Clinical Integration: Cervical Region

Question 1

Cervical Flexion ROM

Answer 1

45 to 50

Question 2

Cervical Extension ROM

Answer 2

75 to 85

Question 3

Cervical Lat. Flexion ROM

Answer 3

40 to 45

Question 4

Cervical Rotation ROM

Answer 4

90

Question 5

Passive Joint Testing End Feel

Answer 5

Tissue Stretch Soft

Question 6

Test

• Client rotates head toward affected side (ipsilateral rotation and rotation)
• Therapist palates radial pulse on affected side and abducts and extends client’s arm while structing client to hold breath for 20 seconds

Answer 6

Adson’s Test

Question 7

Test

• Client rotates head away from affected side (contralateral rotation and extension)
• Therapist palpates radial pulse on affected side and abducts and extends client’s arm while instructing client to hold breath for 20 seconds

Answer 7

Halstead Manuever

Question 8

Test

• Client is in a seated position
• Palpate client’s radial pulse; client slowly abducts and extends arm to 90 degrees or greater.

Answer 8

Wright’s Hyperabduction Test

Question 9

Test

• Client is in a seated position
• Palpate client’s radial pulse bilaterally; extend both arms and instruct client to clump, retract and depress shoulder. Main posture for approx. 60 seconds.

Answer 9

Costoclavicular Test / Military Brace Test

Question 10

Test

• Client is in seated position
• Therapist instructs client to fully rotate head (tuck chin behind collarbone), hold for up to 1 minute

Answer 10

Scalene Cramp Test

Question 11

Tests for: Active trigger points in scales

Positive Test: Reproduce signs and symptoms

Answer 11

Scalene Cramp Test

Question 12

Test for: Thoracic Outlet Syndrome with anterior scalene involvement

Positive Test: Palpable diminished or absent pulse, recreation of symptoms

Answer 12

Adson’s Test

Question 13

Test for: Thoracic Outlet Syndrome with middle scalene involvement

Positive Test: Palpable diminished or absent pulse, recreation of symptoms

Answer 13

Halstead Manuever

Question 14

Test for: Thoracic Outlet Syndrome with clavicle and first rib involvement

Positive Test: Palpable diminished or absent pulse, recreation of symptoms at any point during the test

Answer 14

Costoclavicular Test / Military Brace Test

Question 15

Test for: Thoracic Outlet Syndrome with pectoralis minor involvement

Positive Test: Palpable diminished or absent pulse, recreation of symptoms at any point during test

Answer 15

Wright’s Hyperabduction Test

Question 16

Test for: Space Occupying Lesion, Facet Joint Irritation, Nerve Root Impingement

Positive Test: Recreation of Signs and Symptoms

• Compression in Neutral
• Compression in Isp. Rot. and Partial Ext.
  _ Compression in Lat Flex

Answer 16

Spurling’s Test

Question 17

Test for: Space Occupying Lesion, Facet Joint Irritation, Nerve Root Impingement

Positive Test: Reduction in Pain

Slow Traction Superiorly; Grasp Occiput and Temporal Areas

Answer 17

Distraction/Confirmation Test

Question 18

Reason for Spurling Test

Answer 18

• Sharp local pain in neck (facet irritation)
• Nerve pain (SOL) w/ numbness/tingling radiating into arm

Question 19

Reason for Adson’s, Halstead, Costoclavicular, or Wright’s

Answer 19

• achy (soft tissue)
• sharp (nerve)
• pin and needles / cold hands