Cervical Examination: Difference between revisions

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== Patient Intake  ==
== Subjective ==


*Self‐report
=== Patient Intake  ===
 
*Self‐report  
*Performance‐based outcome measures  
*Performance‐based outcome measures  
*Region‐specific historical examination
*Region‐specific historical examination


== Special Questions <br> ==
=== Special Questions <br> ===


*Red Flags
*Red Flags  
*Yellow Flags<br>
*Yellow Flags<br>


== Investigations<br> ==
=== Investigations<br> ===
 
Radiological Considerations <br>


Radiological Considerations <br>
== Objective ==


== Observation  ==
=== Observation  ===


*Posture  
*Posture  
*Movement Patterns
*Movement Patterns


== Functional Tests  ==
=== Functional Tests  ===


*Looking up, transferring sit stand, lifting one or both arms overhead
*Looking up, transferring sit stand, lifting one or both arms overhead


== Palpation  ==
=== Palpation  ===


*supine— temporal mandibular joint, auditory meatus, mastoid process, atlas (C1) transverse processes, clavicle, soft tissue both posterior and anterior, hyoid bone, articular pillars, C2-C7 spinous processes  
*supine— temporal mandibular joint, auditory meatus, mastoid process, atlas (C1) transverse processes, clavicle, soft tissue both posterior and anterior, hyoid bone, articular pillars, C2-C7 spinous processes  
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*seated – first rib
*seated – first rib


== Movement Testing  ==
=== Movement Testing  ===


*AROM, PROM, and Overpressure  
*AROM, PROM, and Overpressure  
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*Cranio‐cervical Flexion Test
*Cranio‐cervical Flexion Test


== Dermatomal Assessment (including neurologic screening)  ==
=== Neurologic Assessment <br> ===


== Special Tests  ==
=== Special Tests  ===


*Spurling’s Test  
*Spurling’s Test  

Revision as of 21:21, 2 October 2008

Subjective[edit | edit source]

Patient Intake[edit | edit source]

  • Self‐report
  • Performance‐based outcome measures
  • Region‐specific historical examination

Special Questions
[edit | edit source]

  • Red Flags
  • Yellow Flags

Investigations
[edit | edit source]

Radiological Considerations

Objective[edit | edit source]

Observation[edit | edit source]

  • Posture
  • Movement Patterns

Functional Tests[edit | edit source]

  • Looking up, transferring sit stand, lifting one or both arms overhead

Palpation[edit | edit source]

  • supine— temporal mandibular joint, auditory meatus, mastoid process, atlas (C1) transverse processes, clavicle, soft tissue both posterior and anterior, hyoid bone, articular pillars, C2-C7 spinous processes
  • prone—occipital process, nuchal line, spinous processes, transverse processes, soft tissue
  • seated – first rib

Movement Testing[edit | edit source]

  • AROM, PROM, and Overpressure
  • Passive Intervertebral Motion
  • Muscle Strength specific to Cervical Spine
  • Cranio‐cervical Flexion Test

Neurologic Assessment
[edit | edit source]

Special Tests[edit | edit source]

  • Spurling’s Test
  • Vertebral Artery Test
  • harp‐Purser Test
  • Transverse Ligament Stress Test
  • Slump Test
  • Upper Limb Tension Test (ULTT‐A)
  • Distraction Test
  • Shoulder Abduction Test
  • Rhomberg’s Test
  • Babinski’s Reflex
  • Lhermitte’s Test
  • Cranio‐cervical Flexion Test
  • Thoracic Outlet Tests
  • Test for First Rib Mobility