05.patrickm

 

Posture Triage screen: -End Range Rotation Test for VBI -Modified Sharp Purser -Alar Ligament Stability Rule out shoulder and thoracic spine Active repeated motions and overpressure for pain adaptive vs. pain non-adaptive Passive repeated motions  Passive accessory -CPA (C2 à upper aspect of T-spine) -UPA (C2/C3 à upper aspect of T-spine) Palpation  (trigger points, tinder areas) Isolating movements Muscle endurance  -Jull Test (BP cuff, 10 bouts of 10 seconds) -Scapular endurance test -Neck flexor endurance test.  Normative values: men=38.9 sec, women: 29.4 sec. -Posterior neck endurance test -Lateral lift test (sidelying) -CkCues test Confirmation Tests -Cervical Flexion-Rotation Test for HA -C1-C2 PA mobilization for HA -UPA for cervical facet dysfunction -Cluster for cervical radiculopathy: Spurling, ROM < 60 degrees, distraction test, and ULTT. When all 4 are positive, extremely high probability for cervical radiculopathy. Passive Physiologic Cervical passive physiologic upglid