All Upper Limb Tension Tests | ULTT | ULNT

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This is not medical advice. The content is intended as educational content for health care professionals and students. If you are a patient, seek care of a health care professional. The Upper limb tension tests are the upper limbs equivalent to the straight leg raise test. They are mainly used to assess neurological symptoms in the upper limb possibly originating from a cervical radiculopathy
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[@Physiotutors]

Review assessments on the go with our e-book or app and solidify your clinical reasoning in our online course: Course: bit.ly/PTMSK Book: bit.ly/GETPT App: physiotutors.com/app

[@rafaelomonoia1948]

Εμπ1

[@dr.anjanavipin7402]

Good information.

[@galadrix4528]

ULTT A (Median, Roots, & Interrosseus Nerves): 0:50 ULTT B (MAM Nerves): 1:40 ULTT C (Radial Nerve): 2:20 ULTT D (Ulnar Nerve & Roots): 3:05

[@GuireGod]

Simple and straightforward and not dragging the video for 15 minutes. Love this, very good demonstration.

[@LucaBonato]

better than the previous. very helpful for a physio student like me. thank you for the videos

[@Physiotutors]

+luca bonato yeah we think so too! Thanks for your comment

[@samwinter5522]

ULTT A: 0.54 - Median Nerve - Anterior interrossesus nerve - C5 - C7 UTTL C: Radial nerve 2:24 Contralteral neck flexion 1. Depress shoulder girdle with hip 2.Abduct arm to 90 degrees 3, Pronate the arm 3. Internally rotate 4. Flex fingers 5. Flex wrist 6. Abduct arm . ULTT 4: Ulnar nerve C8-T1 3:02 1. Depress shoulder 2. Bring arms into 90 degrees abduction 3. Pronate forearm 4. Laterally rotate shoulder Extend the wrist Extend the fingers Flex eblow

[@Physiotutors]

Thanks for the timestamps!

[@samwinter5522]

@@Physiotutors Pleasure, and an honour to receive a reply from you guys- you have taught me a lot!

[@DrMustafaArk]

for hours i was trying to imagine ULTT by reading. this video has been so helpful, thx a lot.

[@carlinesimeon9440]

Amen, same here !

[@anvitatelang6780]

very helpful sir im watching your videos before my practical exams .

[@Physiotutors]

Glad you enjoy them and thanks for subscribing 👍🏼

[@sawsanmohammad2472]

how proud my supervisor would be after he asked me to search for this. thank you ♥

[@kripazatakia1290]

So precisely explained... Always very helpful to revise before the practical exams.. Keep Sharing the physiotherapeutic skills..great work

[@Physiotutors]

We certainly will Kripa! Thanks for the compliment!

[@Erivu-rg7sj]

well said, very understandable than reading a book

[@saboorahmad6180]

GOD Bless you sir, you made my study easy

[@Physiotutors]

You’re welcome 😊

[@carlinesimeon9440]

Amen !

[@abikurian2668]

Thank you for making these videos, it's indeed helpful. Helping me save time and study.

[@physiotherapistpaulina9340]

I like how you indicate what structures are being stressed, and how easy it is to view and follow the steps. I also appreciate that you have reviewed the tests in the literature. Well done. Can you use these tests as "stretches" if you did not feel there were red flags, but simply some tension in the neural tissues?

[@Physiotutors]

We have a video on upper limb neurodynamics that will answer your question

[@jorgemiras5839]

Excellent!! very clear and didactic. Thanks for sharing.

[@Physiotutors]

Thanks Jorge, you're welcome!

[@FysioTutor]

After 7 years and it's still relevant and likely the best video out there. Thanks guys! Wish me luck for the physical therapy practical exam.

[@noranstump1666]

Good luck 🤞🏻

[@edward8691]

I love the way you doing videos . the fact is , Physiotutors doing videos by the professional orders: Name of the test ---- purpose of the test ---- references ---- what syndromes are indicated ----- casue of the syndromes ---- how to perform the test ----- positive signs

[@faithford6468]

I'm studying for boards and both the scorebuilders and therapy ed books say ULT4 has the forearm supinated. However, I swear I remember my professors teaching it with pronation as well.

[@Physiotutors]

Not in the Physiotutors Assessment Book!;) Don't see how supination would put more stretch on the n. ulnaris.

