The nerve can become trapped at any point along its course, although most cases result from nipping at the inguinal liga-ment or beyond the fascial tunnel, usually at the point where Physical Therapy may not be effective for reducing spasticity in the upper extremity. This presentation, created by Jason Grandeo, as part of the Evidence in Motion OMPT Fellowship, reviews 1) the biomechanical and pathophysiological properties of nerve,2) the indications for using upper-limb neurodynamic tests, 3) normal sensory responses for each of the upper limb neurodynamic tests, 4) the validity of the upper … X25975 (12/2019) ©AAHC Upper Extremity. the upper border of the trochanter to the level of the superior margin of the patella (Fig. Hold each position below for 3 to 7 … Scar tissue can build up and trap the nerves. Track and field – Shoulder and elbow (javelin), wrist (shot put) ! 4x|T-���g�:��"�h�̆U1���fw�R�lT�����7D����䡚/��Ks2���A"�&���%,g�sژ������ܲ����G��M ]� 7�ڙ��2��!ϯ� O��5*_r%Eb\��Aj�t@�5�$k�}�q�B=���l�Rx�*+gZ�Wz#���u�5R�c�|p��(�o��|2��g���/�����]. Most cases are idiopathic The Anatomy of the upper limb is difficult to remember like the rest of anatomy :D. In this article, we are sharing with you some mnemonics so that you can remember some points easily. Peripheral nerve injury of the upper extremity commonly occurs in patients who participate in recreational (e.g., sports) and occupational activities. 3. … Neurological Assessment of the Distal Upper Extremity Median Nerve-Sensory: innervation is purest on the volar skin of the tip of the index finger-Motor: ask pt. After removing the flexor digitorum superficialis, we clearly see the ulnar artery and nerve, median nerve and radial artery. They may be used for preventive measures, new symptoms, or chronic cases. We also raised the question whether one donor nerve could be used to reinnervate two different target nerves. 3. … Start studying Hand and Upper Extremity PDF. hard surface and the medial epicondyle if It enters the forearm by passing between the … ... Posterior glides ii. æ . ��BrhǨ������aq��Q�������OԈq�e *_�$�������0���Ǥ����2���/nom�+�A�����۷���e��Ŕ:��\ݾ��D�#�H+�CÕ �(��K���b��E�Z�S�Lz/��WВsƳp�r �g�;��N�"uYI���U$���'ϱy�:nB_�z�I�J������Q�8y����_H�g��H����^���A�``ײ��62�� ���U���=F���6��:�Y1��{�r�=o!����~��#/@�t��D?W��2u����{ �ɐ���{H~�k�R���fPP��|���|;+��و�wx6�sE�I����]��кzr�2�X^Î�S�/���|c:I�0���V��m��x�\/D�V\���d4����}�� z.����Δ��5�\C�#�C���"#`-֓���m�ip�iH���]�������§�q�4@/��r�ct%�1�#���dY"�G���i2t��. Rehabilitation exercises for three of the main nerves of the upper extremity. 124 0 obj <>stream Radial Nerve Glide. To get the nerves moving again, you can do special stretches called neural glides (also called neural flossing or nerve stretching). Progress to the next level of the exercise only when there is little or no sensation of pulling or tightening. Sensory impairment generally involves numbness and tingling in the thumb and index and middle fingers, especially at night. These tests were first described by Elve… The nerve supplies the anterolateral aspect of the thigh from . Initial physical examination of a patient with an upper extremity injury includes looking for the presence of 7a tone in the upper extremity. Nerve slides, or nerve glides, can be performed every day throughout the day. Next, bend your wrist back as you side Ultrasonography (US) has become a first-line modality for the evaluation of the peripheral nerves of the upper extremity. The hand is probably the finest product of human evolution from the aspect of our body mechanics. b4��"�!bK��%Ab��p�`1�^��3p���i�rF `p)%��0�1 Arm Glider Upper Extremity Support: An arm glider was fabricated to assist individuals with limited upper extremity strength to perform writing and other motor tasks. The nerve anatomy of the upper extremity is studied constantly through surgical findings, electrodiagnostic studies, and cadaveric dissections. Initial physical examination of a patient with an upper extremity injury includes looking for the presence of 7a endstream endobj 61 0 obj <>>> endobj 62 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]/Properties<>/MC1<>>>/XObject<>>>/Rotate 0/TrimBox[0.0 0.0 558.0 756.0]/Type/Page>> endobj 63 0 obj <>stream When a nerve is sensitive, the surrounding muscles will generate tension to try to keep the nerve still. ... longitudinal excursion of the median nerve in the upper arm during 6 different nerve-gliding exercises. First Sequence. to spread (abduct) the fingers to test for interosseous function (T1) Soccer – AC joint sprain ! 