Orthos/Neuros

Question 1

Normal cervical ranges of motion:

Answer 1

F: 50 degrees
E: 60
LF: 45
Rot: 80

Question 2

Cervical ROM testing is performed - both passive and resisted ROM.

Answer 2

O’Donaghue’s Maneuver

Pain w/passive = ligament sprain, pain with resisted = Muscle strain

Question 3

Patient supine - head is passively flexed while sternum is stabilized

Answer 3

Soto-Hall

Any muscle or ligament injury to posterior aspect of cervical spine would produce pain

Question 4

Patient seated - shoulder is depressed while head is laterally flexed away

Answer 4

Shoulder depression test

Question 5

Patient is seated, doctor behind, gently grasps both sides of the head and applies upward axial distraction

Answer 5

Cervical Distraction

Increased pain: Muscle spasm

Relief of pain: indicates foraminal encroachment or facet capsulitis

Question 6

Patient presents with neck and arm discomfort. You ask them to place their hand on top of their head.

Answer 6

Bakody’s sign

Radicular pain decreased: nerve root compromise

Question 7

Patient is seated and neck is passively flexed to their chest

Answer 7

Lhermitte’s Sign

Sharp pain down spine and upper/lower extremity = cord myelopathy

Question 8

Patient is Supine - head is passively flexed. Positive if both knees flex

Answer 8

Brudzinski’s sign

Indicative of meningitis

Question 9

Normal ROM for thoracic spine:

Answer 9

F: 20-45 degrees
E: 25-35
LF: 20-40
R: 35-50