Upper Limb Tension Test ULTT Note All upper

Upper Limb Tension Test (ULTT)

Note ● All upper limb tension tests can be performed on a client while in a seated position. ○ All of the limb manipulation movements are the same as if the client was in supine. (All therapist assisted) ● One should perform upper limb tension test while the client is in a seated position first. ○ If the client symptoms are replicated while seated then the client will most likely test positive in supine. Make sure that you properly document how the upper limb tension tests are performed (seated or in supine).

ULTT 1 Upper Limb Tension Test 1: Median nerve bias 1. Depress the patient’s shoulder girdle 2. Bring patient’s shoulder to 90 degrees of abduction 3. Externally rotation the patient’s shoulder/arm 4. Extend the patient’s wrist and digits 5. Supinate patient’s forearm 6. Extend the elbow 7. Ask patient to flex their neck laterally to their opposite side (Physiopedia, n. d. )

ULTT 2 A Upper Limb Tension Test 2 A: Median nerve bias 1. Depress the patient’s shoulder girdle depression 2. Elbow bent at 90 degrees and then fully extend the elbow 3. Externally rotate the whole upper extremity 4. Extend the patient’s wrist and all 5 digits 5. Start to abduct the upper extremity 6. Ask patient to flex their neck laterally to their opposite side (Physiopedia, n. d. )

ULTT 2 B Upper Limb Tension Test 2 B: Radial nerve bias 1. Depress the patient’s shoulder girdle depression 2. Pronate the patient’s forearm 3. Extend the patient’s elbow 4. Internally rotate the whole upper extremity 5. Instruct patient to place their thumb in the center of their palm 6. Flex the patient’s digits and wrist, then apply ulnar deviation 7. Start to abduct the upper extremity 8. Ask patient to flex their neck laterally to their opposite side (Physiopedia, n. d. )

ULTT 3 Upper Limb Tension Test 3: Ulnar nerve bias 1. 2. 3. 4. 5. Depress the patient’s shoulder girdle Externally rotate the patient’s shoulder/arm Extend all 5 digits and wrist and Finger Flex the patient’s elbow Abduct the patient’s shoulder past 90 degrees. (Physiopedia, n. d. )

References Physiopedia. (n. d. ). Neurodynamic assessment. In Physiopedia. Retrieved, from https: //www. physio-pedia. com/Neurodynamic_Assessment