Cervical active range of motion assessment

Cervical passive range of motion overpressure

Closed Caption Transcript:

Google Translate

1
00:00:00,690 –> 00:00:04,680
With the patient
supine, using both hands,

2
00:00:04,680 –> 00:00:08,193
gently take her cervical
spine into full flexion.

3
00:00:10,870 –> 00:00:12,503
Then go into extension,

4
00:00:14,770 –> 00:00:16,023
rotation right,

5
00:00:18,320 –> 00:00:19,653
rotation left,

6
00:00:22,040 –> 00:00:23,323
side bend right,

7
00:00:25,030 –> 00:00:27,020
and side bend left.

8
00:00:27,020 –> 00:00:30,350
Looking for available range end feel

9
00:00:30,350 –> 00:00:32,250
and then the reproduction of symptoms.

Purpose

To assess range of motion, symmetry, end feel, and reproduction of symptoms

Associated ICF Category

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

Patient Position

Therapist Position

Standing

Cues

Therapist uses both hands to hold patient’s occiput
Patient is gently placed into full cervical flexion and returned to neutral
Patient is gently placed into full cervical extension and returned to neutral
Patient is gently placed into full rotation in both directions and returned to neutral
Patient is gently placed into full side bend both directions and returned to neutral
End feels are assessed with each motion

Related Objective Measurements

Cervical with all directions
Cervical segmental mobility central posterior to anterior

References

Schneider GM, Jull G, Thomas K, et al. Intrarater and interrater reliability of select clinical tests in patients referred for diagnostic facet joint blocks in the cervical spine. Arch Phys Med Rehabil. 2013;94(8):1628-34.

Maigne JY, Chantelot F, Chatellier G. Interexaminer agreement of clinical examination of the neck in manual medicine. Ann Phys Rehabil Med. 2009;52(1):41-8.

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. J Biomech. 2008;41(13):2799-805.

Hsu WH, Chen YL, Lui TN, et al. Comparison of the kinematic features between the in vivo active and passive flexion-extension of the subaxial cervical spine and their biomechanical implications. Spine. 2011;36(8):630-8.

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.

Nightingale RW, Winkelstein BA, Knaub KE, Richardson WJ, Luck JF, Myers BS. Comparative strengths and structural properties of the upper and lower cervical spine in flexion and extension. J Biomech. 2002;35(6):725-32.