Cervical Examination

Patient Intake

• • Self‐report and performance‐based outcome measures
  • Region‐specific Historical Examination

Observation

• • Posture
  • Movement Patterns

Functional Tests

• • Looking up, transferring sit stand, lifting one or both arms overhead

Palpation

• • 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

Systems Review (Red Flags, Yellow Flags) Radiological Considerations Movement Testing

• • AROM, PROM, and Overpressure
  • Passive Intervertebral Motion
  • Muscle Strength specific to Cervical Spine
  • Cranio‐cervical Flexion Test

Dermatomal Assessment (including neurologic screening) Special Tests

• 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