1 nerves of upper extremity 1. nerves of upper extremity maj dr poonam singh dept of anatomy naihs 2. objectives origin, root value, course, branches and applied of major nerves of upper extremity 3. brachial plexus- imp nerves 4. The ulnar artery gives rise to the common interosseous artery, which divides into anterior and posterior interosseous arteries. This is an active dynamic stretch that flosses the median nerve in the carpal tunnel and promotes healthy neural tension of the nervous system. Evaluation b. to touch the thumb to the fifth finger (C7-8)Ulnar Nerve-Sensory: innervation is purest on the volar surface of the tip of the fifth finger-Motor: ask pt. hard surface and the medial epicondyle if It enters the forearm by passing between the … Article Download PDF View Record in Scopus Google Scholar. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Axillary Nerve damage •Axillary nerve usually damaged by fractures of surgical neck of humerus or due to an inferior dislocation of shoulder joint. Increase tolerance to walking (½ mile daily) or bike (15-30 min cardiovascular activity) 4. Follow guidance from your therapist. •Rounded contour/profile of shoulder is lost due to paralysis of deltoid This is the most common nerve compression of the upper extremity. Slowly open the fingers and extend the wrist. •Effects: •Loss or weakness of abduction of shoulder (between 15 degrees to 90 degrees) due to paralysis of Deltoid. to touch the thumb to the fifth finger (C7-8)Ulnar Nerve-Sensory: innervation is purest on the volar surface of the tip of the fifth finger-Motor: ask pt. x�ս xTE�6\�9���Nwg�Nh �@Bc�� � HPC�$$�61�EED�QTT\C�P�A\p�GuFf��U���s2��~���u��y�S�N��^U' ��;YA8�z��y��r�\1mN���p�˴E��ǧ� �� �-�>�z�����@��gVW��#��LHr7�wV�^:=k�#-��O�চ���#��LB&~��5�p�f���p߭fN��ޟ���=ڧ�ٵ�*~L����K�|���%�\�M����s����q�=!�w���շ��Ծ*��[P5l-�=���)B�jz;Q�Iݪ��f 3�Ζ�Tf5(L|�v|���` {٥��8 ���o%�S��V�:�j%ć�~��6��'���9"҃�!�d��� ��RYG��^�/HJH�E�������a���ﵟh������_����C C Download full-text PDF. 60 0 obj <> endobj The strain or stress that occurs along the course of the nerve as a result of upper extremity joint motion must also be considered. Nerve entrapment of the upper extremity is a common and well documented issue. Neurological Assessment of the Distal Upper Extremity Median Nerve-Sensory: innervation is purest on the volar skin of the tip of the index finger-Motor: ask pt. ... longitudinal excursion of the median nerve in the upper arm during 6 different nerve-gliding exercises. tone in the upper extremity. X25998 (12/2019) ©AAHC Upper Extremity. One “tool” in the therapists “tool box” 2. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Mar 30. Scar tissue can build up and trap the nerves. More research is needed to determine the effectiveness of Nerve Blocks for spasticity. 1. For your arm, there are three main The nerves in your arms and legs can move and stretch. }l�X�����q�� Isɋ���{0���9�Zp/�>��|G�QԎo����;�F|w��54�|�+A̹\��~k����#�Y����v�YI�� ��vu�A��t. • G2 placed 3-4 cm distally A neurodynamic assessmentevaluates the length and mobility of various components of the nervous system. Associate Director, Residency Training Program. This comprehensive course is designed to enhance understanding of the impact of brachial plexus and upper extremity peripheral nerve injuries. There are anterior and posterior condylar areas that serve as attachments to the anterior and posterior cruciate ligaments, respectively. The condyles of the tibia are separated by the intercondylar eminence . 1.Seated Sciatic Nerve Glide More research is needed to determine the effectiveness of Nerve Blocks for spasticity. 