Mobilisasi Saraf Tepi

KELOMPOK 5
RICA ARIANI
RISTY FAHRINA
SRY HASVIANA
WIDAYANTI
INDIKASI
Mobilisasi saraf sangar membantu pasien yang
mengalami kesemutan,
mati rasa dan
sensasi saraf lainnya
KONTRA INDIKASI
Inflamasi
Fraktur
Tumor/kanker
Introduction
A neurodynamic assessment evaluates the length
and mobility of various components of the nervous
system.
They are performed by the therapist placing
progressively more tension on the component of the
nervous system that is being tested and are divided
into upper and lower limb tests.
DEFINISI

Mobilisasi saraf adalah suatu bentuk pergerakan

tubuh yang menggunakan sistem saraf sebagai
kerangka acuan.
Mobilisasi saraf adalah pergerakan yang
memprovokasi sensasi saraf, yang berguna untuk
mengidentifikasi cabang saraf mana yang mengalami
masalah, menentukan asal rasa sakit.
Mobilisasi saraf dapat menyembuhkan permasalahan
saraf karena meningkatkan impuls saraf.
Upper Limb Nerve Tension Tests

1-4
ULTTs
The Upper Limb Tension Tests (ULTTs) are also known
as Brachial Plexus Tension or Elvey Test.[
These tests are designed to put stress on
neurological structures of upper limb.
These tests were first described by Elvey and hence
also known as Elvey test but most commonly called
ULTT
 The shoulder,elbow, forearm,wrist and fingers are
kept in specific position to put stress on particular
nerve (nerve bias)
and further modification in position of each joint is
done as "sensitizer".
The ULTT's are equivalent to the straight leg raise
designed for the lumbar spine.
PURPOSE
The main reason for using a ULTT is
to check cervical radiculopathy.
These tests are both diagnostic and
therapeutic.
Once the diagnosis of cervical
radiculopathy is made the tests are
done to mobilise the entrapped
nerve.
Upper Limb Tension Test 1 (ULTT1,
Median nerve bias)

1. Shoulder girdle depression -MEDIAN NERVE

2. Shoulder abduction
3. Shoulder external rotation -ANTERIOR
4. Forearm Supination INTEROSSEUS
5. Wrist and Finger extension NERVE
6. Elbow extension
7. Cervical side flexion -NERVE ROOT C5-
C7
 Upper Limb Tension Test 2A
(ULTT2A, Median nerve bias)

1.Shoulder girdle depression -MEDIAN NERVE

2.Elbow extension -AXILLARY NERVE

3.Lateral rotation of the whole arm -MUSCULOCUTANEUS
4.Wrist, finger and thumb extension NERVE
Upper Limb Tension Test 2B
(ULTT2B, Radial nerve bias)

1.Shoulder girdle depression

2.Elbow extension Radial nerve
3.Medial rotation of the whole arm
4.Wrist, finger and thumb flexion
Upper Limb Tension Test 3
(ULTT3, Ulnar nerve bias)

1.Shoulder girdle depression Ulnar nerve

2.Shoulder abduction NERVE ROOT C8-T1
3.Shoulder external rotation
4.Wrist and Finger extension
5.Elbow flexion
6.Shoulder abduction
Musculocutaneous Nerve Tension
Test (ULTT musculocutaneous)
1.Shoulder girdle depression
2.Elbow extension
3.Shoulder extension
4.Ulnar deviation of the wrist
with thumb flexion
5.Either medial or lateral rotation
of the arm could further sensitize
this nerve
Lower Limb Nerve Tension Tests
Slump Test (entire nervous system)

Hands behind back

Thoracic flexion
Extend one knee
Dorsiflex foot of
extended knee
Cervical flexion
 Femoral Nerve Tension Test

Patient is lying in prone position

Affected side: Full knee flexion and maintains position for 45s
If full knee flexion cannot be performed, the hip may be brought
into extenstion to futher stress the femoral nerve and nerve roots
L2-L4
Postitive test: Shooting pain or reproduction of patient's symptoms
Straight Leg Raise (Sciatic nerve)

Supine
Medial hip rotation, then flexion, with
knee extended
Ankle dorsiflexion (tibial nerve)
Ankle plantarflexion and foot inversion
(common peroneal nerve)
Hip adduction (sciatic nerve)
Increasing hip medial rotation (sciatic
nerve)
Neck flexion (SC, meninges and sciatic
nerve)