Neurodynamic Assessment: Difference between revisions
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== Method to performe == | == Method to performe == | ||
Each test is done on normal side first. The order for positioning the joint first is shoulder followed by forearm, wrist, fingers and last by elbow. Each sensitizer is added until the pain is provoked or produced. To further sensitize the test side flexion of cervical spine can be added<ref>Wells P: Cervical dysfunction and shoulder problems, Physiotherapy 68:66-73, 1982.</ref>. If the pain comes in the very intial position then no need to add further senitizers. | Each test is done on normal side first. The order for positioning the joint first is shoulder followed by forearm, wrist, fingers and last by elbow. Each sensitizer is added until the pain is provoked or produced. To further sensitize the test side flexion of cervical spine can be added<ref>Wells P: Cervical dysfunction and shoulder problems, Physiotherapy 68:66-73, 1982.</ref>. If the pain comes in the very intial position then no need to add further senitizers. | ||
If pain or sensations of tingling or numbness are experienced at any stage during the positioning into the test position or during addition of sensitization maneuvers (below), particularly reproduction of neck, shoulder or arm symptoms , the test is positive; this confirms a degree of mechanical interference affecting neural structures.<br> | |||
== References == | == References == | ||
<references /> | <references /> | ||
Revision as of 15:06, 5 November 2013
Introduction[edit | edit source]
The upper limb tension tests are also known as Brachial Plexus Tension or Elvey Test.[1]These tests are designed to put stress on neurological strutures of upper limb. These tests were first described by Elvey[2] and hence also known as Elvey test but most commanaly called as Upper limb tension test or ULTT. The shoulder,elbow, forearm,wrist and fingers are kept in specific position to put stress on particular nerve (nerve bias)[3] and further modification in position of each joint is done as "sensitizer". ULTT are equivalent to the straingh leg raise designed for lumber spine.
Types[edit | edit source]
The test is divided into 4 types and examine the different nerve.[1]
ULTT 1 for Median nerve, anterior interosseous nerve(C5,C6,C7).
ULTT 2 for Median nerve, musculocuteneous nerve, axillary nerve.
ULTT 3 for Radial nerve.
ULTT 4 for Ulnar nerve, C8,T1 nerve root.
Method to performe[edit | edit source]
Each test is done on normal side first. The order for positioning the joint first is shoulder followed by forearm, wrist, fingers and last by elbow. Each sensitizer is added until the pain is provoked or produced. To further sensitize the test side flexion of cervical spine can be added[4]. If the pain comes in the very intial position then no need to add further senitizers.
If pain or sensations of tingling or numbness are experienced at any stage during the positioning into the test position or during addition of sensitization maneuvers (below), particularly reproduction of neck, shoulder or arm symptoms , the test is positive; this confirms a degree of mechanical interference affecting neural structures.
References[edit | edit source]
- ↑ 1.0 1.1 Magee DJ.Orthopedic physical assessment.5th edition.Elsevier publication.
- ↑ Elvey RL: The investigation of arm pain. In Boyling JD, Palastanga N (eds): Grieve’s modern manual therapy: the vertebral column, 2nd ed. Edinburgh, 1994, Churchill Livingstone.
- ↑ Butler DS: Mobilisation of the nervous system, Melbourne, 1991, Churchill Livingstone.
- ↑ Wells P: Cervical dysfunction and shoulder problems, Physiotherapy 68:66-73, 1982.