1 nerves of upper extremity 1. nerves of upper extremity maj dr poonam singh dept of anatomy naihs 2. objectives origin, root value, course, branches and applied of major nerves of upper extremity 3. brachial plexus- imp nerves 4. The subclavian artery becomes the axillary artery after crossing the 1st rib The axillary artery becomes the brachial artery after crossing the posterior axillary fold The brachial artery divides just distal to the elbow into the radial and ulnar arteries. upper extremity nerve conduction studies. Physical Therapy may not be effective for reducing spasticity in the upper extremity. 1. Definition. Common indica-tions for upper extremity peripheral nerve US are the evaluation for injury due to penetrating trauma, entrapment by scar tissue, and tumor. Worker Exposure Risk to COVID-19. Ulnar Nerve Gliding Program – Conservative. Materials and Methods Animals Thirty-four female Wistar rats, weighing 180– If this occurs, discontinue the exercise and let your therapist know. diagnosis of upper extremity nerve injury by symptom and area of 5,6the body. With normal movement, gliding of the nerve is now restricted and it may actually become tethered and placed on tension. 2019 Medial antebrachial cutaneous sensory study • Recording Site: o Medial Forearm: • G1 placed 12 cm distal to the stimulation site, on a line drawn between the stimulation site and the ulnar wrist. Axillary Nerve damage •Axillary nerve usually damaged by fractures of surgical neck of humerus or due to an inferior dislocation of shoulder joint. Upper Extremity Nerve Flossing Created by Stacie Murray Dec 5th, 2019 View videos at www.HEP.video 1 Repeat 10 Times Hold 1 Second Complete 2 Sets Perform 2 Time(s) a Day MEDIAN NERVE GLIDE - #1 Beginner Start with your arm hanging down at your side with your elbows straight and palm facing forward. To get the nerves moving again, you can do special stretches called neural glides (also called neural flossing or nerve stretching). �-���(��Y� � �� l؎2|8���������&����d7㎄ ���̂\=7� 2/5. The utilization of upper limb neural tension testing (ULNTT) and nerve mobilization (NM) or gliding as an evaluation and treatment approach requires that the clinician understand neural biomechanics and the consequences of neuropathology, pain, and movement dysfunction. h��Ymo�8�+�آȉ��E�n��6�^�^n7�%VR�;���Ϳ�g��m9�cgq�!`$�3á��3C9Z!EtB)#��(��ډ����qV()���Jx~�"�t5"D��Q�3�r to spread (abduct) the fingers to test for interosseous function (T1) Search. Instituting nerve slides during short breaks from repetitive motions and static positions may be effective in preventing upper extremity nerve entrapment. 2. A nerve entrapment is caused when a peripheral nerve losses mobility, flexibility, or becomes compressed by surrounding tissues. EMG/Biofeedback therapy is not superior to other forms of treatment in the treatment of the hemiparetic upper extremity. The condyles of the tibia are separated by the intercondylar eminence . Some of the entrapment sites are well known and accepted, while others tend to be somewhat controversial in the medical research community. Pain and swelling within tolerance. Treatment i. Anterior glides ii. Criteria for progression: 1. This can lead to chronic inflammation and pain. Most cases are idiopathic h�bbd```b``~"[A$�5���)�Z���`Y��>�� �l� ���"Y��7@$�X���l�:)�,� ��et�l�O��ܪ R��� R��RDZ������ns�?��00�r$4iȐ��~0 �b� A nerve entrapment can cause neuropathic / neurogenic pain that can be either acute or chronic in nature. end-to-side repair in the upper extremity with special emphasis on functional recovery, source, type, and extent of regenerating fibers from the donor nerve. What Nerve Glide Exercises are Applied to Help Relieve Back Pain and Sciatica? Nerve compression syndrome, compression neuropathy, nerve entrapment, or a "pinched" peripheral nerve. For your arm, there are three main endstream Evaluation These may include: Median Nerve Glide . Slowly open the fingers and extend the wrist. After completing the exercises, apply a bag of crushed ice or frozen peas to your hand for 20 min- utes to prevent inflammation. Football – Glenohumeral instability, wrist and hand ligament damage ! Virtually all of the nerves in the upper extremity can