Cervical

Question 1

Sitting

First stage: compression with head in neutral. Second stage: compression with head in extension. Third stage: head in extension/rotation to unaffected side, then side of complaint, with compression. If symptoms are produced at any point, do not proceed to next stage

Answer 1

Foraminal Compression

Cervical radiculitis

Pain radiates in arm in direction head is side flexed during compression.

Question 2

Sitting

Slowly lift the head, applying traction to the cervical spine.

Answer 2

Distraction Test

Nerve root compression

Relieving or decreasing the pain when head is lifted or distracted.

Question 3

Sitting or supine

Passively (or patient actively) elevate arm through abduction, so hand or forearm is resting on top of the head

Answer 3

Shoulder Abduction Test

Cervical extradural compression

A decrease in or relief of symptoms

Question 4

Sitting

Patient takes deep breath and holds it while bearing down, mimicking a bowl movement.

Answer 4

Valsalva Test

Increased pressure on spinal cord

Increased pain

Question 5

Long sitting

Passively flex head and one hip simultaneously, with leg kept straight

Answer 5

Lhermitte’s Sign

Dural/meningeal irritation in the spine
Possible cervical myelopathy

Sharp pain down spine and in upper or lower limbs.

Question 6

Supine

Passively take head and neck into extension and side flexion. Rotate neck to the same side and hold for about 30 seconds

Answer 6

Vertebral Artery Test

Problem of the vertebrobasilar artery

Creates symptoms when opposite artery is affected.
Can include dizziness, visual disturbances, disorientation, etc.