Cervical Flashcards
Jackson compression
Cervical
Lateral flex head, then press head down
Neck pain
IVFE (intervertebral foramen encroachment)
Distraction test
Cervical
Place hand on chin/occipital, or mastoid process, then lift head up
Relief of pain
IVFE (intervertebral foramen encroachment)
Shoulder depression test
Cervical
Place hand over pte’s ear, then laterally flex head
Neck pain on convex side
Dural adhesions
Shoulder abduction test
Cervical
Pte abductly raise arm (passive or active) so forearm rest on head
Relief of pain
Nerve root compression
Valsalva
Cervical
Bear down a bowel movement
Pain along the spinal column
Space occupying lesion
Soto-hall test
Cervical
Pte laying face up, flexes chin to chest (passive or active)
Sharp pain along spine
Dural meningeal irritation
Swivel chair test
Cervical
(1) Rotate pte’s head to one side for 30s. (2) rotate pte’s shoulder for 30s
Dizziness
Vertebral artery pathology or semicircular canal pathology (if shoulder dizziness only)
Cervical quadrant test
Cervical
Extend head (held back), lateral flex and then rotate to the same side. Hold for 30s
Dizziness
Vertebral artery compression
Bikele’s sign
Cervical
Pte abducts shoulder to 90 degree with elbow fully flexed, then rapidly extends elbow
Radicular pain
Nerve root compression
Brudzinski’s test
Cervical
Similar to soto hall test except the positive sign is different. Pte lay supine, then flex pte’s head to chest (active or passive)
Slight lexicon of hips and knees
Meningitis
Foraminal compression
Cervical
(1) Press head down (2) pte extend head back, then press down (3) pte rotate heads to one side, then press
Neck pain
IVFE (intervertebral foramen encroachment)
Kerning’s sign
“Kick”
Lumbar
Pte lay supine, with legs flexed. Examiner actively flex pte’s knee with hand
Kicking motion (if small leg is all the way 180 degree… Good. If only 90 degree… Not so good)
Meningitis
Rust’s sign
Cervical
Pte has rigid neck pain only relief by holding head in rigid position
Ominous sign
Trauma
