UPPER LIMB

TENSION TEST 1 (ULTT1)

(Median Nerve Bias Test)

​• Testing for

C5, C6, C7 nerve roots and median nerve as the source of the client’s painful shoulder and arm

​• Test positioning

The client is supine, with their side being tested at the edge of the table.

​• Action

Apply a depressive force to the client’s affected shoulder.

With your other hand, hold the client’s wrist and Abduct their affected humerus to 110-degrees.

Extend their arm to 10-degrees below the coronal plane and, to 60-degrees of external rotation.

Slowly extend their wrist and fingers.

Fully supinate their forearm then slowly extend their elbow.

( you may flex their neck laterally to the opposite side if the above does not show up positive)

​• Positive finding

Recurrence of their shoulder and arm pain.

The Upper Limb Tension Test #1, also known as the Median Nerve Bias Test, incorporates principles from Dr. Robert Elvey's work on neural tension assessment and Dr. James Cyriax's contributions to orthopedic medicine.