Index to Chiropractic Literature
Index to Chiropractic Literature
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Thursday, February 29, 2024
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ID 26592
  Title Agreement and reliability of Median Neurodynamic Test 1 and resting scapular position
URL https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7835492/?report=classic
Journal J Chiropr Med. 2020 Dec;19(4):203-212
Author(s)
Subject(s)
Peer Review Yes
Publication Type Article
Abstract/Notes

Objective: The purposes of this study were to determine whether there are differences between the dominant and nondominant arms for the Median Neurodynamic Test 1 (MNT 1); whether there are differences between men and women on the MNT 1; the reliability of an assessment of resting scapular position; the reliability of the MNT 1; and the frequency and percentage of sensory responses that are present during the MNT 1 in the asymptomatic population.

Methods: This was a reliability and agreement study. It included asymptomatic students enrolled in the college of health professions and the college of nursing at a university. The Mann–Whitney U was used to determine whether there were any differences between the dominant and nondominant sides and between sexes for elbow extension range of motion and for sensory responses on the numeric pain rating scale when performing the MNT 1. A χ2 analysis was used to determine whether there were any differences between sexes and between dominant and nondominant upper extremities for sensory-response location, sensory-response type, and structural differentiation for raters 1 and 2. The intraclass correlation coefficient (ICC2,3) was used to determine the intertester and intratester reliability for the degrees of elbow extension attained during testing.

Results: Reliability for degrees of elbow extension and strength of the sensory response was excellent (ICC2,3 ˃ 0.75) and substantial (κ ≥ 0.68), respectively. Resting scapular position and all other components of the MNT 1 demonstrated statistically significant side-to-side differences and κ values ranging from 0.23 to 0.88.

Conclusion: Elbow extension and magnitude of sensory response are reliable components of the MNT 1 that are not different between the dominant and nondominant sides in the asymptomatic population.

Author keywords: Median Nerve; Reproducibility of Results; Upper Extremity

Author affiliations: Physical Therapy Program, Sacred Heart University, Fairfield, Connecticut, United States

This abstract is reproduced with the permission of the publisher; click on the above link for free full text.  PubMed Record | PDF


 

 

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