COMPREHENSIVE TEST OUT UPDATED ACTUAL
EXAM SCRIPT 2026 QUESTIONS AND
ANSWERS GUARANTEED TO PASS
◉ For the deep neck flexor endurance test, what are the criteria for
terminating a test? (3) Answer: 1) Lose chin tuck (anterior neck skin
folds separate)
2) Head positioning changes (i.e. flexes c spine further or head
touches clinicians hand)
3) Shaky motor control
◉ For the deep neck flexor endurance test, what are the normal
asymptomatic hold times? Answer: Men = 40s
Women = 30s
◉ During the deep neck flexor endurance test, what is the minimum
hold time for both men and women that is correlated with increased
neck pain if someone cannot hold for that amount of time? Answer:
Neck pain associated with a hold time of closer to 20 seconds (or
less)
,◉ What test is when the patient is supine, and the doctor passively
rotates the patients head as far as possible (to end range) and then
the patient is instructed to perform a chin tuck (head nod), with the
test then repeated on the other side? Answer: OA cervical flexion
test
◉ How many degrees of movement are normal for the OA cervical
flexion test? Answer: 20 degrees of OA flexion bilaterally
-- dysfunctional if less than 20
◉ What does a dysfunctional OA cervical flexion test indicate?
Answer: OA joint mobility dysfunction
-- motion palpate OA joint to determine if its a joint restriction
problem or motor control problem
◉ What test is when the patient is lying supine with the clinician
fully flexing the cervical spine of the patient to block rotation below
the atlanto-axial joint, then the clinician passively rotates the
patients head in each direction, assessing motion and end feel?
Answer: C1/C2 cervical rotation test
◉ What range of motion is considered normal for the C1/C2 cervical
rotation test? Answer: >44 rotation
,◉ How many degrees of limited ROM inC1/C2 cervical rotation test
is correlated with increased likelihood of cervicogenic headaches?
Answer: <32 degrees
◉ What test is when the patient sits erect and moves through a full
active cervical ROM in flexion, extension, and rotation to identify and
rate (0-10) their most painful motion, then the patient is positioned
*opposite* the side/direction of their most painful movement and
the movement is repeated while the doctor stabilizes? Answer:
Cervicothoracic differentiation test
◉ What is the criteria for a positive Cervicothoracic differentiation
test? What does this suggest? Answer: More than 10 degrees of
improved motion or decreased pain
-- suggests thoracic manipulation may provide benefit
◉ If rotation is the most painful direction for Cervicothoracic
differentiation test, the patient is asked to turn their ________ _______ to
the ____________ side of cervical rotational pain. The clinician stabilizes
this position and asks the patient to repeat the previously painful
cervical rotation. Answer: Upper thorax
Opposite
, ◉ If flexion is the most painful direction for Cervicothoracic
differentiation test, the patient is asked to _________________. This
position is maintained by the clinician, and the patient then repeats
the previously painful cervical flexion. Answer: "arch" backwards
into thoracic extension
◉ If flexion is the most painful direction for Cervicothoracic
differentiation test, the patient is asked to _______________. This
position is maintained by the clinician, and the patient then repeats
the previously painful cervical extension. Answer: "slump" forward
into thoracic flexion
◉ What test is when the patient stands near the wall with their
glutes, T-L junction, and head touching the wall with a horizontal
gaze, with instruction to flex elbows to 90 degrees, abduct shoulder
to 90 degrees and externally rotate the arm to bring the wrist and all
10 fingers into contact with the wall? Answer: Wall angel test
◉ What are the indicators for the wall angel test? (3) Answer: 1) LB,
Neck, or UE pain
2) Suspected thoracic, rib, and shoulder mobility problem
3) Assess sagittal plane mobility and postural stability
◉ What are the 4 criteria for a dysfunctional wall angel test?
