Category: Neck Pain

Cervical, Clinical Tests, Neck Pain

Upper Limb Tension Test 1

Upper Limb Tension (neurodynamic) Test 1 – Median Nerve, Anterior Interosseous Nerve, and C5,6,7 Nerve Root Bias Purpose of Upper Limb Tension Test 1: To determine if the tension along the median/anterior interosseous/C5,6,7 nerve roots contributes to neurologic symptoms associated with cervical radiculopathy. Patient position: Supine lying. Examiner position: Standing beside the examination table, facing the patient, at the side of the limb to be … Continue reading Upper Limb Tension Test 1

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Cervical, Clinical Tests, Neck Pain

Alar Ligament Stress Test

Purpose of Alar Ligament Stress Test: To test the stability of the upper cervical spine and the integrity of the supporting alar ligaments. Patient position: Supine lying with the head rested on the examination table (supported by a pillow) in neutral alignment. Examiner position: Standing behind the patient on the head side. Lateral Procedure (performed while the patient is in a supine position) Gently lift … Continue reading Alar Ligament Stress Test

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Cervical, Clinical Tests, Neck Pain

Sharp Purser Test

Purpose of Sharp Purser Test: To determine if subluxation of the atlas on the axis vertebra is present and diagnose atlantoaxial instability (1). Patient position: Sitting. Examiner position: Standing beside the patient. Procedure: Ask the patient to perform a slight cervical retraction/nod to correct the poke chin posture. Place the palm of one hand over the patient’s forehead. Place the thumb and the index finger … Continue reading Sharp Purser Test

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Cervical, Clinical Tests, Neck Pain

Transverse Ligament Stress Test

Purpose of Transverse Ligament Stress Test: To test the stability (hypermobility) of the atlantoaxial articulation and the integrity of the supporting transverse ligament (1, 2). Patient position: Supine lying with the head rested on the examination table (supported by a pillow) in neutral alignment. Examiner position: Standing on the head side while the patient is lying supine. Procedure: Give gentle support to your patient’s occiput … Continue reading Transverse Ligament Stress Test

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Cervical, Clinical Tests, Neck Pain

Hallpike-Dix Test

Purpose of Hallpike-Dix Test: To determine whether vertigo is triggered by head movements and identify benign positional paroxysmal vertigo (BPPV) (1-3). Patient position: Sitting with legs extended on the examination table, and the patient’s head is rotated/turned 45 degrees toward the ear to be tested. Examiner position: Standing behind the patient on the head side, while the patient is in a long sitting position on … Continue reading Hallpike-Dix Test

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