Index: wp-admin/includes/nav-menu.php
===================================================================
--- wp-admin/includes/nav-menu.php	(revision 23669)
+++ wp-admin/includes/nav-menu.php	(working copy)
@@ -89,7 +89,7 @@
 		<li id="menu-item-<?php echo $item_id; ?>" class="<?php echo implode(' ', $classes ); ?>">
 			<dl class="menu-item-bar">
 				<dt class="menu-item-handle">
-					<span class="item-title"><?php echo esc_html( $title ); ?> <span class="is-submenu" <?php echo $submenu_text; ?>><?php _e( 'sub item' ); ?></span></span>
+					<span class="item-title"><span class="menu-item-title"><?php echo esc_html( $title ); ?></span> <span class="is-submenu" <?php echo $submenu_text; ?>><?php _e( 'sub item' ); ?></span></span>
 					<span class="item-controls">
 						<span class="item-type"><?php echo esc_html( $item->type_label ); ?></span>
 						<span class="item-order hide-if-js">
@@ -173,6 +173,16 @@
 					</label>
 				</p>
 
+				<p class="field-move description description-wide">
+					<label>
+						<?php _e( 'Reorganize' ); ?>
+						<a href="#" class="menus-move-up"><?php _e( 'Move up' ); ?></a>
+						<a href="#" class="menus-move-down"><?php _e( 'Move down' ); ?></a>
+						<a href="#" class="menus-move-left"><?php if ( is_rtl() ) { _e( 'Move Right' ); } else { _e( 'Move Left' ); } ?></a>
+						<a href="#" class="menus-move-right"><?php if ( is_rtl() ) { _e( 'Move Left' ); } else { _e( 'Move Right' ); } ?></a>
+					</label>
+				</p>
+
 				<div class="menu-item-actions description-wide submitbox">
 					<?php if( 'custom' != $item->type && $original_title !== false ) : ?>
 						<p class="link-to-original">
Index: wp-admin/js/nav-menu.js
===================================================================
--- wp-admin/js/nav-menu.js	(revision 23669)
+++ wp-admin/js/nav-menu.js	(working copy)
@@ -262,7 +262,186 @@
 			});
 		},
 
