ULTT4 (Upper Limb Tension Test 4)

Testing For:
C8 and T1 nerve roots and ulnar nerve as the source of the patient’s painful shoulder and arm

Procedure:

  • Patient is supine , with their side being tested at the edge of the table
  • Apply a depressive force to the patient’s affected shoulder
  • With your other hand, hold the patient’s wrist and Abduct their affected humerus to 90°
  • Slowly flex their elbow, then supinate their forearm
  • Slowly extend their wrist and fingers and deviate the wrist to the radial side.

Positive Sign:
Recurrence of their shoulder and arm pain.