[@katiestevenson6232]

I was taught it with forearm in supranational as well.

[@carlinesimeon9440]

Great video, very clear and instructive, but you don't look to happy. Being cheerful and energetic (or just avoid being monotone ) makes videos more compelling. Thanks for sharing.

[@intriguedphysio9551]

It's very informative and helpful too sir thanks a lot for uploading.

[@ronitbhar2647]

Very useful video for a physician

[@Physiotutors]

Glad to hear Ronit! Thx

[@shellyrgarcia2205]

Sounds like Arnold Schwarzenegger THANK YOU so much for this video! Helpful

[@Physiotutors]

Not the first time we hear this haha! No worries!

[@LMLife]

Where is ULTT 2b (radial nerve)? This is what I learned in Uni ULTT 1 (median nerve/brachial plexus) ULTT 2a (median nerve) ULTT 2b (radial nerve) ULTT 3 (ulnar nerve)

[@Physiotutors]

It seems like our literature differs to what you learned in Uni regarding the naming. The radial nerve test is ULTT3 according to our literature. How it is conducted should be the same like you learned it in Uni though..

[@alex8480]

It obviously correlates to what the video refers to as ULTT3.

[@mdbelalquraishipt3042]

Very informative and helpful for exam. Preparing for exam watching your videos. Thanx a lot for making study so simple. Can you please upload videos on neural mobilisation techniques. They are very confusing....

[@Physiotutors]

Hey Amigo, thanks for the compliment and happy to hear that you enjoy studying with our videos! Check out the following video from David Butler: kzbin.info/www/bejne/nZWunZevjcyendU

[@saradiazblanco]

@physiotutors What is the difference between ULTT3/C and the Mills Test for the elbow?

[@avoid000]

Thank you for this video!! Very clear and informative :)

[@Physiotutors]

Thanks Jesse appreciate it!

[@RobinSingh-qk4wb]

Very nice video and easy way to describe the test

[@gelojdm9214]

Well executed, thank you

[@Physiotutors]

Happy you like our video gelo!

[@michaeladuaboagye124]

You guys are 👍

[@fatemeheslami8521]

Thanks a lot .it was very helpful⚘

[@Physiotutors]

Ur welcome Fatemeh!

[@matlhogonologaogakwe8682]

This awesome...I manage to pass my manual therapy exams

[@Physiotutors]

Thanks! and congratulations on your MT exam!

[@maccox9382]

thank you for getting me through my lab checkouts lol

[@Physiotutors]

You’re welcome 😊

[@carlinesimeon9440]

Amen!

[@LeslieMartinezA]

What doctor or healthcare provider should I see for this testing?

[@stefanr00]

You guys are awesome!

[@Physiotutors]

Thx Stefan,glad you like our channel!

[@johnrichardson6707]

If no symptoms are provoked, will this then mean that a cervical radiculopathy is not the issue?

[@UzairKhan-wo6du]

Very well explained 👍

[@sarthpawar6476]

Very well explained..keep making such videos 💯

[@Physiotutors]

Thanks a lot 😊

[@jonassunden9382]

Was abit hard to find this test in your list of uploaded tests, since it didn't have any neuro tags....

[@Physiotutors]

Why not search ULTT directly?

[@jonassunden9382]

i had gotten abit used to searching by having to spell out the tests, or using umbrella terms like neuro when searching for neurological tests. not all channels are as good as you are at using shortenings. as said, it was harder, not impossible. i would have liked a neuro tag, but it simply took me a bit of extra time to find it this way. still, great video, and thanks for uploading.

[@areejadnan123]

It is very help for me thanks alott

[@smullaj9367]

thank u sir🤗

[@afnanmohammed1661]

thanks a lot for the video

[@Physiotutors]

+Afnan Mohammed you're welcome !

[@singgihnugroho7575]

Thanks you somuch for this video..

[@bishoyfa2171]

For ULTT1 , UTT2 , UTT3 .. The elbow should be flexed or extended??? According to NPTE it is extended?? In general words how the neurological structure put in tensions ?? I mean in anatomical point of view?? Many thanks for your help

[@Physiotutors]

To create maximal tension in the median and radial nerve the elbow should be (fully) extended. This can be seen anatomically when you have a look at the course of the nerves. For the ulnar nerve, you can create maximal tension with elbow flexion. In our case, Andreas already felt tension before complete extension.

