Transverse Ligament Stress Test
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Test for hypermobility of the atlantoaxial articulation.
- The patient is placed in a supine postion with the Therapist supporting the patient's head with the palms and 3rd-5th fingers.
- The Therapist then places the index fingers between the occiput and spinous process of C2, so the index fingers are over the neural arch of the C1 vetebra.
- The Therapist then lifts the patients head and C1 vetebra anteriorly, without allowing flexion or extension.
- The position should be held for 10-20 seconds.
- A positive test is the reoccurance of symptoms:
- Abnormal pupil response
- Eye twitching or nystagmus
- Soft end feel
- Muscle spasm
- Paresthesia of the lip face or limb
- Lump sensation in the throat.
Provide the evidence for this technique here
Pettman E: Stress tests of the craniovertebral joints. In: Boyling, JD, Palastanga N, eds. Grieve's Modern Manual Therapy: The Vertebral Column, 2nd edn. Edinburgh: Churchill Lingstone, 1994:529-538.
Recent Related Research (from Pubmed)
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- Follow-up MR imaging of the alar and transverse ligaments after whiplash injury: a prospective controlled study.
- Occult hypermobility of the craniocervical junction: a case report and review.
- Magnetic resonance imaging of the alar and transverse ligaments in acute whiplash-associated disorders 1 and 2: a cross-sectional controlled study.
- Biomechanical evaluation of an atlantoaxial lateral mass fusion cage with C1-C2 pedicle fixation.
- Biomechanical analysis comparing three C1-C2 transarticular screw salvaging fixation techniques.
- Biomechanical assessment of bilateral C1 laminar hook and C1-2 transarticular screws and bone graft for atlantoaxial instability.
- ↑ ↑ Dutton, M. (2008). Orthopaedic: Examination, evaluation, and intervention (2nd ed.). New York: The McGraw-Hill Companies, Inc.
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