Neural Mobilization Techniques UE Flashcards
how many upper limb tension tests are there
4
4 upper limb tension tests
ULTT 1-4
ULTT 1
median nerve dominant
anterior interosseous N
nerve roots C5-C7
palpable areas for the ULTT1 and 2
upper arm
medial to biceps tendon
indirectly at the carpal tunnel
common entrapments/syndrome –> ULTT1 and 2
carpal tunnel syndrome
post colles’ fx symptoms
C5-6 nerve root
pt position ULTT1
supine
therapist position ULTT1
standing at the side of the tested limb
facing towards the pt’s head
ULTT1 test (1)
depress the shoulder*
ABD shoulder to 110*
flex elbow to 90
supinate the forearm
extend wrist/fingers and thumb
ULTT1 test (2)
ER shoulder
extend the elbow*
side bend C/S away
depress the shoulder –> ULTT1
lock it in from above
ABD shoulder –> ULTT1
or to their end range
extend the elbow –> ULTT1
while maintaining the forearm in supination and wrist/fingers extended
ULTT 2
median nerve dominant
axillary N
musculocutaneous N
ULTT2 pt position
supine
closer to the edge of the table
ULTT2 therapist position
standing at the side of the tested limb
facing away from the pt’s head
ULTT2 test (1)
shoulder depression*
ABD shoulder to 10 degrees
flex elbow to 90 degrees
supinate the forearm
ULTT2 test (2)
extend the wrist, fingers and thumb
extend the elbow*
side bend C/S away
shoulder depression –> ULTT2
using thigh
extend elbow –> ULTT2
while maintaining the forearm in supination and wrist/fingers extended (and thumb)
ULTT3
radial nerve dominant
palpable areas ULTT3
mid humerus
radial sensory nerve on the lateral aspect of the arm
common entrapments/syndromes ULTT3
de quervains tenosynovitis
supinator muscle (tennis elbow)
post humeral fx pain
C5-6 root syndromes
pt position ULTT3
supine
therapist position ULTT3
standing at the side of the tested limb
facing away from the pt’s head
ULTT3 test (1)
shoulder depression*
ABD shoulder to 10 degrees
flew elbow to 90 degrees
pronate forearm
ULTT3 test (2)
flex wrist/fingers and thumb
extend elbow*
side bend C/S away
shoulder depression –> ULTT3
using thigh
extend elbow –> ULTT3
while maintaining the forearm in pronation and wrist/fingers flexed
ULTT 4
ulnar N dominant
nerves roots C8-T1
palpable areas ULTT4
pisiform area at the wrist
at the elbow and in the upper arm
common entrapments/syndromes ULTT4
guyon’s canal
cubital tunnel
pts position ULTT4
supine
therapist position ULTT4
standing at the side of the tested limb
facing towards the pt’s head
ULTT4 test (1)
depress the shoulder*
ABD shoulder to 90
flex elbow to 90
pronate the forearm
ULTT4 test (2)
extend wrist/fingers and thumb
ER the shoulder
slowly bring fingers towards ears*
side bend C/S away
depress the shoulder –> ULTT4
stabilize and depress scap from ABOVE
slowly bring fingers towards ears –> ULTT4
while maintaining the forearm in pronation and wrist/fingers extended
