Execution
- 1Have the patient lie supine with the cervical spine neutral and the shoulder near the edge of the table.
- 2Depress the shoulder girdle and position the shoulder in slight abduction, about 10°.
- 3Supinate the forearm and extend the wrist, fingers, and thumb.
- 4Externally rotate the shoulder while maintaining shoulder depression.
- 5Extend the elbow gradually and add contralateral cervical side flexion if symptoms are absent or unclear.
Positive outcome
Reproduction of the patient's familiar neural symptoms, altered by cervical side flexion or by releasing part of the limb sequence. Symptoms should be compared with the opposite side because normal stretch discomfort can occur.
Studies
| Study | Reliability | Sn | Sp | LR+ | LR− |
|---|---|---|---|---|---|
| Kleinrensink et al. (2000) | NA | NA | NA | NA | NA |
CommentSpecific diagnostic accuracy values for ULNT2 in cervical radiculopathy are not well established in Magee-style tables. Treat it mainly as a nerve-mechanosensitivity test and interpret it by symptom reproduction, asymmetry, and response to sensitising movements.
Low Clinical Value