Hey everyone, welcome back to Clinical Physio with me, Khalid Megan. In today's video, we're going to be taking you through Reverse Phalen's test, and this test is designed to see whether or not our patient presents with carpal tunnel syndrome, so...

What is carpal tunnel syndrome all about? Well, the carpal tunnel is the space between the carpal bones of the wrist joint and an arch-like structure called the flexor retinaculum, which sits over the top. The space in between these structures is where the median nerve

runs from the elbow down towards and into the hand. Now, the relevance of this is that if the flexor retinaculum compresses down on the median nerve, it can generate irritable symptoms in our patient's hands, which we'll go through in a second. This presentation, however, is

what is called carpal tunnel. So, how do we go through this test? Well, we're going to ask our patient to have their hands together in a prayer-like position. We're going to ask them to keep their elbows where they are, but we're going to ask

them to bring their hands downwards towards their stomach. In this position, we're going to ask them to hold it for a good 30 seconds to a minute. What we want to make sure here is that our patient holds the very lower part, or the very proximal part, of the palms of

their hands together, and we hold this position. If our patient, therefore, complains of either pain, pins and needles, or numbness in the 1st, 2nd, 3rd, and lateral half of the 4th digit, then this is a positive outcome.

For carpal tunnel syndrome, thank you very much. So, do we like this test? Yes, we use it a lot in clinical practice, and it can be used alongside other tests such as Tinel's test for the carpal tunnel and Phalen's test for the

carpal tunnel, in order to diagnose carpal tunnel syndrome. One thing to just make sure of during your testing, as we said, is that when our patient is in this position, they'll sometimes want to relieve the pressure by separating the proximal part of the palm of their hands

and this will essentially make the test unreliable and ineffective. So make sure that the hands are together when doing so.

Reverse Phalens Test for Carpal Tunnel Syndrome | Clinical Physio

Clinical Physio

손목 터널 증후군에 대한 역팔렌 검사 소개

동영상에서는 손목 터널 증후군을 진단하는 역팔렌 검사를 소개합니다.

손목 터널 해부학에 대해 설명합니다: 손목뼈와 굴곡근 망막 사이의 공간으로 정중신경이 들어 있습니다.

손목 터널 증후군을 정중 신경 압박으로 인한 손 증상으로 설명합니다.

검사 절차: 환자는 손바닥을 모아 배를 향해 30~60초간 손을 아래로 누릅니다.

손바닥의 근위부 접촉을 유지하는 데 중점을 둡니다.

1-3번 손가락과 4번 손가락의 옆쪽 절반에 통증, 핀과 바늘로 찌르는 듯한 느낌 또는 저림이 있으면 양성으로 판정합니다.

이 테스트는 Tinel 및 Phalen 테스트와 함께 임상에서 일반적으로 사용됩니다.

손바닥 접촉을 유지하는 것은 테스트의 신뢰성을 위해 매우 중요하며, 손바닥을 분리하면 테스트가 무효화됩니다.