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Phalens Test

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Other Names

  • Phalen's Maneuver
  • Phalen’s Test

Purpose


Description

  • The patient is seated
  • Both wrists are maximally flexed with the dorsal sides of each hand touching in a "reverse prayer" formation
  • Patient needs to actively apply pressure to dorsal sides
  • This position must hold this position for 30 - 60 seconds
  • This position increases pressure in the carpal tunnel
  • Positive Test
    • Reproduction of their symptoms
    • Paresthesia (buring, tingling, numbness)

Pathology


Evidence

  • Sensitivity: 51% - 91%[1]
  • Specificity: 33% - 88%

See Also


References

  1. Urbano, FL. Tinel's Sign and Phalen's Maneuver: Physical Signs of Carpal Tunnel Syndrome. Hosptial Physician 2000; Jul,39-44.
Created by:
John Kiel on 7 August 2019 22:00:20
Authors:
Last edited:
14 October 2019 17:46:27
Category: