelink.to\/6dtzk5","mockup_image":{"mockup_image_image":22447,"mockup_image_image_alt_text":""},"mobile_mockup_image":{"mobile_mockup_image_image":22446,"mobile_mockup_image_image_alt_text":""}}]},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.2 - 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