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.
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