Question

The correct sequence for testing and treating the symptoms related to median nerve distribution is:
A. Patient in supine
B. Lateral rotation of arm, supination of forearm and wrist finger extension
C. Contralateral cervical spine side flexion
D. Slight abduction of shoulder and extension of elbow
E. Shoulder girdle depression
Choose the correct answer from the options given below:

• A. A, B, C, E, D
• B. A, D, E, B, C
• C. A, E, D, B, C
• D. A, E, D, C, B

Hint:

ULTT1 order: Supine → Depression → Abduction → Wrist extension → Neck movement

Answer 1

The Correct Option is C

Concept:
Median nerve testing is performed using Upper Limb Tension Test (ULTT1), which progressively increases neural tension.

Step 1: Starting position.

• Patient lies in supine position Thus: \[ A: Patient in supine \]

Step 2: Shoulder girdle depression.

• Stabilizes shoulder and increases neural tension Thus: \[ E: Shoulder girdle depression \]

Step 3: Shoulder abduction and elbow extension.

• Increases stretch along nerve pathway Thus: \[ D: Shoulder abduction and elbow extension \]

Step 4: Forearm and wrist positioning.

• Supination and wrist/finger extension further tension nerve Thus: \[ B: Supination and extension \]

Step 5: Cervical side flexion.

• Contralateral side flexion increases symptoms Thus: \[ C: Cervical side flexion \]

Step 6: Final sequence.
\[ A \rightarrow E \rightarrow D \rightarrow B \rightarrow C \] \[ \boxed{\text{Correct answer = Option (3)}} \]