Answer: 1) Chin protrusion and head extension (or head not able to
maintain contact with the wall with horizontal gaze)
EXAM SCRIPT 2026 QUESTIONS AND
ANSWERS GUARANTEED TO PASS
◉ For the deep neck flexor endurance test, what are the criteria for
terminating a test? (3) Answer: 1) Lose chin tuck (anterior neck skin
folds separate)
2) Head positioning changes (i.e. flexes c spine further or head
touches clinicians hand)
3) Shaky motor control
◉ For the deep neck flexor endurance test, what are the normal
asymptomatic hold times? Answer: Men = 40s
Women = 30s
◉ During the deep neck flexor endurance test, what is the minimum
hold time for both men and women that is correlated with increased
neck pain if someone cannot hold for that amount of time? Answer:
Neck pain associated with a hold time of closer to 20 seconds (or
less)
,◉ What test is when the patient is supine, and the doctor passively
rotates the patients head as far as possible (to end range) and then
the patient is instructed to perform a chin tuck (head nod), with the
test then repeated on the other side? Answer: OA cervical flexion
test
◉ How many degrees of movement are normal for the OA cervical
flexion test? Answer: 20 degrees of OA flexion bilaterally
-- dysfunctional if less than 20
◉ What does a dysfunctional OA cervical flexion test indicate?
Answer: OA joint mobility dysfunction
-- motion palpate OA joint to determine if its a joint restriction
problem or motor control problem
◉ What test is when the patient is lying supine with the clinician
fully flexing the cervical spine of the patient to block rotation below
the atlanto-axial joint, then the clinician passively rotates the
patients head in each direction, assessing motion and end feel?
Answer: C1/C2 cervical rotation test
◉ What range of motion is considered normal for the C1/C2 cervical
rotation test? Answer: >44 rotation
,◉ How many degrees of limited ROM inC1/C2 cervical rotation test
is correlated with increased likelihood of cervicogenic headaches?
Answer: <32 degrees
◉ What test is when the patient sits erect and moves through a full
active cervical ROM in flexion, extension, and rotation to identify and
rate (0-10) their most painful motion, then the patient is positioned
*opposite* the side/direction of their most painful movement and
the movement is repeated while the doctor stabilizes? Answer:
Cervicothoracic differentiation test
◉ What is the criteria for a positive Cervicothoracic differentiation
test? What does this suggest? Answer: More than 10 degrees of
improved motion or decreased pain
-- suggests thoracic manipulation may provide benefit
◉ If rotation is the most painful direction for Cervicothoracic
differentiation test, the patient is asked to turn their ________ _______ to
the ____________ side of cervical rotational pain. The clinician stabilizes
this position and asks the patient to repeat the previously painful
cervical rotation. Answer: Upper thorax
Opposite
, ◉ If flexion is the most painful direction for Cervicothoracic
differentiation test, the patient is asked to _________________. This
position is maintained by the clinician, and the patient then repeats
the previously painful cervical flexion. Answer: "arch" backwards
into thoracic extension
◉ If flexion is the most painful direction for Cervicothoracic
differentiation test, the patient is asked to _______________. This
position is maintained by the clinician, and the patient then repeats
the previously painful cervical extension. Answer: "slump" forward
into thoracic flexion
◉ What test is when the patient stands near the wall with their
glutes, T-L junction, and head touching the wall with a horizontal
gaze, with instruction to flex elbows to 90 degrees, abduct shoulder
to 90 degrees and externally rotate the arm to bring the wrist and all
10 fingers into contact with the wall? Answer: Wall angel test
◉ What are the indicators for the wall angel test? (3) Answer: 1) LB,
Neck, or UE pain
2) Suspected thoracic, rib, and shoulder mobility problem
3) Assess sagittal plane mobility and postural stability
◉ What are the 4 criteria for a dysfunctional wall angel test?
Answer: 1) Chin protrusion and head extension (or head not able to
maintain contact with the wall with horizontal gaze)
