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 Testing Cervical Spine Stability In a previous post, “When are C-Spine Radiographs Needed?” we discussed the importance of fracture screening for the cervical spine. This is an essential step prior to performing any cervical spine clinical tests. Then, assessing cervical spine stability must be determined prior to embarking on any manual techniques and/or therapeutic exercises. Screening for instability or hypermobility of the cervical spine can be valuable in determining the appropriate course of treatment. If instability is identified, imaging may be required prior to initiating treatment. Let’s explore 5 commonly recognized clinical tests to assess ligamentous integrity and cervical spine stability.
The statistical values for each of these tests are displayed below. As one can see, 2 of the tests (Aspinall and Lateral Shear) do not have any metrics reported in the literature. This makes it difficult to know if the test has any clinical merit. How much credence should a clinician give the test results? Without this information, one might wonder if s/he should be the tests at all. The other 3 tests have respectable specificity and a high (+) likelihood ratio, i.e. they are strong diagnostic tools. These data are important in placing value on the tests. Should one of the first 3 tests be positive, additional imaging may be in order prior to embarking on any treatment techniques. For videos of these techniques and more cutting-edge orthopedic information download iOrtho+ Premium Mobile App. For prior blog posts or learning modules visit https://iortho.xyz/
What position is recommended for the fingers and hands during the thoracic extension test?The hands should point forward and be positioned shoulder-width apart, directly under the shoulders. The hips and shoulders should be aligned (i.e., rigid trunk) and the head should remain in a neutral to slightly extended position.
What position is recommended for the testing leg during the hip abduction and external rotation test quizlet?Hip Flexion, Abduction and External Rotation with knee flexion tests which muscle(s)? Position of Patient: Short sitting with thighs supported on table and legs hanging over side. Arms may be used for support.
What is typically the first movement assessment used for most clients?The Overhead Squat Assessment is the first overall look at any client movement. This assessment, with heels elevated and hands-on-hip modifications, can serve as useful windows into the client's overall movement health. Single-Leg and Split-Squat assessments come next.
What is considered normal mobility during the seated hip internal and external rotation test?Hip internal and external rotations occur along the same axis. The ranges of motion of the two movements are both 45°.
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Which position should a client be in to perform the cervical flexion and extension test?
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