TESTS PROCEDURE
Chvostek test - Test for hypocalcemia Find the masseter and tap
The positive sign will be muscle twitch in
front of the ear
Bell’s Palsy
Craniovertebral Ligament Stress Testing Palpate and stabilize the spinous process of
C2, place the pt’s head in slight forward
Sharp Purser Test - tests for atlantoaxial flexion, then apply an extension force to the
instability with rheumatoid arthritis forehead.
A significant posterior shift of C1 is an
indication of a positive test
Alar Ligament Test - test for alar ligament Palpate the spinous process of C2, apply a
tear/lesion side-flexion force to the top of the head. An
intact alar ligament will rotate the spinous
process to the opposite side of the side-
flexion movement.
A positive test would display no such
, movement.
Upper Limb Tension Tests - Tests for ULTT 1 - Median
brachial plexus tension
1. Shoulder Depression
2. Shoulder Abduction 110 degree
3. External rotation
4. Elbow extension
5. Forearm supination
6. Wrist and finger extension
ULTT 2 - Radial
Shoulder girdle depression
1. Shoulder abduction 100
2. Arm Flexion 90 degree
3. Internal rotation
4. Forearm pronation
5. Wrist, finger and thumb flexion
6. Elbow extension
ULTT 3 - Ulnar
1. Shoulder girdle depression
2. Shoulder Abduction 90 degree
3. Forearm pronation
4. Wrist and Finger extension
5. laterally rotate the shoulder(
, Bring hand to ear)
Symptoms reproduced Side to side difference
in elbow extension greater than 10 degrees
Compression Tests - tests for nerve root - Extension and the lateral bending the
compression causing pinching head and then axial compression
- Spurling’s Maximal Foraminal
Compression Test
- Jackson’s Compression Test
- Rotate the patient's head to the right
and left and apply downward pressure
on the head.
, Distraction Test - Cervical Radiculopathy Cuff the head (Mandible or occipital) and then
lift up
The test is classified as positive if the pain is
relieved or decreased when the head is lifted
or distracted, indicating pressure on nerve
roots that have been relieved.
Tests for the Radicular pain in the Have the client sit and then the examiner
Glenohumeral Joint asks the patient to take a deep breath and
Valsalva Test - tests for nerve compression hold it while bearing down, as if moving the
by an intervertebral disc bowels.
A positive test is indicated by increased pain,
which may be caused by increased
intrathecal pressure.
Scalene Cramp Test - tests for radicular The patient sits and rotates the head to the
pain caused by the entrapment by ant. And affected side and pulls the chin down into the
med. scalenes hollow above the clavicle by flexing the
cervical spine.
If pain increases, it is usually in the trigger
points of the scales toward which the head
rotates. I’m
Chvostek test - Test for hypocalcemia Find the masseter and tap
The positive sign will be muscle twitch in
front of the ear
Bell’s Palsy
Craniovertebral Ligament Stress Testing Palpate and stabilize the spinous process of
C2, place the pt’s head in slight forward
Sharp Purser Test - tests for atlantoaxial flexion, then apply an extension force to the
instability with rheumatoid arthritis forehead.
A significant posterior shift of C1 is an
indication of a positive test
Alar Ligament Test - test for alar ligament Palpate the spinous process of C2, apply a
tear/lesion side-flexion force to the top of the head. An
intact alar ligament will rotate the spinous
process to the opposite side of the side-
flexion movement.
A positive test would display no such
, movement.
Upper Limb Tension Tests - Tests for ULTT 1 - Median
brachial plexus tension
1. Shoulder Depression
2. Shoulder Abduction 110 degree
3. External rotation
4. Elbow extension
5. Forearm supination
6. Wrist and finger extension
ULTT 2 - Radial
Shoulder girdle depression
1. Shoulder abduction 100
2. Arm Flexion 90 degree
3. Internal rotation
4. Forearm pronation
5. Wrist, finger and thumb flexion
6. Elbow extension
ULTT 3 - Ulnar
1. Shoulder girdle depression
2. Shoulder Abduction 90 degree
3. Forearm pronation
4. Wrist and Finger extension
5. laterally rotate the shoulder(
, Bring hand to ear)
Symptoms reproduced Side to side difference
in elbow extension greater than 10 degrees
Compression Tests - tests for nerve root - Extension and the lateral bending the
compression causing pinching head and then axial compression
- Spurling’s Maximal Foraminal
Compression Test
- Jackson’s Compression Test
- Rotate the patient's head to the right
and left and apply downward pressure
on the head.
, Distraction Test - Cervical Radiculopathy Cuff the head (Mandible or occipital) and then
lift up
The test is classified as positive if the pain is
relieved or decreased when the head is lifted
or distracted, indicating pressure on nerve
roots that have been relieved.
Tests for the Radicular pain in the Have the client sit and then the examiner
Glenohumeral Joint asks the patient to take a deep breath and
Valsalva Test - tests for nerve compression hold it while bearing down, as if moving the
by an intervertebral disc bowels.
A positive test is indicated by increased pain,
which may be caused by increased
intrathecal pressure.
Scalene Cramp Test - tests for radicular The patient sits and rotates the head to the
pain caused by the entrapment by ant. And affected side and pulls the chin down into the
med. scalenes hollow above the clavicle by flexing the
cervical spine.
If pain increases, it is usually in the trigger
points of the scales toward which the head
rotates. I’m
