Neck/Cervical Spine

GENERAL EXAM

INSPECTION
  • Follows the IP-PASS examination methodology
    • Inspection
    • Palpation
    • Passive Range of Motion
    • Active Range of Motion
    • Strength & Neurovascular
    • Special Tests
PALPATATION
  • Skin
    • Color: erythema, ecchymosis, white, black
    • Trophic changes (altered hair growth, sweat production)
  • Scars
  • Swelling
  • Muscle tone: atrophy, hypertrophy
  • Deformity: asymmetry, rotation, amputation
  • Areas of emphasis for neck exam
    • Resting position of neck, exaggerated kyphosis or lordosis
    • Swelling or masses
    • Lymphadenopathy
    • Tracheal deviation
RANGE OF MOTION
  • Flexion: 45-60° from neutral
  • Extension: 45-80° from neutral
  • Rotation: 80-85° from neutral
  • Lateral Flexion (Sidebending): 45° degree from neutral
STRENGTH
  • Flexion
  • Extension
    • Sternocleidomastoid
    • Spinalis Cervicis
    • Spinalis Capitus
    • Semispinalis Cervicis
    • Semispinalis Capitus
    • Splenius Cervicis
    • Iliocostalis Cervicis
    • Longissimus Cervicis
    • Rectus Capitus Posterior Major
    • Rectus Capitus Posterior Minor
    • Obliquus Capitus Superior
  • Rotation
    • Sternocleidomastoid
    • Scalenes
    • Spinalis Cervicis
    • Spinalis Capitus
    • Longissimus Capitis
    • Rectus Capitus Posterior Major
    • Obliquus Capitus Inferior
  • Sidebending or Side Flexion
    • Rectus Capitus Lateralis
    • Obliquus Capitus Superior
NEUROVASCULAR
  • C1-C3
  • Lower Cervical Nerve
  • Middle Cervical Nerve
  • Suboccipital Nerve

SPECIAL TESTS / VIDEOS

OTHER

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CITATIONS

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