Cervicals

Question 1

Rust’s Sign

Answer 1

pt holds their head

ask to change positions and observe

Question 2

Compression

Answer 2

seated 
direct compression (IVF) look for radicular pain

Question 3

Jackson’s

Answer 3

seated

laterally flex and compress (IVF)

Question 4

Maximal

Answer 4

seated

rotate and extend (IVF)

Question 5

Spurlings

Answer 5

seated

fist strike after maximal position (disc / IVF)

Question 6

Bakody’s

Answer 6

seated
hand on head
(+ decrease in pain) – nerve root

Question 7

Shoulder Depression

Answer 7

seated or supine

lateral flexion stretch (nerve root)

Question 8

Distraction

Answer 8

seated
lift head avoiding face and TMJ
(nerve root - decrease pain) (muscle - increase pain)

Question 9

O’Donoghue’s

Answer 9

seated, varies active/passive

active, then passive (active = strain, passive = sprain)

Question 10

Lhermitte’s

Answer 10

seated
ACTIVE neck flexion
(cord degeneration, MS - electric sensations)

Question 11

Sternal Compression

Answer 11

supine

cross arms on chest and apply pressure on sternum (rib or thorax lesion)

Question 12

Soto Hall

Answer 12

supine

cross arms on chest w/ passive neck flexion and sternum stabilization

Question 13

Libman’s

Answer 13

seated

pressure on mastoid (assessment pt pain threshold)