Cervical

Question 1

What does a positive Foraminal Compression Test indicate when there is exacerbation of localized cervical pain?

Answer 1

Foraminal encroachment or facet pathology without nerve root compression

This test assesses the presence of nerve root compression or other cervical issues.

Question 2

What does a positive Foraminal Compression Test indicate when there is exacerbation of cervical pain with a radicular component?

Answer 2

Foraminal encroachment or facet pathology with nerve root compression

This suggests more severe involvement affecting nerve roots.

Question 3

What does a positive result in the Jason Compression Test indicate when there is localized cervical pain?

Answer 3

Foraminal encroachment or facet pathology without nerve root compression

This test is similar to the Foraminal Compression Test.

Question 4

What does a positive result in the Jason Compression Test indicate when there is cervical pain with a radicular component?

Answer 4

Foraminal encroachment or facet pathology with nerve root compression

This indicates a more serious condition affecting nerve roots.

Question 5

What does a positive Maximal Cervical Compression Test indicate if pain occurs on the concave side?

Answer 5

Foraminal encroachment with or without nerve root compression

The presence of a radicular component helps determine the severity.

Question 6

What does a positive Cervical Distraction Test indicate when there is diminished or absence of pain?

Answer 6

Foraminal encroachment or nerve root compression

Diminished local pain suggests a reduction in nerve root pressure.

Question 7

What does a positive Cervical Distraction Test indicate when there is an increase of cervical pain?

Answer 7

Muscular strain, ligamentous sprain, myospasm, facet capsulitis

This suggests issues unrelated to foraminal encroachment.

Question 8

What does a positive Spinal Percussion Test indicate when there is local pain?

Answer 8

Possible fractured vertebrae, ligamentous involvement, or muscular involvement

This test helps identify structural damage or muscle issues.

Question 9

What does a positive Spinal Percussion Test indicate when there is radiating pain?

Answer 9

Possible disc pathology

Radiating pain can indicate nerve involvement due to disc issues.

Question 10

What does a positive Bakody sign indicate?

Answer 10

Decrease or absence of radiating pain

Indicates cervical foraminal compression or nerve root entrapment, usually at the C5/C6 level.

Question 11

What is assessed by the Shoulder Depression Test?

Answer 11

Localized pain on the side being tested

Indicates dural sleeve adhesion, muscular adhesion/contracture or spasm, or ligamentous injury.

Question 12

What does radicular pain on either side during the Shoulder Depression Test indicate?

Answer 12

Neurovascular bundle compression or foraminal encroachment

On the side being tested, it suggests thoracic outlet syndrome; on the opposite side, it indicates nerve root compression.

Question 13

What does a positive Valsalva maneuver indicate?

Answer 13

Radiating pain from site of lesion

Usually positive in cervical or lumbar area of the spine, indicating a space-occupying lesion such as disc pathology.

Question 14

What does a positive Swallowing Test indicate?

Answer 14

Difficulty in swallowing

Suggests a space-occupying lesion at the anterior portion of cervical spine, possibly esophageal or pharyngeal injury, anterior disc defect, muscle spasm, or osteophytes.

Question 15

What does a positive Soto-Hall sign indicate?

Answer 15

Generalized pain in the cervical region

May extend down to the level of T2 and is a non-specific test for the structural integrity of the cervical region.

Question 16

What does a positive L’Hermitte sign indicate?

Answer 16

Electric shock-like sensations down the spine and/or through extremities

Indicates dural irritation, severe spinal cord injury, or degeneration.