Professional Development for Health & Safety Experts

CIH Question 08/24/2017 Ergonomics

Which test might be applicable for an employee with the following symptoms: sharp pain
on palmer side of wrist, numbness and tingling in thumb and first three fingers?

A. Phalens Test
B. Finklestiens Test
C. Pinch Test
D. De Quervains Test

(Solution on next page)

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 Professional Development for Health & Safety Experts

Solution:

Phalens test is an initial test for carpal tunnel syndrome (CTS). CTS can present with
pain to both the hand and wrist (typically palmer side). Numbness and tingling may be
present in the thumb and first three fingers, NOT the pinky finger. CTS is caused from
irritation of the medial nerve from often repetitive motion and tasks involving
manipulation of the wrist and fingers. Phalens test can be performed by holding both
wrists in a complete and forced flexion (pushing dorsal surfaces of both hands together)
for 30-60 seconds. By doing so, the median nerve is compressed causing burning,
tingling, or a numbing sensation in the thumb and first three fingers. Such results
indicate a positive test and suggests CTS.

The correct solution is A.

1.866.264.5852 | support@bowenehs.com
www.BowenEHS.com
Copyright 2017 Bowen EHS A Division of Bowen Learning Network, Inc.