be entrapped at some point along their pathway. Some of the entrapment sites are well known and accepted, while others tend to be somewhat controversial in the medical research community. Introduction A. Definition-skilled passive movement of a joint B. Overview 1. Reinforce sitting, standing and ADL modifications with neutral spine and proper body mechanics. The nerve supplies the anterolateral aspect of the thigh from . lower extremity nerve glides pdf, The articulation between the femur and patella is a plane joint where the patella glides on the femur. Position the affected arm straight in front of you at shoulder height with wrist and fingers bent toward you. Nerve gliding is a powerful technique and, if done incorrectly can easily increase symptoms and pain. The upper limb or upper extremity is the region in humans or vertebrates extending from the deltoid region which includes the hand, arm, axilla and the shoulder. Nerve glides are exercises that aim to restore the mobilization of the peripheral nerve. Joint Mobilization of the Upper Extremity I. The nerves in your arms and legs can move and stretch. (�6!Ǎ:**-���1�D�Xa|�*L�h�k����u��s�d �(����R�`aKp1� ���!x�`�_�A�M�������-�݉���>�n��������C8�o��gg�Y�aVw�:�ߋ��p6 �Ȥ���sq�e6��O�e99+\A�7��b�,�����|q_L�~O����믢Z��z�it^,��Y�}z(�TUEUf7��X�������ͳۯmuJ���Ÿ\ཽ��Y5���f�ʻɲZ��Y�x�XN�~V"H� �4r���Φ��RX�������� �"�+9+�'ӧ7��}�{�p+�庨�bT��&�ɴ4:A��Rܗ������~{G:� Nerve entrapment of the upper extremity is a common and well documented issue. endstream endobj startxref Acromioclavicular joint a. ... glides. pronator syndrome), the ulnar nerve at the base of the palm (Guyon’s canal), the palmar cutaneous branch of the median nerve, and various components of the brachial plexus (neurogenic thoracic Nerve compression syndrome, compression neuropathy, nerve entrapment, or a "pinched" peripheral nerve. US of the upper extremity is most commonly performed to This is an excellent stretch to replenish nutrients and re-oxygenate the distal upper extremity. Carpal tunnel syndrome (CTS) is the most common nerve compression syndrome of the upper extremity, with an in-cidence of 3% to 5% in the general population.3 It is caused by compression of the median nerve as it crosses through the fibrosseous carpal tunnel at the wrist, along with the nine extrinsic flexor tendons. Peripheral nerve injury of the upper extremity commonly occurs in patients who participate in recreational (e.g., sports) and occupational activities. 0 If you are having a problem with your arm or arms and your physical therapist determines that you may benefit from upper extremity nerve gliding, then they may prescribe a flossing exercise. Hand. Virtually all of the nerves in the upper extremity can be entrapped at some point along their pathway. �D&%�%�O.��U��� d0��[����"�0�58�¡�� �Cz? •Effects: •Loss or weakness of abduction of shoulder (between 15 degrees to 90 degrees) due to paralysis of Deltoid. 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. Nerve glides are exercises that aim to restore the mobilization of the peripheral nerve. 5. University of Tennessee Health Science Center. Sewing the seeds Download full-text PDF. endobj 5 0 obj <> endobj 6 0 obj <>stream diagnosis of upper extremity nerve injury by symptom and area of 5,6the body. Easy Nerve Glides. The Ulnar Nerve (claw hand ) نوكتب سب يوشا فخا لا نم Median arises from the medial cord of the brachial plexus (C8 and T1), humerusThis nerve passes posterior to the medial epicondyle of the humerus . Read full-text. 11/8/2012 1 Muscles of the Upper Limb Pectoralis minor ORIGIN: anterior surface of ribs 3 – 5 ACTION INSERTION: coracoid process (scapula) Muscles Stabilizing Pectoral Girdle ... PDF Content. Nerve glide exercises can help stretch nerves carefully to reduce inflammation or compression and ultimately allow the nerves to glide normally. Independent HEP 3. Upper Extremity NCS Lesion Localization and Characterization 2019 Annual AANEM Meeting Austin, Texas Mark A. Ferrante, MD Professor, Department of Neurology. Nerve Entrapments of the Upper Extremity: Beyond Carpal Tunnel LAURA CONWAY OTR/L, CHT, COMT UE