Nerve Tension Tests Flashcards

1
Q

ULNT1 (Median Nerve Bias), Testing Position

A

Shoulder: Depression and Abduction (110 degrees)
Elbow: Extension
Forearm: Supination
Wrist: Extension
Fingers: Extension
Shoulder (additional): null
Cervical Spine: Contralateral Side Flexion

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2
Q

ULNT3 (Radial Nerve Bias), Testing Position

A

Shoulder: Depression, IR, Abduction (40), Extension (25).
Elbow: Extension
Forearm: Pronation
Wrist: Flexion + Ulnar Deviation
Fingers: Flexion
Shoulder (additional): IR
Cervical Spine: Contralateral Side Flexion

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3
Q

ULNT4 (Ulnar Nerve Bias), Testing Position

A

Shoulder: Depresion + Abduction, Hand to Ear
Elbow: Flexion
Forearm: Pronation
Wrist: Extension + Radial Deviation
Fingers: Extension
Shoulder (additional): ER
Cervical Spine: Contralateral Side Flexion

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4
Q

What side should be tested first during ULNT tests?

A

Test the “good” side or uninvolved side first

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5
Q

When are Nerve Tension Tests Contraindicated?

A

Neurological Signs are Worsening
Damage in the Acute Phase

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6
Q

When positioning the shoulder what motion is essential and should be maintained?

A

CONSTANT Shoulder Depression!

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7
Q

What motion should be applied to the Cervical Spine during all Upper Limb Tension Tests?

A

Contralateral Lateral Flexion

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8
Q

What constitutes a Positive (pathological) upper limb tension test?

A

Reproduction of patients symptoms (MOST IMPORTANT FINDING)

Different symptoms felt in Right and Left sides

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9
Q

Straight Leg Raising Test (Lasegue’s Test), Testing Procedure?

A

Patient in Supine

Hip: Flexion + Adduction
Knee: Extension
Ankle: Dorsiflexion
Nerve Bias: Sciatic Nerve + Tibial Nerve

Therapist passively flexes the hip until onset of pain or tightness in back of leg

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10
Q

During a SLR Test, what inference can be made if the patient is experiencing reproduction of “Back Pain Only”?

A

Pathology causing pressure is more central

Disc prolapse may be Smaller/More Central

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11
Q

During a SLR Test, what inference can be made if the patient is experiencing reproduction of pain primarily in the leg

A

Expecting a more lateral lesion

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12
Q

During a SLR Test, what additional motions can be done to further sensitize neural tissues?

A

Ankle Dorsiflexion (usually done first)

or

Cervical Flexion

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13
Q

Slump Test (ST1), Testing Position + What Tissues are being biased?

A

Cervical Spine: Flexion
Thoracic and Lumbar Spine: Flexion
Hip: (90 degrees +)
Knee: Extension
Ankle: Dorsiflexion
Nerve Bias: Spinal Cord, Cervical and Lumbar Roots, Sciatic Nerve

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14
Q

Long Sitting Slump Test (ST4)

A

Cervical Spine: Flexion, Rotation
Thoracic and Lumbar Spine: Flexion (Slump)
Hip: Flexion (90 degrees +)
Knee: Extension
Ankle: Dorsiflexion
Nerve Bias: Spinal Cord, Cervical and Lumbar Roots, Sciatic Nerve

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15
Q

Cross (Well Leg Sign) SLR5, Testing Procedure + What is Indicated

A

Testing of the Uninvolved side, reproduces symptoms in the Involved side, the uninvolved side or both.

Hip: Flexion + Adduction
Knee: Extension
Ankle: Dorsiflexion

Nerve Bias Nerve Root (Significant Nerve Root Compression) (Disc Prolapse)

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16
Q

What degree of hip flexion do we normally see the Sciatic Nerve being completely Stretched?

A

70 degrees

17
Q

What can be inferred if pain occurs after 70 degrees of stretch during SLR?

A

Joint pain from lumbar area or sacroiliac joints

Possible Hamstring Tightness

18
Q

What testing procedure can be utilized if a patient is unable to tolerate lying in supine during the SLR test?

A

Side Lying

19
Q

What is the Special Test name for the Ankle Dorsiflexion Movement during SLR test?

A

Bragard’s Test

20
Q

Names for the Neck Flexion movement during SLR test?

A

Soto-Hall Test

Brudzinski’s Sign

21
Q

With the Addition of foot eversion during the SLR (SLR2) what nerve tissue is being biased?

A

Tibial Nerve

22
Q

With the Addition of foot inversion during the SLR (SLR3) what nerve tissue is being biased?

A

Sural Nerve

23
Q

With the Addition of ankle plantar flexion + foot inversion during the SLR (SLR4) what nerve tissue is being biased?

A

Common Peroneal Nerve