Cervical Flashcards
Cervical Flexion
Goni
0-45
Cervical Flexion
Tape
1 to 4.3 cm
Cervical Flexion
Single Inclinometer
57 to 90 degrees
Cervical Extension
Goni
0-45 degrees
Cervical Extension
Tape
18.5 to 22.4 cm
Cervical Extension
Single Inclinometer
51 to 67 degrees
Cervical Lateral Flexion
Goni
0-45
Cervical Lateral Flexion
Tape
11-13 cm
Cervical Lateral Flexion
Single Inclinometer
41-48 degree
Cervical Rotation
Goni
0-60 degree
Cervical Rotation
Tape
11 to 13.2
Tip of chin to acromion
Cervical Rotation
Single Inclinometer
75 to 80 degrees
on the forehead
Muscle Length
Suboccipitals
- Upper cervical Flexion
(Chin tuck & Head nod down) - Slight head tilt to one side will put extra stretch on the OPPOSITE side
- NO normal
Muscle Length
Cervical Paraspinals
- Chin tuck with UPPER & LOWER cervical flexion
- Slight lateral flexion to one side stretches OPPOSITE side
- NO normal
Muscle Length
Scalenes
- Straight lateral flexion (Contralateral)
- Ipsilateral shoulder depression
- Patient exhales to depress ribs
- NO Normal
Muscle Length
SCM
- Upper cervical Flexion with Lower cervical extension or Neutral
- Contralateral lateral flexion
- Ipsilateral rotation
- NO normal
Muscle Length
Levator Scapula
- Cervical Flexion
- Contralateral rotation
- Slight contralateral lateral flexion
Muscle Length
Upper Trapezius
- Cervical Flexion
- Contralateral lateral flexion
- Ipsilateral rotation
- Shoulder girdle depression
- NO normal
MMT
Capital Flexion
Dep cervical Flexors
3&2: Supine
- Tuck your & Keep your eyes straight
- Don’t lift your head from the table
4&5: Supine
- Tuck your chin; don’t let me lift it
- Apply resistance under chin
0&1: Supine
- Try to tuck your chin
- No palpations; TOO deep
MMT
Capital Extension
3&2: Prone
-Look at the wall
4&5: Prone
- Look at the wall
- Apply resistance on the back of the head
0&1: Supine
-Try to tilt your chin up or look at me
Palpate Rectus capitis, Longissimus capitis, Obliquus capitis, Splenius capitis, Semispinalis capitis, and Spinals capitis
MMT
Cervical Flexion
3: Supine
- Lift your head from the table
- Keep your eyes on the ceiling
- Do not life your shoulders off the table
4&5: Supine
-Apply resistance at the chin
0-2: Supine
- PT holds head
- Roll head to the right and to the left
Palpate Anterior Scalene and SCM
MMT
Cervical Flexion
Isolate SCM
3: Supine
- Turn head to contralateral side
- Lift head
4&5: Supine
-Apply resistance at the forehead
0-2: Supine
- PT hold head
- Roll head to the left and to the right
Palpate SCM
MMT
Cervical Extension
3: Prone
- Lift your forehead from my head
- Keep looking at the floor
4&5: Prone
- Apply resistance on back of head
- Have other hand under chin in case they cannot hold
0-2: Supine
-Push your head into my hands without tilting
Palpate Iliocostalis cervicis, Longissimus cervicis, Splenius cervicis, & Semispinalis cervicis