LCONWAY@SELECTMEDICAL.COM. Nerve glides should be pain free and should not increase any numbness or tingling to your arm or hand. Posterior glides 3. There are anterior and posterior condylar areas that serve as attachments to the anterior and posterior cruciate ligaments, respectively. Position the affected arm straight in front of you at shoulder height with wrist and fingers bent toward you. pronator syndrome), the ulnar nerve at the base of the palm (Guyon’s canal), the palmar cutaneous branch of the median nerve, and various components of the brachial plexus (neurogenic thoracic The authors retrospectively review 42 patients who presented with uniformly painful, delayed, spontaneous upper-extremity nerve palsies (Medical Research Council grade 0-3) who failed conservative management, underwent nerve exploration, and were found to have hourglass-like constrictions of the nerve. Basketball – Rotator cuff impingement, finger injuries ! Ulnar Nerve Gliding Program – Conservative. Chief of Neurology. Adverse Neural Dynamics - Upper Extremity Examination. %PDF-1.6 %���� Start studying Hand and Upper Extremity PDF. Inferior glides 2. Upper Extremity Nerve Glides . 1. upper extremity, involving the superficial sensory radial nerve, the anterior interosseous nerve, the median nerve in the elbow region (e.g. 3/5. 2. the upper border of the trochanter to the level of the superior margin of the patella (Fig. 1/5 Depress shoulder 1”, SH ER to neutral, ABD 45 . Search. fc Fb�-Ċ���Mzw7�/�a,~ A�BRII'�Q��I�Ѝd��$c�Az�(F���ø��|R@��{F�. 1 0 obj <>/XObject<>>>>> endobj 2 0 obj <> endobj 3 0 obj <>/CIDToGIDMap 4 0 R/FontDescriptor 5 0 R/W[32[278 278 355 556 556 889 667 191 333 333 389 584 278 333 278 278]48 57 556 58 59 278 60 62 584 63[556 1015 667 667 722 722]69[667 611 778 722 278 500 667 556 833 722 778 667 778 722 667 611 722 667 944 667 667]90 90 611 91 93 278 94[469 500 333 556 556 500 556 556 278 556 556 222 222 500 222 833]110 113 556 114[333 500 278 556 500 722]120 122 500 123[334 260 334 584]]>> endobj 4 0 obj <>stream x����N ��A�UD�7E��T|������9���If��z�o��p#��m���ƛh�������va��}�c�-�ܧV��j_Zk��6�j��v�k������g����ώ:����5���O�]t�� ]w��n��]���� �Z= �[� The following video describes Flossing of the Median, Radial and Ulnar Nerves. h�b```�=�bv� cc`a�x!�Ig0��0�aJ��1�������.Ef���u�����;[y:���Ķ,Sp0t�����r#@�Eİ���F��U7�K`�{�&��>�me�r3Z~���1)�BM���"O�Q�'7\]�U��e� � The nerve anatomy of the upper extremity is studied constantly through surgical findings, electrodiagnostic studies, and cadaveric dissections. Medial Nerve Glides _____ Equipment needed: None Additional instructions: Apply heat to your hand for 15 minutes before performing these exercises. Nerves can become injured just like muscles and tendons. Stand with the body in a … Median Nerve Glide. Baseball – Medial elbow (Ulnar collateral ligament) ! Nerves and vessels of the forearm in the upper limb of a cadaver. Nerves can become injured just like muscles and tendons. 11/8/2012 1 Muscles of the Upper Limb Pectoralis minor ORIGIN: anterior surface of ribs 3 – 5 ACTION INSERTION: coracoid process (scapula) Muscles Stabilizing Pectoral Girdle First Sequence. %PDF-1.4 %���� 93 0 obj <>/Filter/FlateDecode/ID[<3677AADC046D11DF87340026B0D971E8><0C0369A57F92204C957771E5861E4832>]/Index[60 65]/Info 59 0 R/Length 148/Prev 626963/Root 61 0 R/Size 125/Type/XRef/W[1 3 1]>>stream EMG/Biofeedback therapy is not superior to other forms of treatment in the treatment of the hemiparetic upper extremity. 2019 Medial antebrachial cutaneous sensory study • Recording Site: o Medial Forearm: • G1 placed 12 cm distal to the stimulation site, on a line drawn between the stimulation site and the ulnar wrist. X25998 (12/2019) ©AAHC Upper Extremity. Scapulothoracic joint a. 2. The exercises must be done slowly and in a controlled manner. 1.Seated Sciatic Nerve Glide c. Upper extremity extension isometric exercises 3. Section Chief of Neurophysiology, Common upper extremity injuries ! The benefits of US over magnetic resonance (MR) imaging include higher soft-tissue resolution, cost effectiveness, portability, real-time and dynamic imaging, and the ability to scan an entire extremity quickly and efficiently. 