Mills Test
Other Names
- Mill's Test
- Mills Test
- Mills’ Test
- Lateral Epicondylitis Test
- Tennis Elbow Test
- Passive Wrist Flexion Test
- Lateral Elbow Pain Provocation Test
- Common Extensor Tendon Stretch Test
Purpose
- Evaluate the Common Extensor Tendon of the elbow
- This test maximizes tension on the tendon
Description
- The patient is seated or standing
- The clinician palpates the patient’s lateral epicondyle with one hand
- They then pronate the patient’s forearm, fully flexing the wrist with the elbow extended
- Positive test
- Reproduction of pain
Pathology
Evidence
- Saroja et al looked at 30 patients using ultrasound as the gold standard[3]
- Sensitivity: 53%
- Specificity: 100%
- PPD: 100%
- NPD: 25%
- LR+: Infinite
- LR-: 0.47
- Dones et al[4]
- Sensitivity: 76%
See Also
References
- ↑ Fedorczyk, JANE M. "Elbow tendinopathies: clinical presentation and therapist’s management of tennis elbow." Rehabilitation of the hand and upper extremity. 6th edn. St. Louis: CV Mosby (2011): 1098-108.
- ↑ Viswas, Rajadurai, Rejeeshkumar Ramachandran, and Payal Korde Anantkumar. "Comparison of effectiveness of supervised exercise program and Cyriax physiotherapy in patients with tennis elbow (lateral epicondylitis): a randomized clinical trial." The scientific world journal 2012.1 (2012): 939645.
- ↑ Saroja, G., P. Antony Leo Aseer, and P. M. Venkata Sai. "Diagnostic accuracy of provocative tests in lateral epicondylitis." Int J Physiother Res 2.6 (2014): 815-823.
- ↑ VCIII D, Grimmer KA, S. Milanese, and S. Kumar. "The sensitivity of the provocation tests in replicating pain on the lateral elbow area of participants with lateral epicondylalgia." J Case Rep Clin Res Stud 1.1 (2014): 1.
Created by:
John Kiel on 7 August 2019 12:02:18
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Last edited:
27 February 2026 12:35:46
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