Category: Cervical

Back, Cervical, Clinical Tests, Lower Back Pain, Lumbar, Neck Pain

Valsalva Test for cervical/lumbar Spine

Purpose of Valsalva Test for cervical/lumbar Spine: To determine if there are neurologic symptoms related to radiculopathy (pain, muscle weakness, numbness and/or tingling that spreads distally in the limbs) when the patient inhales, holds the breath and bears down (strains) as if trying to have a bowel movement (1). Patient position: Standing or sitting upright with back unsupported. Examiner position: Standing beside the patient. Procedure: The … Continue reading Valsalva Test for cervical/lumbar Spine

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Cervical, Clinical Tests, Neck Pain

Bikele’s Sign

Purpose of Bikele’s Sign : To determine if there are neurologic symptoms when the arm is abducted, laterally rotated and elbow is extended. 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 two steps: (1) The patient raises the arm sideways up to 90 degrees with the elbow fully … Continue reading Bikele’s Sign

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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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Arms, Back, Cervical, Clinical Tests, Neck Pain

Brachial Plexus Compression Test

Purpose of Brachial plexus compression test: To determine if applying direct compression to the brachial plexus causes radiating symptoms, suggesting mechanically elicitable cervical spine lesions. Patient position: Sitting upright or lying supine. Examiner position: Standing behind while the patient is sitting; Standing on the head side while the patient is lying supine. Procedure: Apply compression directly on the brachial plexus using the fingers or thumb. Outcome: The test … Continue reading Brachial Plexus Compression Test

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Arms, Back, Cervical, Clinical Tests, Neck Pain

Cervical distraction test

Purpose of Cervical distraction test is : To determine if radicular symptoms alleviate on applying traction to the cervical spine. To identify the presence of cervical radiculopathy among patients with upper quadrant pain. Patient Position: Sitting upright, Supine. Examiner Position: Beside the patient, Standing at the patient’s head side. Procedure: Place one hand on the chin and another hand on the occiput. Carefully apply distraction force cephalad. Ask … Continue reading Cervical distraction test

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