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Cervical rotation lateral flexion test in brachialgia
K A Lindgren1, E Leino, H Manninen
1Rehabilitation Clinic, Kuopio University Hospital, Finland.
Archives of Physical Medicine and Rehabilitation
|August 1, 1992
Summary
The cervical rotation lateral flexion (CRLF) test reliably detects first rib movement restrictions in patients with brachialgia and thoracic outlet syndrome (TOS). This clinical test is highly repeatable, negating the need for cineradiography.
Area of Science:
- Orthopedics
- Neurology
- Physical Therapy
Background:
- Brachialgia and thoracic outlet syndrome (TOS) can stem from first rib dysfunction.
- Accurate diagnostic methods are crucial for effective treatment of these conditions.
Purpose of the Study:
- To evaluate the clinical utility of the cervical rotation lateral flexion (CRLF) test.
- To assess the interobserver reliability of the CRLF test in detecting first rib movement restrictions.
Main Methods:
- The CRLF test was administered to 23 patients presenting with brachialgia and/or TOS symptoms.
- Interobserver reliability was assessed by two independent clinicians.
- Cineradiography was used for objective assessment of first rib movement.
Main Results:
- The CRLF test demonstrated excellent interobserver repeatability.
- The high reliability of the CRLF test rendered cineradiographic examination unnecessary for objective assessment.
- The test effectively identified potential restrictions in first rib mobility.
Conclusions:
- The CRLF test is a reliable and repeatable clinical tool for evaluating first rib movement.
- It is recommended for routine inclusion in the clinical assessment of patients with brachialgia, with or without radicular pain.