[@bishoyfa2171]

Physiotutors Oh now I understood , I appreciate your so much care, your channel are amazing really

[@Physiotutors]

Glad to hear and happy to hear you like our channel!

[@masoumehravari2919]

Thank you for the very helpful videos. I'm a big fan. For ULTT4, is the forearm supinated or pronated? Just wondering...

[@Physiotutors]

Thanks for your comment The forearm is pronated

[@apheliachiayinna7619]

good video,easy to understand 👍👍👍

[@Physiotutors]

+Yn Ac glad you like it! Really important to be able to accurately perform these tests!

[@chantellcoore7296]

this was amazing ! thank you so much

[@Physiotutors]

You're so welcome!

[@annaraylie8149]

Severe increase of symptoms and hand, fingers turning blue. What can the discoloration indicate?

[@mdmobarakhossain1113]

very easy and informative, helpful

[@alicetrombley2558]

Thank you

[@mhaawyibra4476]

thank you SM

[@Physiotutors]

Ur welcome mhawi!

[@stuartwalker7168]

I know the upper limb tension test is for a Cervical Test . Could it be used has a mobility technique for a shoulder injury? Thank you for the brilliant videos.

[@VinylUnboxings]

Wouldn’t really make sense to do but I’m theory it could be done

[@bomedome8901]

Good and helpful

[@bernardohoyosarango2852]

Excelente video. Thanks You

[@fisionalhugorocha7227]

Muito obrigado! Thanks a lot from Brazil

[@Physiotutors]

De nada! You're welcome!

[@pensadoraapocaliptica4184]

Hu Guys as always so grateful with all your videos, does someone knows for how long the client should hold the position?

[@Physiotutors]

There’s no time cutoff You’re checking for side by side differences or a marked decrease of mobility of >10 degrees

[@maryamkhazir7556]

Thank you sir

[@purusaxena397]

Sir plz make a video on LLTT

[@Physiotutors]

There is no lower limb tension test. Those tests are basically the SLR and the Slump test.

[@aakankshapednekar2976]

Very helpful

[@Physiotutors]

Thanks!

[@harshuvocals1290]

Sir...very super...and very useful vedio sir

[@Physiotutors]

Happy to hear Harshini! Appreciate it!

[@golrokhnazmi7030]

Thank you The best video!

[@Physiotutors]

Glad you like it Golrokh and thanks for following!

[@manisharani5683]

How do you remember all these test ?? Any trick or method to remember the name of tests

[@Physiotutors]

Haha, best get our app!;) Trick is to do them a lot, but we also don't know all of them by heart even though we filmed them ourselves!

[@siavashforootan1126]

Is it not supposed to be supination of forearm in ULTT 4? I think you did it in pronation

[@debbiemeko472]

Pronation is correct, before bringing the fingers towards the ear. It won't be possible to reproduce symptoms when supinating forearm. I think you're confusing the tested limb position of ULLT 1 for ULTT 4.

[@Physiotutors]

Pronation, had other people commenting that their textbooks show supination, but that doesn't add maximal stress on the ulnar nerve.

[@danielbohn]

Awesome!!

[@dipumakwana3031]

Thanks 😊

[@33eoz]

Really good video, but just one question: in the ULTT C you write c8-T1 - buch cervical spine only goes to c7 right?

[@dr.saran_physio]

Sir my question is if ulnar nerve is postive then what should be the intervention?

[@harmie38]

You can consider flossing the ulnar nerve in order to relieve pain symptoms

[@shaibyannacherian2877]

In upper limb tension test 2 and 3 patient position can be diagonally

[@Physiotutors]

+shaiby anna cherian Sure why not!

[@shaibyannacherian2877]

Why there is two tests for Median nerve? And why Axillary nerve is tested along with median nerve?

[@Physiotutors]

+shaiby anna cherian this is how nerve differentiation is described by Butler. you have to realize that certain positions put stress on several branches/peripheral nerves. that's also the reason why these tests are highly sensitive but not specific.

[@navisathiya9926]

How much the physiotutors book sir

[@debbiemeko472]

Too good.

[@Physiotutors]

thanks Debbie

[@dianeka7616]

very very very helpul 👍👏👏

[@Physiotutors]

+Dian Eka glad you like it and thx for subscribing Dian!

