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Spec. tests Proc.

Procedures Head/ Neck

QuestionAnswer
Vertebral Artery test C supine. Extend, rotate, & sidebend head to same side. C's eyes open and hold for 30 secs.
TMJ AF ROM C seated. MT stands behind C and places fingers in front of ears. Have C open mouth. Check for clicking, crepitis and assymetrical motion.
3 Knuckle Test Have C make fist and place as many knuckles as they can b/n teeth.
Swallowing Test C seated. Pincergrasp belly of SCM ,, at most tender pt. Have C swallow. Pos. if P diminishes.
Scalene cramp test C seated. Have C rotate head to affected side. Pos. if P is reproduced & radiates down arm
Scalene Relief test C seated. C places affected forearm across forehead, then elevates shoulder. pos. If P radiates down arm.
Atlanto-Axial Articualtion PR-ROM c supine, grasp C's head at temporal region - flex c-spine to end range. Rotate head, both sides. Pos, findings when leathery end feel.
Atlanto-Occipital Articulation PR-ROM C supine. Grasp head at base of skull. Flex or extend and then move C's head L->R and R->L Pos. if leathery end feel
Spurlings C seated. Passively extend, sidebend and rotate, apply slight downward pressure. Pos P
Cervical Compression C seated, head neutral, apply slight downward pressure on neck. Pos is P
Cervical Distraction Test C supine. Place gentle distraction on C-spine to relieve pressure of compressed nn root.
First Rib Mobility C supine. One hand inferior to clavicle, other hand on posterior neck, apply alternate pressure. Pos if hypermobility of rib
Orbicularis Oculi C supine. have C close eyes and MT attempts to open them.
Valsalva's Maneuver C seated. Have C place thumb in mouth, create seal and bear down. Pos if P
Chivostek's Tap repeatedly over parotid gland. Pos if face twitches and facial mm contracts.
Jaw Reflex test c seated with mouth slightly open. MT places thumb on dip of chin. Tap thumb with reflex hammer
Sinus Transillumination using flashlight, place between eyebrows to assess frontal sinus. Place flashlight in mouth to assess maxilalry sinus.
Created by: annette.rmt
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