+		countMenuItems : function( depth ) {
+			return $( '.menu-item-depth-' + depth ).length;
+		},
+
+		moveMenuItem : function( $this, dir ) {
+
+			var menuItems = $('#menu-to-edit li');
+				menuItemsCount = menuItems.length,
+				thisItem = $this.parents( 'li.menu-item' ),
+				thisItemChildren = thisItem.childMenuItems(),
+				thisItemData = thisItem.getItemData(),
+				thisItemDepth = parseInt( thisItem.menuItemDepth() ),
+				thisItemPosition = parseInt( thisItem.index() ),
+				nextItem = thisItem.next(),
+				nextItemChildren = nextItem.childMenuItems(),
+				nextItemDepth = parseInt( nextItem.menuItemDepth() ) + 1,
+				prevItem = thisItem.prev(),
+				prevItemDepth = parseInt( prevItem.menuItemDepth() ),
+				prevItemId = prevItem.getItemData()['menu-item-db-id'];
+
+			switch ( dir ) {
+			case 'up':
+				var newItemPosition = thisItemPosition - 1;
+
+				// Already at top
+				if ( 0 === thisItemPosition )
+					break;
+
+				// If a sub item is moved to top, shift it to 0 depth
+				if ( 0 === newItemPosition && 0 !== thisItemDepth )
+					thisItem.moveHorizontally( 0, thisItemDepth );
+
+				// If prev item is sub item, shift to match depth
+				if ( 0 !== prevItemDepth )
+					thisItem.moveHorizontally( prevItemDepth, thisItemDepth );
+
+				// Does this item have sub items?
+				if ( thisItemChildren ) {
+					var items = thisItem.add( thisItemChildren );
+					// Move the entire block
+					items.detach().insertBefore( menuItems.eq( newItemPosition ) ).updateParentMenuItemDBId();
+				} else {
+					thisItem.detach().insertBefore( menuItems.eq( newItemPosition ) ).updateParentMenuItemDBId();
+				}
+				$this.focus();
+				break;
+			case 'down':
+				// Does this item have sub items?
+				if ( thisItemChildren ) {
+					var items = thisItem.add( thisItemChildren ),
+						nextItem = menuItems.eq( items.length + thisItemPosition ),
+						nextItemChildren = 0 !== nextItem.childMenuItems().length;
+
+					if ( nextItemChildren ) {
+						var newDepth = parseInt( nextItem.menuItemDepth() ) + 1;
+						thisItem.moveHorizontally( newDepth, thisItemDepth );
+					}
+
+					// Have we reached the bottom?
+					if ( menuItemsCount === thisItemPosition + items.length )
+						break;
+
+					items.detach().insertAfter( menuItems.eq( thisItemPosition + items.length ) ).updateParentMenuItemDBId();
+				} else {
+					// If next item has sub items, shift depth
+					if ( 0 !== nextItemChildren.length )
+						thisItem.moveHorizontally( nextItemDepth, thisItemDepth );
+
+					// Have we reached the bottom
+					if ( menuItemsCount === thisItemPosition + 1 )
+						break;
+					thisItem.detach().insertAfter( menuItems.eq( thisItemPosition + 1 ) ).updateParentMenuItemDBId();
+				}
+				$this.focus();
+				break;
+			case 'left':
+				// As far left as possible
+				if ( 0 === thisItemDepth )
+					break;
+				thisItem.shiftHorizontally( -1 );
+				$this.focus();
+				break;
+			case 'right':
+				// Can't be sub item at top
+				if ( 0 === thisItemPosition )
+					break;
+				// Already sub item of prevItem
+				if ( thisItemData['menu-item-parent-id'] === prevItemId )
+					break;
+				thisItem.shiftHorizontally( 1 );
+				$this.focus();
+				break;
+			}
+			api.registerChange();
+			api.refreshKeyboardAccessibility();
+			api.refreshAdvancedAccessibility();
+		},
+
 		initAccessibility : function() {
