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Upper Limb Tension Tests (ULTT) is also referred to as
Upper Limb Neural Tension (ULNT)
What are the 3 major branches of the brachial plexus where the mobility and flexibility is tested with the Upper Limb Tension Tests (ULTT)?
radial, median, and ulnar
ULNT 1/2a =
median n
ULNT 2b =
radial
ULNT 3 =
ulnar n
Deficits in nerve mobility/flexibility can be
a patient’s primary impairment
Peripheral nerves may slide up to
2 cm
Peripheral nerces undergo strains up towards
10% during daily activities
Can parts or all movements of the ULTT be used for treatment?
yes
Tension tests place a sequential and progressive tensile stretch on
the dura of spinal nerve roots & peripheral nerves
What kind force does tension tests use to put a stretch on the dura of spinal nerve roots and peripheral nerves?
longitudinal traction force
Examiner monitors the patient during each step for
reproduction of patient’s symptoms
All of the following are diagnostic measures with for carpal tunnel syndrome using the ULTT EXCEPT:
Must be able to tolerate movement
____ and ____ most valid tests for detecting cervical radiculopathy
ULTN1; ULTN 3

screen for
median n

screen for
radia n

screen for
ulnar n

median n

radial n

ulnar n
Manual Interventions for median n
ULTN 1 / 2a
Manual Interventions for radial n
ULTN 2b
Manual Interventions for ulnar n
ULTN 3
All the following are true about lateral glides EXCEPT:
Ulnar border of the 1st digit is held against posterolateral articular pillar.
Upper Limb Tension HEP should start with ______ and progress to ______.
sliders; tensiors
Applying a joint movement to lengthen the nerve in one place whilst simultaneously shortening it in another =
sliders
Lengthen the nerve across it’s whole length =
tensioner
Tensioner type 1 =
one side is fixed in lengthened position, the other side moves
Tensioner type 2
Both sides move simultaneously into the tense position
Never hold
tensioners