College of Massage Therapists of British Columbia (CMTBC) Practice Exam

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How is the special test for lateral epicondylitis known as Cozen's Test performed?

  1. By flexing the wrist and extending the elbow

  2. By resisting forearm pronation, wrist extension, and radial deviation

  3. By performing shoulder flexion against resistance

  4. By applying pressure to the elbow with the arm extended

The correct answer is: By resisting forearm pronation, wrist extension, and radial deviation

The correct method for performing Cozen's Test involves resisting forearm pronation, wrist extension, and radial deviation. This test is specifically designed to evaluate for lateral epicondylitis, commonly known as "tennis elbow." During the test, the patient is positioned with the elbow flexed at 90 degrees and the forearm in a neutral position. The therapist then instructs the patient to extend the wrist while the therapist provides resistance to the wrist extension. The presence of pain at the lateral elbow during this maneuver suggests the presence of lateral epicondylitis. This choice effectively targets the extensor muscles of the forearm, which are involved in the condition, helping confirm the diagnosis. The other methods mentioned do not appropriately isolate the muscles or movements associated with lateral epicondylitis, making this particular selection the most relevant to the condition being assessed.

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