+			api.refreshKeyboardAccessibility();
+			api.refreshAdvancedAccessibility();
+
+			// Events
+			$( '.menus-move-up' ).on( 'click', function ( e ) {
+				api.moveMenuItem( $( this ).parents( 'li.menu-item' ).find( 'a.item-edit' ), 'up' );
+				e.preventDefault();
+			});
+			$( '.menus-move-down' ).on( 'click', function ( e ) {
+				api.moveMenuItem( $( this ).parents( 'li.menu-item' ).find( 'a.item-edit' ), 'down' );
+				e.preventDefault();
+			});
+			$( '.menus-move-left' ).on( 'click', function ( e ) {
+				api.moveMenuItem( $( this ).parents( 'li.menu-item' ).find( 'a.item-edit' ), 'left' );
+				e.preventDefault();
+			});
+			$( '.menus-move-right' ).on( 'click', function ( e ) {
+				api.moveMenuItem( $( this ).parents( 'li.menu-item' ).find( 'a.item-edit' ), 'right' );
+				e.preventDefault();
+			});
+		},
+
+		refreshAdvancedAccessibility : function() {
+
+			// Hide all links by default
+			$( '.menu-item-settings .field-move a' ).hide();
+
+			$( '.item-edit' ).each( function() {
+				var $this = $(this),
+					movement = [],
+					availableMovement = '',
+					menuItem = $this.parents( 'li.menu-item' ),
+					depth = menuItem.menuItemDepth(),
+					isPrimaryMenuItem = ( 0 === depth ),
+					itemName = $this.parents( '.menu-item-handle' ).find( '.menu-item-title' ).text(),
+					position = parseInt( menuItem.index() ),
+					totalMenuItems = $('#menu-to-edit li').length,
+					hasSameDepthSibling = menuItem.nextAll( '.menu-item-depth-' + depth ).length;
+
+				// Where can they move this menu item?
+				if ( 0 !== position )
+					menuItem.find( '.menus-move-up' ).show();
+
+				if ( position + 1 !== totalMenuItems && 0 !== position )
+					menuItem.find( '.menus-move-down' ).show();
+
+				if ( 0 === position && 0 !== hasSameDepthSibling )
+					menuItem.find( '.menus-move-down' ).show();
+
+				if ( ! isPrimaryMenuItem )
+					menuItem.find( '.menus-move-left' ).show();
+
+				if ( 0 !== position ) {
+					if ( menuItem.find( '.menu-item-data-parent-id' ).val() !== menuItem.prev().find( '.menu-item-data-db-id' ).val() )
+						menuItem.find( '.menus-move-right' ).show();
+				}
+
+				if ( isPrimaryMenuItem ) {
+					var primaryItems = $( '.menu-item-depth-0' ),
+						itemPosition = primaryItems.index( menuItem ) + 1,
+						totalMenuItems = primaryItems.length,
+
+						// String together help text for primary menu items
+						title = itemName + '. ' + l10nStrings.menuFocus.replace('%d', itemPosition).replace('%d', totalMenuItems) + '.';
+				} else {
+					var parentItem = menuItem.prevAll( '.menu-item-depth-' + parseInt( depth - 1 ) ).first(),
+						parentItemId = parentItem.find( '.menu-item-data-db-id' ).val(),
+						parentItemName = parentItem.find( '.menu-item-title' ).text(),
+						subItems = $( '.menu-item .menu-item-data-parent-id[value="' + parentItemId + '"]' ),
+						itemPosition = $(subItems.parents('.menu-item').get().reverse()).index( menuItem ) + 1;
+
+						// String together help text for sub menu items
+
+						title = itemName + '. ' + l10nStrings.subMenuFocus.replace('%d', itemPosition) + parentItemName + '.';
+				}
+
+				$this.prop('title', title).html( title );
+			});
+		},
+
+		refreshKeyboardAccessibility : function() {
 			$( '.item-edit' ).off( 'focus' ).on( 'focus', function(){
 				$(this).on( 'keydown', function(e){
 
