Execution:
- The patient flicks the affected hand in order to ease symptoms such as pain/paresthesia
Positive Outcome: Shaking the hand and wrist should reduce symptom
Study | Reliability | Sn | Sp | LR+ | LR- |
D’Arcy et al. (2000) | NA | 93 | 96 | 23.25 | 0.07 |
Hansen et al. (2004) | NA | 37 | 74 | 1.42 | 0.85 |
Comment: The findings by Pryse-Phillips that are reported in the systematic review by D’Arcy et al. (2000) have been critiqued by colleagues who were not able to reproduce them in similar study designs shortly after the original publication. More recent evaluations of the test by Hansen et al. (2004) echo the overall weak clinical value of the Flick Sign in the diagnosis of Carpal Tunnel Syndrome |