Upper Limb Tension Tests (ULTTs) are a set of physical examination techniques used to assess the neural mobility and tension of the upper limb nerves. ULTT-I specifically tests for tension in the median nerve.
During the ULTT-I, the patient is positioned in a supine position with the shoulder...
Upper Limb Tension Tests (ULTTs) - 2a, also known as the Median Nerve Tension Test or the Elbow Flexion Test, is a physical examination technique used to assess the presence of median nerve involvement in the arm or hand. This test involves the passive movement of the upper extremity, which...
The Resisted AC Joint Extension Test is a physical examination maneuver used to help identify acromioclavicular joint pathology, such as AC joint sprains or separations.
Here are the steps to perform the Resisted AC Joint Extension Test:
- Ask the patient to sit or stand comfortably with their arm...
The Scapular Assistance Test is a physical examination maneuver used to assess scapular motion and identify scapular dyskinesis, which is an abnormal scapular movement pattern. The test involves using manual assistance to improve scapular motion and determining whether this improves symptoms or...
The Rent test is a physical examination maneuver used to assess for the presence of full-thickness rotator cuff tears.
Here are the steps to perform the Rent test:
- Ask the patient to sit comfortably with their arm hanging at their side.
- With one hand, stabilize the patient's scapula (shoulder...
The Paxinos sign test is a physical examination maneuver used to assess for acromioclavicular joint pathology, specifically for separation or dislocation of the joint.
Procedure:
- Ask the patient to sit comfortably with the affected arm relaxed at the side.
- Stand behind the patient and grasp...
The Scapular Retraction Test is a physical examination maneuver used to assess patients with apparent weakness in the supraspinatus muscle, which may be due to scapular dyskinesis. This test is designed to evaluate the influence of scapular position and movement on rotator cuff muscle function.
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The Load and Shift test is a clinical test used to assess the stability of the glenohumeral joint, specifically for anterior and posterior instability. The test involves applying a force to the humeral head and moving it anteriorly and posteriorly relative to the glenoid fossa.
Here are the...
Painful Arc is a test used to identify possible subacromial impingement syndrome, which is a common condition that causes pain and limited range of motion in the shoulder.
Procedure:
- Ask the patient to stand upright with their arms relaxed at their sides.
- Instruct the patient to slowly abduct...
The passive compression test, also known as the O'Brien test, is not typically used to detect superior labral anterior posterior (SLAP) lesions. However, it can be used to assess for labral tears in general.
The passive compression test is performed as follows:
- The patient's arm is positioned in...
The Lag Sign of the Shoulder is a clinical test used to assess the presence of a full-thickness rotator cuff tear. During the test, the patient's arm is passively moved into shoulder abduction and external rotation, and the examiner asks the patient to maintain this position against resistance....
O'Brien's Test is a clinical test used to assess for a labral tear or SLAP (superior labrum anterior to posterior) lesion of the shoulder. It is also known as the active compression test.
Procedure:
- The patient should be seated or standing with the affected arm in 90 degrees of shoulder flexion,...