@@ -275,22 +454,8 @@
 					// Avoid multiple keydown events
 					$this.off('keydown');
 
-					var menuItems = $('#menu-to-edit li');
-						menuItemsCount = menuItems.length,
-						thisItem = $this.parents( 'li.menu-item' ),
-						thisItemChildren = thisItem.childMenuItems(),
-						thisItemData = thisItem.getItemData(),
-						thisItemDepth = parseInt( thisItem.menuItemDepth() ),
-						thisItemPosition = parseInt( thisItem.index() ),
-						nextItem = thisItem.next(),
-						nextItemChildren = nextItem.childMenuItems(),
-						nextItemDepth = parseInt( nextItem.menuItemDepth() ) + 1,
-						prevItem = thisItem.prev(),
-						prevItemDepth = parseInt( prevItem.menuItemDepth() ),
-						prevItemId = prevItem.getItemData()['menu-item-db-id'];
-
 					// Bail if there is only one menu item
-					if ( 1 === menuItemsCount )
+					if ( 1 === $('#menu-to-edit li').length )
 						return;
 
 					// If RTL, swap left/right arrows
@@ -300,74 +465,18 @@
 
 					switch ( arrows[e.which] ) {
 					case 'up':
-						var newItemPosition = thisItemPosition - 1;
-
-						// Already at top
-						if ( 0 === thisItemPosition )
-							break;
-
-						// If a sub item is moved to top, shift it to 0 depth
-						if ( 0 === newItemPosition && 0 !== thisItemDepth )
-							thisItem.moveHorizontally( 0, thisItemDepth );
-
-						// If prev item is sub item, shift to match depth
-						if ( 0 !== prevItemDepth )
-							thisItem.moveHorizontally( prevItemDepth, thisItemDepth );
-
-						// Does this item have sub items?
-						if ( thisItemChildren ) {
-							var items = thisItem.add( thisItemChildren );
-							// Move the entire block
-							items.detach().insertBefore( menuItems.eq( newItemPosition ) );
-						} else {
-							thisItem.detach().insertBefore( menuItems.eq( newItemPosition ) );
-						}
+						api.moveMenuItem( $this, 'up' );
 						break;
 					case 'down':
-						// Does this item have sub items?
-						if ( thisItemChildren ) {
-							var items = thisItem.add( thisItemChildren ),
-								nextItem = menuItems.eq( items.length + thisItemPosition ),
-								nextItemChildren = 0 !== nextItem.childMenuItems().length;
-
-							if ( nextItemChildren ) {
-								var newDepth = parseInt( nextItem.menuItemDepth() ) + 1;
-								thisItem.moveHorizontally( newDepth, thisItemDepth );
-							}
-
-							// Have we reached the bottom?
-							if ( menuItemsCount === thisItemPosition + items.length )
-								break;
-
-							items.detach().insertAfter( menuItems.eq( thisItemPosition + items.length ) );
-						} else {
-							// If next item has sub items, shift depth
-							if ( 0 !== nextItemChildren.length )
-								thisItem.moveHorizontally( nextItemDepth, thisItemDepth );
-
-							// Have we reached the bottom
-							if ( menuItemsCount === thisItemPosition + 1 )
-								break;
-							thisItem.detach().insertAfter( menuItems.eq( thisItemPosition + 1 ) );
-						}
+						api.moveMenuItem( $this, 'down' );
 						break;
 					case 'left':
-						// As far left as possible
-						if ( 0 === thisItemDepth )
-							break;
-						thisItem.shiftHorizontally( -1 );
+						api.moveMenuItem( $this, 'left' );
 						break;
 					case 'right':
-						// Can't be sub item at top
-						if ( 0 === thisItemPosition )
-							break;
-						// Already sub item of prevItem
-						if ( thisItemData['menu-item-parent-id'] === prevItemId )
-							break;
-						thisItem.shiftHorizontally( 1 );
+						api.moveMenuItem( $this, 'right' );
 						break;
 					}
-					api.registerChange();
 					// Put focus back on same menu item
 					$( '#edit-' + thisItemData['menu-item-db-id'] ).focus();
 					return false;
@@ -752,12 +861,14 @@
 		 */
 		addMenuItemToBottom : function( menuMarkup, req ) {
 			$(menuMarkup).hideAdvancedMenuItemFields().appendTo( api.targetList );
-			api.initAccessibility();
+			api.refreshKeyboardAccessibility();
+			api.refreshAdvancedAccessibility();
 		},
 
 		addMenuItemToTop : function( menuMarkup, req ) {
 			$(menuMarkup).hideAdvancedMenuItemFields().prependTo( api.targetList );
-			api.initAccessibility();
+			api.refreshKeyboardAccessibility();
+			api.refreshAdvancedAccessibility();
 		},
 
 		attachUnsavedChangesListener : function() {
Index: wp-admin/nav-menus.php
===================================================================
--- wp-admin/nav-menus.php	(revision 23669)
+++ wp-admin/nav-menus.php	(working copy)
@@ -611,5 +611,11 @@
 	</div><!-- /#menu-management-liquid -->
 	</div><!-- /#nav-menus-frame -->
 </div><!-- /.wrap-->
-<script type="text/javascript">var oneThemeLocationNoMenus = <?php if ( $one_theme_location_no_menus ) echo 'true'; else echo 'false'; ?>;</script>
+<script type="text/javascript">
+	var oneThemeLocationNoMenus = <?php if ( $one_theme_location_no_menus ) echo 'true'; else echo 'false'; ?>,
+		l10nStrings = {
+			"menuFocus" : "<?php _e( 'Menu item %d of %d' ); ?>",
+			"subMenuFocus" : "<?php _e( 'Sub item number %d under' ); ?>"
+		};
+</script>
 <?php include( './admin-footer.php' ); ?>
Index: wp-admin/css/wp-admin.css
===================================================================
--- wp-admin/css/wp-admin.css	(revision 23669)
+++ wp-admin/css/wp-admin.css	(working copy)
@@ -7755,6 +7755,11 @@
 	border-bottom-right-radius: 3px;
 }
 
+.menu-item-settings .field-move a {
+	display: none;
+	margin: 0 2px;
+}
+
 .menu-item-edit-active .menu-item-settings {
 	display: block;
 }