Month: December 2022

Arms, Cervical, Clinical Tests, Neck Pain

Brachial Plexus Tension Test

Purpose of Brachial Plexus Tension Test: To determine if there are neurologic symptoms when the arms are abducted and laterally rotated. Patient position: Sitting upright with back unsupported and with arms beside the trunk. Examiner position: Standing behind the patient. Procedure: This test is performed in a few steps: (1) The patient raises both arms sideways and then externally rotates the arms until neurologic symptoms … Continue reading Brachial Plexus Tension Test

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Back, Clinical Tests, Lower Back Pain, Neck Pain, Neurologic, Upper Back Pain

Lhermitte’s Sign

Purpose of Lhermitte’s Sign: To determine if there is a dural or meningeal irritation in the spine or to check if the dorsal column of the spinal cord is hyperexcitable due to demyelination. Patient position: Long sitting. Examiner position: Standing beside the examining table while the patient is in a long sitting position. Procedure: The examiner performs a gentle, passive flexion of the patient’s neck … Continue reading Lhermitte’s Sign

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Clinical Tests

Romberg’s Test

Purpose of Romberg’s Test: To determine if there is a lesion in the posterior column-medial lemniscus pathway (also called as dorsal column-medial lemniscus pathway – that conducts sensations such as fine touch, two-point discrimination, vibration and position sense (proprioception) from the skin and joints to the postcentral gyrus of the cerebral cortex) (1). The axons of this pathway cross midline in the medulla, called as internal arcuate … Continue reading Romberg’s Test

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Home, Research Summaries

Journey into the cervical spine | A primer on neuroanatomy

The neck has anatomic structures that are involved in balance control (cervical afferents), vascular tone regulation (carotid sinuses), blood circulation (carotid and vertebral arteries), and mechanical support of the cervical spinal cord. Therefore, the symptoms such as dizziness, imbalance, or vertigo associated with cervicocephalic movements could also be attributed to vestibular (inner ear), visual, vascular, neurovascular, cervicoproprioceptive, or cervical spinal cord dysfunction. In this article, … Continue reading Journey into the cervical spine | A primer on neuroanatomy

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