Upper Body Tests

Question 1

Lateral chest compression test

Answer 1

Place each hand on side lateral side of rib cage
Positive: pain = broken rib

Question 2

Maximum cervical compression test

Answer 2

Patient seated
Laterally flex head to left side
Rotate head to right and look towards corner of room behind you

-Concave: Nerve root compression

-Convex: Muscle Strain

Question 3

Active Supine Occipito-Atlantal Cervical Flexion

Answer 3

-Rotate then chin to chest (20 degrees)

-Upper Cervical: Inability to get 20 degrees or pain

-Lower Cervical: Able to do 20 degrees pain free

Question 4

Cervical Flexion Rotation Test

Answer 4

-Chin to chest then rotate head to 45 degrees

-Upper Cervical: pain/inability to get 45 degrees

-Lower Cervical: Able to do 45 degrees

Question 5

O’Donoghue Maneuver

Answer 5

-Active>Passive>Resisted

-Pain w/Active or Resisted: Muscle Strain

-Pain w/ Passive: Ligament Sprain

Question 6

Cervical/Axial Compression Test

Answer 6

-Positive: Radicular Pain (nerve root compression d/t Space occupying lesion, osteophytes)

Question 7

Jackson Cervical Compression Test

Answer 7

-Positive: Nerve Root compression (Osteophytes, and space occupying lesion), radiating pain towards the arm rotated towards

Question 8

Modified Spurlings

Answer 8

-Lateral Flexion, Extension of Head

-Positive: Nerve root compression

Question 9

ULTT

Answer 9

-Depression, Abduction, Supination, Extension of wrist and finger flexors, external rotation and extension of the elbow, head side bend to CL side then IL Side

-Positive: Medial nerve entrapment

Question 10

Cervical Distraction Test

Answer 10

-Increased Pain: Muscle spasm or sprain/strain
-Relief of pain: Foraminal encroachment or facet capsulitis

Question 11

Cervical Radiculopathy Cluster

Answer 11

-Spurlings Test, Upper limb tension test, distraction test, <60 of cervical rotation towards the involved side

Question 12

Foraminal Compression (Spurlings)

Answer 12

-Positive: Nerve root compression (space occupying lesion), Pain radiating from arm is positive

Question 13

Bakody’s Sign (Shoulder Abduction Relief Test)

Answer 13

Positive: Cervical nerve room compression, pain lessened with hand on head (elevating suprascapular nerve)

Question 14

Shoulder Depression Test

Answer 14

-Positive: Radicular pain is produced/aggravated, adhesion of the dural sleeves, spinal nerve roots…

Question 15

Spinal Percussion Test

Answer 15

-Radicular pain = possible disc lesion
-Localized pain: Possible fractured vertebra