Cervical Review

Question 1

List the 4 craniovertebral stability tests that we have learned

Answer 1

• alar ligament test
• transverse ligament test
• Jefferson’s fracture test
• longitudinal distraction test
• Sharp’s Purser test

Question 2

You have a patient with arm and neck pain. List 6 special tests to clarify the generator of their pain

Answer 2

• cervical compression/distraction
• Spurlings
• Roos
• Adson’s
• Costoclavicular
• ULNT
• shoulder abduction test
• any shoulder special test

Question 3

You suspect upper cervical ROM limitations. What test would give you clarification about the mobility of these segments?

Answer 3

• cervical flexion rotation testing
• UCS segmental mobility test
• OA rocking and MIA glides
• C1-C2 rotational assessment

Question 4

List the 5D’s And 3N’s

Answer 4

• dizziness
• diplopia
• drop attacks
• dysarthria
• dysphagia
• ataxia
• numbness
• nystagmus
• nausia

Question 5

What is the difference between Spurling’s and compression test?

Answer 5

Spurling’s involves cervical extension, SB, and rotation

Question 6

When performing Spurling’s test what is indicated if the patient has localized neck pain on the same side as the test?

Answer 6

facet joint syndrome or joint compression pain

Question 7

When performing Spurling’s test what is indicated if the patient has localized neck pain on the opposite side as the test?

Answer 7

whiplash injury

Question 8

If you have a patient who exhibits forward head posture. What test would reveal the muscle weakness you most likely suspect?

Answer 8

deep cervical flexor endurance test

Question 9

Your patient presents with upper trapezius pain and upper arm pain. List 3 tests you could perform to clarify cervicobrachial from shoulder pathology

Answer 9

• ULNT
• Spurling’s test
• cervical flexion rotation test
• repeated cervical spine movements

Question 10

What spinal levels supply the trapezius

Answer 10

C3-C4