Cervical Examination: Difference between revisions

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== Subjective ==
== Subjective ==


=== Patient Intake  ===
=== Patient Intake  ===
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Radiological Considerations <br>  
Radiological Considerations <br>  


== Objective ==
== Objective ==


=== Observation  ===
=== Observation  ===
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*prone—occipital process, nuchal line, spinous processes, transverse processes, soft tissue  
*prone—occipital process, nuchal line, spinous processes, transverse processes, soft tissue  
*seated – first rib
*seated – first rib
=== Neurologic Assessment <br> ===


=== Movement Testing  ===
=== Movement Testing  ===
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*Passive Intervertebral Motion  
*Passive Intervertebral Motion  
*Muscle Strength specific to Cervical Spine  
*Muscle Strength specific to Cervical Spine  
*Cranio‐cervical Flexion Test
*Cranio‐cervical Flexion Test<br>
 
=== Neurologic Assessment <br> ===


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

Revision as of 21:22, 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

Neurologic Assessment
[edit | edit source]

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
  • 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