National Physical Therapy Examination (NPTE) Practice Exam

What is the significance of the Maudsley test in a physical therapy context?

1. It is used to diagnose carpal tunnel syndrome

2. It assesses strength of the wrist extensors

3. It evaluates the stability of the elbow joint

4. It examines for medial epicondylitis

The correct answer is: It examines for medial epicondylitis

The Maudsley test is significant in the context of physical therapy primarily because it is specifically designed to assess medial epicondylitis, also known as golfer's elbow. This condition is characterized by pain and inflammation on the inner part of the elbow, resulting from overuse of the flexor muscles of the forearm. During the Maudsley test, the patient is asked to extend their fingers while the therapist provides resistance. Pain during this action is indicative of medial epicondylitis. The test helps physical therapists to confirm a diagnosis and differentiate this condition from similar pathologies that may affect the elbow and forearm. The other options do not accurately represent the purpose of the Maudsley test. Diagnosing carpal tunnel syndrome involves different clinical assessments (e.g., Tinel's sign or Phalen's maneuver), while assessing the strength of wrist extensors involves specific strength testing that requires different maneuvers. Stability evaluation of the elbow joint typically includes joint stability tests and not the Maudsley test, which focuses on muscle contraction and pain response indicative of medial epicondylitis symptoms.