Vertebral Artery Test

1. Examiner passively takes the pts. head and neck into ext. and side flexion.
2. Then examiner rotates neck to same side and holds 30 seconds
3. positive test provokes referring symptoms to side which head is.If dizziness ofr nystagmus occurs it is indication of VA compression.
4. Supine

Posterior Spring Test

ULTT (Median nerve)

1. Shoulder depressed and abd. to 110 degrees
2. elbow extended
3. forearm supinated
4. wrist extended
5. Fingers and thumb extended
6. side bend opposite side

ULTT (Radial nerve)

1. shoulder depressed, IR and abd. to 10 degrees
2. elbow ext. and forearm pronated
3. wrist flex and ulnar dev.
4. fingers flex
5. Cerv. sidebend opposite

ULTT (Ulnar nerve)

1. shoulder depressed, ER and abd 10-90 degrees
2. elbow flex forearm supination
3. wrist ext and radial dev.
4. fingers and thumb ext
5. cervical sidebend opposite

Transverse Shear Test

Assess stability of segment-no motion should be felt

Repeat at each segment and side

1. Stabilize inf. segment, and clinician attempts to translate superior segment transversely using soft part of the MCP jnt of the index finger.
2. revers so that superior segment is stab. and inf is translated under it.

Craniovertebral Ligament stress test

(Alar ligament)

Craniovertebral Ligament Stress Test

(Transverse Ligament)

Distraction and Compression Test

TMD Screen

Because the TMD jnt. can refer pain to cervical region the clinician is advised to rule out this jnt. as the cause for the pts. symptoms

1. Ask pt. to open/close mouth and to laterally deviate the jaw, clinician observes quality/quantity of motion and notes any reproduction of pain

Quadrant/Spurlings Test

Stretch Test

1. Sitting and side bend head to uninvolved side
2. extend the shld. and elbow in the involved side
3. Pain and paresthesia along the involved arm are indicative of a brachial plexus irritation

Compression Test

1. Sitting
2. Side bend head to uninvolved side
3. clinician applies firm pressure to brachial plexus by squeezing the plexus between the thumb and fingers
4. Reproduction of shoulder or upper arm pain is positive for mechanical cervical lesion

Tinels Sign

1. The patient is postitioned sitting and asked to sidebend to uninvolved side.
2. Clinician taps along the trunks of brachial plexus using fingertips
3. Local pain indicates a cervical plexus lesion, tingling senstion in the distribution of one of the trunks may indicate a comprssion or neuroma of one or more turnks.