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U.L.T.T. #1	HOW TO PERFORM TEST	POSITIVE SIGN	INDICATION
	Client Standing or Supine (contrilaterally side bend neck) Shoulder: Depressed, Abducted (110) Elbow: Extended Forearm: Supinated Wrist: Extended Fingers: Extended	Pathological neurological symptoms	MEDIAN, and/or ANTERIOR INTEROSSEOUS Nerve Lesion

U.L.T.T. #2	HOW TO PERFORM TEST	POSITIVE SIGN	INDICATION
	Client Standing or Supine (contrilaterally side bend neck) Shoulder: Depressed, Abducted (10) and Laterally Rotated Elbow: Extended Forearm: Supinated Wrist: Extended Fingers: Extended	Pathological neurological symptoms	MEDIAN, AXILLARY, and/or MUSCULO-CUTANEOUS Nerve Lesion

U.L.T.T. #3	HOW TO PERFORM TEST	POSITIVE SIGN	INDICATION
	Client Standing or Supine (contrilaterally side bend neck) Shoulder: Depressed, Abducted (10) and Medially Rotated Elbow: Extended Forearm: Pronated Wrist: Flexed (with ulnar deviation) Fingers: Flexed	Pathological neurological symptoms	RADIAL Nerve Lesion

U.L.T.T. #4	HOW TO PERFORM TEST	POSITIVE SIGN	INDICATION
	Client Standing or Supine (contrilaterally side bend neck) Shoulder: Depressed/Abducted (10-90) and Laterally Rotated Elbow: Flexed Forearm: Pronated Wrist: Extended (with radial deviation) Fingers: Extended	Pathological neurological symptoms	ULNAR Nerve Lesion

SHOULDER ABDUCTION	HOW TO PERFORM TEST	POSITIVE SIGN	INDICATION
	Client Sitting or Lying Down Rest clients hand on top of their head (either actively elevated through abduction or passively elevated by therapist)	Relief of pain	Nerve Root Compression or Disc Herniation

SHOULDER DEPRESSION	HOW TO PERFORM TEST	POSITIVE SIGN	INDICATION
	Client Upright Therapist contrilaterally side flexes clients neck, while depressing shoulder	Increased pain	Nerve Root Compression or Brachial Plexus Lesion

TINNEL SIGN	HOW TO PERFORM TEST	POSITIVE SIGN	INDICATION
	Client Seated. Tap the nerve at the suspected site of compression At elbow: (between olecranon & medial epicondyle) At wrist: (over the carpal tunnel)	Pain along peripheral nerve referral pattern	PNS Lesion at point of pain (At Elbow = Ulnar) (At Wrist = Median)

PHALEN’S	HOW TO PERFORM TEST	POSITIVE SIGN	INDICATION
	Client Seated Client maximally flexes wrists together and holds for 1 minute.	Pain or tingling in median nerve referral pattern	Median Nerve Lesion (carpal tunnel syndrome)

PRONATOR TERES TEST	HOW TO PERFORM TEST	POSITIVE SIGN	INDICATION
	Client Seated Client starts with elbow flexed to 90 degrees. Therapist palpates the pronator teres. Therapist extends clients elbow while resisting client pronation.	Pain or tingling in median nerve referral pattern	Median Nerve Lesion (pronator teres syndrome)

FROMENT’S SIGN	HOW TO PERFORM TEST	POSITIVE SIGN	INDICATION
	Client Upright Have client hold a piece of paper between thumb and index finger and grip it as therapist pulls it.	Flexion of distal phalanx of thumb	Ulnar Nerve Lesion

PINCH GRIP TEST	HOW TO PERFORM TEST	POSITIVE SIGN	INDICATION
	Client Upright Have client pinch the tip of their thumb and tip of index finger together.	Inability to do a tip to tip pinch.	Anterior Interosseous Nerve Lesion (branch of median nerve)

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Orthopedic Tests :

U.L.T.T. #1

HOW TO PERFORM TEST

POSITIVE SIGN

INDICATION

U.L.T.T. #2

HOW TO PERFORM TEST

POSITIVE SIGN

INDICATION

U.L.T.T. #3

HOW TO PERFORM TEST

POSITIVE SIGN

INDICATION

U.L.T.T. #4

HOW TO PERFORM TEST

POSITIVE SIGN

INDICATION

SHOULDER ABDUCTION

HOW TO PERFORM TEST

POSITIVE SIGN

INDICATION

SHOULDER DEPRESSION

HOW TO PERFORM TEST

POSITIVE SIGN

INDICATION

TINNEL SIGN

HOW TO PERFORM TEST

POSITIVE SIGN

INDICATION

PHALEN’S

HOW TO PERFORM TEST

POSITIVE SIGN

INDICATION

PRONATOR TERES TEST

HOW TO PERFORM TEST

POSITIVE SIGN

INDICATION

FROMENT’S SIGN

HOW TO PERFORM TEST

POSITIVE SIGN

INDICATION

PINCH GRIP TEST

HOW TO PERFORM TEST

POSITIVE SIGN

INDICATION

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