Peripheral nerves and their cervical roots may become irritated at several sites along their course through the neck and upper extremity. This weeks special test is the upper limb tension test (aka brachial plexus tension test) biased for the median nerve.
The patient is supine. The examiner then depresses the shoulder, abducts the humerus to 110 degrees, supinates the forearm, and extends the elbow,wrist and fingers. The examiner then has the patient sidebend their cervical spine away from the side being tested. Reproduction of the patients symptoms indicates a positive neural tension of the median nerve.