Cluster of Wainner | Cervical Radicular Syndrome

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This is not medical advice. The content is intended as educational content for health care professionals and students. If you are a patient, seek care of a health care professional. The Cluster of Wainner is to date the best orthopedic diagnostic tool for cervical radicular syndrome.
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ARTICLES:
Wainner et al. (2003): www.ncbi.nlm.n...
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[@coachlee4863]

4 tests:
1. ULTT1 test
2. cervical rotation(positive if less than 60 degree)
3. distraction test(supine)
4. spurling test

[@khoatruong91]

May I ask what ULTT1 means?

[@robinoostdam1]

@@khoatruong91 Upper Limb Tension Test 1 (out of 4 variants), for n.medianus and/or plexus brachialis

[@poochyboi]

So good it's radi-culous!

[@Physiotutors]

Badumm-tss

[@ibrarhussain1720]

Thank you so much

[@manishgupta1345]

Thank you very much.
Very good explanation.....

[@Physiotutors]

Happy you like it Manish! Thanks for following us!

[@jimh3500]

I have a c5/6 fusion and 30+ year old open shoulder Mumford and Weaver-Dunn. I think those tests would be too painful to even put myself in the proper position. My neck hurts already just lifting my chin a bit.

[@ibrarhussain1720]

How to treat these problems by physiotherapy

[@hugoferrioli3238]

How do I get my motion back having stiff neck?I tried al therapy.

[@ridewithduke2502]

1:38 why lateral rotation ?
2:50 for distraction
Therapist position
Sitting or standing
Which will be best ?

[@Physiotutors]

Maximal tension on the brachial plexus and position for distraction doesn't matter

[@amyalewine]

Great video and ways to test the Cervical. Do you have a video on how to fix these problems of numbness and tingling. Please advise what to do once I find positive test results.

[@Physiotutors]

There is no strong evidence for physiotherapy/manual therapy.
There is weak evidence for nerve mobilizations (watch our video for this) and some patients seem to benefit from McKenzie exercises.
Advice should be given that the prognosis is favorable: 55% report being recovered after 6 months and 12 months (Sleijser-Koehorst et al. 2018) and they should avoid provocating movements that cause radiating pain in the arm.
Rest of the treatment should be focused on negative prognostic factors for recovery/impairments like decreased cervical ROM, decreased mobility in the thoracic spine, decreased control and endurance of the deep cervical flexors.

[@priyankawadhwa6140]

Why we put 7kilogram pressure?

[@snehasingh1000]

Thank a lot Sir..

[@Physiotutors]

You're welcome Sneha! Thanks for following!

[@ratihtrisaputri3981]

Very helpfull for physiotheray student

[@Physiotutors]

Nice to hear Ratih! Good luck with your studies!

[@bonehalt8062]

Hi Physio Tutors,
habt ihr eine Idee warum "nur" der ULNT 1 und nicht noch 4 für Nervenwurzelkompression C8-TH1 mit dabei ist? Beste Grüße

[@Physiotutors]

Das liegt meist am statistischen Model. Es wird die beste Kombination von Tests errechnet basierend auf individuellen Resultaten.

[@automat9226]

How about a gentlemen experiencing ULTT triggers but none of these items reproduce symptoms, even with flexing of neck. Persistent pain/tingling at rest with numbness in fingers during ULTT, MRI does not indicate significant findings for CR. EMG positive for either c6/7 radic. but performing dr believes it to actually be a brachial plexopathy. Pt has had recurrent symptoms for years.

[@Physiotutors]

Continue testing for peripheral neuropathy or TOS

[@adammichonski8183]

I know that I don't know!!!!Do you agree with that Norwegian thinker or else Malaysian philosopher?

[@adammichonski8183]

CLUSTER PHILOSOPHER IS OVERWHELMY AGAINST IT AND YOU????

[@matheobourgeoisrepublique3206]

thanks ! Please the cluster is an inclusion or exclusion test ?

[@Physiotutors]

Inclusion

[@jornclaes9290]

I find it hard to understand why someone with cervical radicular syndrome can have a positive ULTT

[@Physiotutors]

Same as why someone with lumbar radicular syndrome will likely have a +ve SLR.
Placing the nervous tissue under tension will provoke the nerve root as well.

[@morsz6829]

I always have a problem with physiotherapists speak like a formal politician, simple language would achieve the same result :) thanks though, I watched a lot of your videos

[@adammichonski8183]

śir i can not fersteien szto ty gawarisz!!!is it jenglisz???

[@henryekeocha1384]

Kkkkkll

[@snehasingh1000]

Thank a lot Sir..