ULNTT / LLNTT

Question 1

Can neural tension testing cause nerve damage?

Answer 1

YES

perform slowly, inform patient of risk + s/s will reoccur

Question 2

Name the 2 contraindications to neural tension testing?

Answer 2

ACUTE INFLAMMATORY or UNSTABLE NEURO SIGNS
+
SPINAL CORD INJURIES

Question 3

Can neural tension testing maneuvers also be used as general treatment maneuvers?

Answer 3

YES

Question 4

Neural tension testing is done ______ movement at a time with the patient in what position?

Answer 4

ONE
+
SUPINE

Question 5

Be sure to ask about ______ symptoms after EVERY MOVEMENT.

Answer 5

PAIN

Question 6

ULNT1 - MEDIAN NERVE - what are the 5 steps to properly apply the test?

Answer 6

THERAPIST APPLIES:

1. SHOULDER GIRDLE DEPRESSION and SLIGHT ABDUCTION of G-H
2. ELBOW EXTENSION and SLIGHT EXT ROTATION G-H
3. SUPINATION OF THE FOREARM
4. WRIST / FINGER / THUMB EXTENSION
5. GREATER ABDUCTION

Question 7

ULNT2 - MEDIAN, MUSCULOCUTANEOUS, AND AXILLARY NERVES - what are the 5 steps to properly apply the test?

Answer 7

THERAPIST APPLIES:

1. SHOULDER GIRDLE DEPRESSION and SLIGHT ABDUCTION of G-H
2. ELBOW EXTENSION and FULL EXT ROTATION G-H
3. SUPINATION OF THE FOREARM
4. WRIST / FINGER / THUMB EXTENSION
5. GREATER ABDUCTION

Question 8

ULNT3 - RADIAL NERVE - what are the 5 steps to properly apply the test?

Answer 8

THERAPIST APPLIES:

1. SHOULDER GIRDLE DEPRESSION and SLIGHT ABDUCTION of G-H
2. ELBOW EXTENSION and INTERNAL ROTATION G-H
3. PRONATION OF THE FOREARM
4. WRIST / FINGER / THUMB FLEXION and WRIST ULNAR DEVIATION
5. HAVE PATIENT CONTRALATERALLY SIDE FLEX THEIR CERVICAL SPINE

Question 9

ULNT4 - ULNAR NERVE - what are the 5 steps to properly apply the test?

Answer 9

THERAPIST APPLIES:

1. WRIST EXTENSION and FOREARM SUPINATION
2. ELBOW FLEXION
3. SHOULDER GIRDLE DEPRESSION
4. MAINTAIN ^^^ and ADD LATERAL ROTATION and ABDUCTION
5. HAVE PATIENT CONTRALATERALLY SIDE FLEX THEIR CERVICAL SPINE

Question 10

How is the LLNT test for the sciatic nerve performed? (6)

Answer 10

PATIENT SUPINE
\+
SLR POSITION
\+
APPLY ANKLY DORSIFLEXION
\+
APPLY HIP ADDUCTION
\+
APPLY INTERNAL ROTATION
\+
APPLY CERVICAL FLEXION

Question 11

How is the LLNT test for the femoral nerve performed?

Answer 11

PATIENT PRONE - NEUTRAL SPINE
\+
APPLY KNEE FLEXION
\+
APPLY HIP EXTENSION (do not extend spine, may result in nerve root pressure false positive)