Upper Limb Tension Test 4 (ULTT4)

TESTING FOR

C8 and T1 nerve roots and ulnar nerve as the source of the client’s painful shoulder and arm.

PROCEDURE

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

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 90-degrees.

Slowly flex their elbow, then supinate their forearm.

Slowly extend their wrist and fingers and deviate the wrist to the radial side.

POSITIVE SIGN

Recurrence of their shoulder and arm pain.