UPPER LIMB 

TENSION TEST 3 (ULTT3)

(Ulnar Nerve Bias Test)

​• Testing for

The Radial 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 10-degrees.

Slowly flex their wrist and fingers, then deviate the wrist to the ulnar side.

Fully pronate their forearm then slowly extend their elbow.

​• Positive finding

Recurrence of their shoulder and arm pain.

The Upper Limb Tension Test #3, also known as the Ulnar Nerve Bias Test, was developed by Dr. Robert Elvey.

His pioneering work in neural tension assessment has been instrumental in creating and standardizing this test, with additional insights from Dr. James Cyriax.