Cervical Examination

a. Patient Intake i. Self‐report and performance‐based outcome measures ii. Region‐specific Historical Examination b. Observation: i. Posture ii. Movement Patterns c. Functional Tests: Looking up, transferring sit stand, lifting one or both arms overhead d. Palpation i. 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 ii. prone—occipital process, nuchal line, spinous processes, transverse processes, soft tissue iii. seated – first rib

e. Systems Review (Red Flags, Yellow Flags) f. Radiological Considerations g. Movement Testing i. AROM, PROM, and Overpressure ii. Passive Intervertebral Motion iii. Muscle Strength specific to Cervical Spine 1. Cranio‐cervical Flexion Test h. Dermatomal Assessment (including neurologic screening)

g. Special Tests i. Spurling’s Test ii. Vertebral Artery Test iii. Sharp‐Purser Test iv. Transverse Ligament Stress Test v. Slump Test vi. Upper Limb Tension Test (ULTT‐A) vii. Distraction Test viii. Shoulder Abduction Test ix. Rhomberg’s Test x. Babinski’s Reflex xi. Lhermitte’s Test xii. Cranio‐cervical Flexion Test xiii. Thoracic Outlet Tests xiv. Test for First Rib Mobility