[@dianeka7616]

Physiotutors yes, ur welcome 😊😊

[@mehefe1247]

Hi guys, Is the ULTT A test with breathe in/out, also useful for including or excluding pancoasttumor?

[@Physiotutors]

No evidence on that. Next to general red flag screening for cancer, we would rather screen for changes in the pulmonary tract (e.g. dizziness, heavy feeling on chest, out of breath, difficulties breathing, risk factors from history like smoking etc.) Signs & symptoms are different from ulnar nerve compression or T8 radiculopathy as T8-T2 nerves are affected and patients may also present with Horner's syndrome as the superior cervical ganglion can be compressed by the tumor.

[@Physiotutors]

Be aware of symptoms that resemble TOS. Would rather expect the ULTTD to be positive as T8-T1 are stressed the most.

[@mehefe1247]

@@Physiotutors Thank you 👍

[@prophysiotherapy9994]

what's the song from the intro? I'm hooked lol

[@Physiotutors]

It's a sting from the KZbin creators library

[@dwideviasmr9591]

Terimakasih

[@swordfish5079]

Thank you soo much :)

[@2119-d2q]

.the best video

[@Physiotutors]

thx

[@BrianaSade93]

Can the ULTT4 also be performed with forearm supination? The Therapy ED review book notes that its forearms supination but when I perform the test I feel more neural tension in pronation as shown.

[@Physiotutors]

Pronation leads to maximal tension

[@albertninof.kotico7115]

I am confused in ULTT 3. In my book it says SH dep and 110 degrees of ABD but yours is only 10 degrees. I’m confused. Please explain thank you.

[@Physiotutors]

Maybe they took a different order, but officially ULTT3 is designed to stress the radial nerve which does not come under maximal tension in 10° of abduction. Have a look at this paper: www.ncbi.nlm.nih.gov/pubmed/22402638

[@albertninof.kotico7115]

noted. thank you.

[@Kikotingin]

Hey guys, do you use Magee as reference as well?

[@Physiotutors]

Yes, it's a book we used a lot during our Bachelor's degree and we still use it from time to time. We prefer to use research papers if they are available though.

[@jankasprowicz3663]

Shouldn't the thumb be abducted?

[@كيرلساميل-ذ1ه]

This test for assessment only or for treatment??

[@Physiotutors]

They can be used as both actually. We have made a video on nerve glides and tensioners which you can watch here: kzbin.info/www/bejne/fKfCdn2MbdZle5I

[@كيرلساميل-ذ1ه]

Thanks alot

[@suraal-hawajri3350]

Thank u

[@Physiotutors]

Ur welcome

[@foodietoodiegwl]

Here is my question .. Wht dffrnce we made while using ultt as diagnosis nd while treatment.? Like i really dnt understand so hlp me out

[@Physiotutors]

As a diagnostic test it's used as a provocation test so maximal stretch. As treatment you'll have to adapt it in form of sliders and tensioners so your patient is able to tolerate it. Have a look at out video where we explain the sliders and tensions for the upper limb.

[@rockinshanel]

Waiting for LLTT. 😬

[@Physiotutors]

Have a look at the Straight Leg Raise test and the Slump Test. They are basically the tension tests for the LL.

[@RafaelaHiltunen-f2q]

Carter Stravenue

[@KirkCobian-r2f]

Alvina Springs

[@meller13]

ULTT C Radial nerve is missing some text

[@thinker4901]

This is hard to remember

[@CoriePicard-b4x]

Kirk Grove

[@manahilmumtaz3051]

Why patient shows strange reaction in every ULTT test ?🤣

[@Real_potato]

I love you so much^^

[@HarmonyDress-v1l]

Marvin Greens

[@VirginiaMera-t6g]

Baron Plains

[@RayleignMegan-u8y]

Vesta Radial

[@triyakamila7853]

Subtitle indonesia please

[@Physiotutors]

Feel free to help us adding subtitles --> Check the description down below on how to do that!

[@MaxScerra]

One mistake in the video: confused C7 with C8

[@ClayHammons-n2e]

Fanny Valleys

[@ishaankapoor5716]

The Model looks so much like Jonny sinns :p

[@yousufrawashdeh2001]

How much money do I make?

[@afriandc7519]

Mantap anying

[@himaniagrawal3893]

2 .22

[@MortonElizabeth-r4h]

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