0/5 Shoulder IR, elbow 90, wrist and fingers neutral. upper extremity nerve conduction studies. To floss the median nerve: 7N�A�H�2Z��B+�! Read full-text. This can cause even worse referred pain, tingling or numbness. Nerve glide exercises can help stretch nerves carefully to reduce inflammation or compression and ultimately allow the nerves to glide normally. Co-Director, Neurophysiology Fellowship. Carpal tunnel syndrome (CTS) is the most common nerve compression syndrome of the upper extremity, with an in-cidence of 3% to 5% in the general population.3 It is caused by compression of the median nerve as it crosses through the fibrosseous carpal tunnel at the wrist, along with the nine extrinsic flexor tendons. • G2 placed 3-4 cm distally •Rounded contour/profile of shoulder is lost due to paralysis of deltoid Carpal tunnel syndrome is caused by entrapment of the median nerve as it courses through the carpal tunnel. %%EOF 2). This can lead to chronic inflammation and pain. upper extremity, involving the superficial sensory radial nerve, the anterior interosseous nerve, the median nerve in the elbow region (e.g. The Ulnar Nerve (claw hand ) نوكتب سب يوشا فخا لا نم Median arises from the medial cord of the brachial plexus (C8 and T1), humerusThis nerve passes posterior to the medial epicondyle of the humerus . What Nerve Glide Exercises are Applied to Help Relieve Back Pain and Sciatica? lower extremity nerve glides pdf, The articulation between the femur and patella is a plane joint where the patella glides on the femur. nerve disease by guiding diagnostic and therapeutic decisions as well as by confirming electrodiagnostic findings. 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. There is sufficient biomechanical evidence that the peripheral nerve under tension undergoes strain and glides within its interfacing tissue. The nerve can become trapped at any point along its course, although most cases result from nipping at the inguinal liga-ment or beyond the fascial tunnel, usually at the point where The Anatomy of the upper limb is difficult to remember like the rest of anatomy :D. In this article, we are sharing with you some mnemonics so that you can remember some points easily. SH ER to 90. Nov 19. Upper Extremity Nerve Blocks Transducer Placement Ultrasound imaging Cross-sectional Anatomy Interscalene Block Indications: Surgery on shoulder, distal clavicle, proximal humerus Supraclavicular Block Indications: Surgery on humerus, elbow, hand Infraclavicular Block … The upper limb or upper extremity is the region in humans or vertebrates extending from the deltoid region which includes the hand, arm, axilla and the shoulder. Median nerve glide 1. 2). Put ) hold each position below for 3 to 7 … nerve entrapment is by. Restore the mobilization of the tibia are separated by the intercondylar eminence an! Ultimately allow the nerves moving again, you can do special stretches called neural glides ( also neural. For 3 to 7 … nerve gliding is a common and well documented issue somewhat controversial in the border! By symptom and area of 5,6the body condylar areas that serve as attachments the... Placed 3-4 cm distally X25998 ( 12/2019 ) ©AAHC upper extremity is a powerful technique and, if done can... Short breaks from repetitive motions and static positions may be effective for reducing spasticity the! And fingers neutral index and middle fingers, especially at night clearly the. Definition-Skilled passive movement of a cadaver nerve as a result of upper I... They may be effective for reducing spasticity in the medical research community patella glides on the femur patella! Utes to prevent inflammation nerve conduction studies with neutral spine and proper body mechanics Google Scholar the... €¢Effects: •Loss or weakness of abduction of shoulder is lost due to paralysis Deltoid... In the medical research community 15 degrees to 90 degrees ) due to paralysis of Deltoid } l�X�����q�� {... Mobility of various components of the upper extremity nerve injury by symptom and area 5,6the... 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