Cervical active range of motion assessment

Cervical active range of motion rotation goniometer

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With the patient seated


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in an upright, tall position,


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align the goniometer on top of her head.


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Have the patient rotate


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as far as she can to the right,


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then back to neutral,


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and then as far as she can to the left.


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You’re looking for range

of motion limitations


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as well as any reproduction of symptoms.


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Range of motion of less

than 60-degrees rotation


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to the ipsilateral side

is an important finding


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in a cluster of tests


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to help rule in cervical radiculopathy.

Purpose

  • To assess for range of motion limitations and reproduction of symptoms

Associated ICF Category

  • Neck pain with
  • Neck pain with
  • Neck pain with movement coordination impairments

Patient Position

  • Seated in a tall upright position

Therapist Position

  • Standing

Cues

  1. The fulcrum of the should be aligned over the center of the cranial aspect of the head
  2. Align the parallel to an imaginary line between the two acromial processes, and the with the tip of the nose
  3. Patient rotates as far as they can to the left, then back to neutral
  4. Patient then rotates as far as they can to the right, then back to neutral
  5. Assess for range of motion limitations and reproduction of symptoms
  6. Range of motion of less than 60 degrees rotation to the side is a clinical finding in a cluster of tests to rule in

Related Objective Measurements

  • Cervical with
  • Spurling’s test
  • Cervical segmental mobility central posterior to anterior
  • Cervical

References

Williams MA, Mccarthy CJ, Chorti A, Cooke MW, Gates S. A systematic review of reliability and validity studies of methods for measuring active and passive cervical range of motion. J Manipulative Physiol Ther. 2010;33(2):138-55.

De Koning CH, Van den Heuvel SP, Staal JB, Smits-Engelsman BC, Hendriks EJ. Clinimetric evaluation of active range of motion measures in patients with non-specific neck pain: a systematic review. Eur Spine J. 2008;17(7):905-21.

Grip H, Sundelin G, Gerdle B, Stefan karlsson J. Cervical helical axis characteristics and its center of rotation during active head and upper arm movements-comparisons of whiplash-associated disorders, non-specific neck pain and asymptomatic individuals.

Mönckeberg JE, Tomé CV, Matías A, Alonso A, Vásquez J, Zubieta JL. CT scan study of atlantoaxial rotatory mobility in asymptomatic adult subjects: a basis for better understanding C1-C2 rotatory fixation and subluxation. Spine. 2009;34(12):1292-5.

Castro WH, Sautmann A, Schilgen M, Sautmann M. Noninvasive three-dimensional analysis of cervical spine motion in normal subjects in relation to age and sex. An experimental examination. Spine. 2000;25(4):443-9.