Pressure Provocative Test
Other Names
- Pressure Provocative Test
- Pressure Test
- Ulnar Nerve Compression
- Pressure Provocation Test for Elbow
- Pressure Provocation Test
Purpose
- Evaluate the Ulnar Nerve at the Cubital Tunnel as a cause of the patients symptoms
- Originally described by Paley and McMurtry[3]
Description
- The Elbow is held in 20° of flexion, forearm in supination.
- The examiner applies external pressure just proximal to the cubital tunnel for 60 sec
- Positive test
- Presence/worsening of numbness/paresthesias in the ulnar nerve distribution
Pathology
Evidence
- Novak et al[4]
- Sensitivity after 30 seconds: 55%
- Sensitivity after 60 seconds: 89%
- Specificity: 98%
See Also
References
- ↑ Goldman, Sarah B., et al. "A review of clinical tests and signs for the assessment of ulnar neuropathy." Journal of hand Therapy 22.3 (2009): 209-220.
- ↑ Image courtesy of thestudentphysicaltherapist.com
- ↑ Paley, D., and R. Y. McMurtry. "Median nerve compression test in carpal tunnel syndrome diagnosis reproduces signs and symptoms in affected wrist." Orthop Rev 14.1 (1985): 41-45.
- ↑ Novak, Christine B., et al. "Provocative testing for cubital tunnel syndrome." The Journal of hand surgery 19.5 (1994): 817-820.
Created by:
John Kiel on 27 April 2023 10:37:27
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Last edited:
15 June 2026 01:08:16
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