Issue link: https://www.massageandbodyworkdigital.com/i/694071
100 m a s s a g e & b o d y w o r k j u l y / a u g u s t 2 0 1 6 For example, if most symptoms are aggravated with the distal upper-extremity movements, there is a greater chance that the primary problem(s) are in the distal upper extremity. It may then be informative to perform the distal upper-extremity movements fi rst to see if symptoms are reproduced. During testing, ask the client about changes in symptoms after each movement. Once the client experiences symptoms, it is not necessary to complete the remainder of the movements, especially if the symptoms are strong. The tests can be performed actively or passively, but are usually performed passively so that muscular involvement is minimized. ULNT #1 (MEDIAN NERVE EMPHASIS) Carpal tunnel compression is the most common upper- extremity nerve compression disorder, but there are at least fi ve other locations along the length of the median nerve where it can be compressed or irritated (Image 1). These locations include the narrow space between the two heads of the pronator teres muscle, the nerve's passage under the bicipital aponeurosis, and the thoracic outlet region. In the starting position for ULNT #1, the median nerve is in a slackened position. Successive movements continually add more stretch to the median nerve until the ending position is reached, which is the position that most stretches the nerve. Check in with the client each time a new movement/position is added, and if the client's symptoms are reproduced, it isn't necessary to continue through all of the movements because it is counterproductive to produce further nerve irritation. Potential regions of median nerve entrapment. Image is from 3D4Medical's Essential Anatomy 5 application. 1 orthopedic massage Whitney Lowe's In-Depth Training & Certi cation Work directly with Whitney Lowe Progressive, superior, & eff ective education Improve your learning outcomes & retention Engaged, interactive, & dynamic learning activities Full, continued access to extensive video library Workshops: GA, DE, NJ, CA, ID Academy of clinical massage www.academyofclinicalmassage.com 541-719-8414 "So many massage CEs have so little to o er it is a pleasure to nd such depth, quality, & detail." "...one of the very best teachers I've had." ABMP Member Specials Training excellence in science-based clinical massage for over 2 decades. FREE Sample Course FREE enewsletter FREE Hour Consult Visit us at: academyofclinicalmassage.com /abmp-specials