Phalen's Maneuver

Aka: Phalen's Maneuver, Phalen's Test

II. Indication

  1. Carpal Tunnel Syndrome evaluation

III. Efficacy

  1. Test Sensitivity: 70 to 80%
  2. Test Specificity: 80%

IV. Technique

  1. One minute acute wrist flexion against resistance
  2. Inverse praying position
    1. Place each hand dorsum against each other

V. Interpretation: Positive test suggests Median Neuropathy

  1. Wrist flexion reproduces Carpal Tunnel symptoms
  2. Most specific if symptoms occur by 30 seconds

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