Normal response to Upper Limb Neurodynamic Test 1 and 2A

Ulnar Nerve Neurodynamic Test: Study of the Normal Sensory Response in Asymptomatic Individuals

“…The ULNT3, as described below, was performed twice on each upper limb, with 30 seconds between repetitions. 26 For each repetition, the shoulder was abducted to the point of pain tolerance, defined as the point at Total number of potential participants invited to participate, n = 68…”

“…which the participant was too uncomfortable to continue with the test, 26 and the abduction angle was recorded.…”

“…J Orthop Sports Phys Ther 2014;44 (6) Neurodynamic tests frequently cause neural responses in asymptomatic individuals that are considered normal. 20,23,26,35 Normal responses have been previously investigated in the upper limb for the median upper-limb neurodynamic test (ULNT1 and ULNT2A) 26 and the radial upper-limb neurodynamic test (ULNT2B). 30 For the lower limb, the slump test 38 and the femoral nerve test 23 have also been previously studied in healthy individuals.…”

“…7 First, a test response that differs from a response that would be considered normal (found in a symptomatic individuals) in terms of the location and intensity of symptoms and the nature of the response may be a sign of neural tissue involvement. 23,26,30,38 Second, an asymmetry in the neurodynamic response of the symptomatic versus the asymptomatic side (assumed healthy) in terms of joint angle, pain, and/or muscular resistance to movement may also be relevant, although some authors attribute less importance to this finding. 6,13,26 Finally, recent evidence asserts that a positive upper-limb neurodynamic test should at least partially reproduce the patient's symptoms, and structural differentiation should change these symptoms.…”

“…23,26,30,38 Second, an asymmetry in the neurodynamic response of the symptomatic versus the asymptomatic side (assumed healthy) in terms of joint angle, pain, and/or muscular resistance to movement may also be relevant, although some authors attribute less importance to this finding. 6,13,26 Finally, recent evidence asserts that a positive upper-limb neurodynamic test should at least partially reproduce the patient's symptoms, and structural differentiation should change these symptoms. 28 This latter definition of a positive upper-limb neurodynamic test has been shown to be reliable when used clinically.…”