Cervical Examination
Subjective[edit | edit source]
Patient Intake[edit | edit source]
- Self‐report
- Performance‐based outcome measures - Neck Disability Index
- Region‐specific historical examination
Special Questions
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- Red Flags
- Yellow Flags
Investigations
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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
Neurologic Assessment
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Movement Testing[edit | edit source]
- AROM, PROM, and Overpressure
- Passive Intervertebral Motion
- Muscle Strength specific to Cervical Spine
- Cranio‐cervical Flexion Test
Special Tests[edit | edit source]
- Spurling’s Test
- Vertebral Artery Test
- Sharp‐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
