What does the cervical flexion-rotation test assess?

What it measures: Amount of rotation in the upper cervical spine. Can be used as a diagnostic test to assess whether cervicogenic headache (CGH) is due to upper cervical dysfunction versus dysfunction at other levels of the cervical spine.

How do you test for Cervicogenic headaches?

The cervical flexion-rotation test (CFRT) is sometimes used to evaluate the severity of CGH. It involves the patient lying down and then bending the neck forward, and then rotating the head gently from left to right. If pain or resistance is experienced, it indicates limited rotation of the cervical spine.

What would be a good instruction to assess cervical lateral flexion in a patient?

Technique. The test is performed with the patient in sitting. The cervical spine is passively and maximally rotated away from the side being tested. While maintaining this position, the spine is gently flexed as far as possible moving the ear toward the chest.

How do you test for Cervicogenic dizziness?

The test is performed with the patient sitting on a swivel chair. Provocation of dizziness with trunk rotation under a head stabilized in space implicates the cervical spine, whereas dizziness with head and trunk rotation together (en bloc rotation) indicates a vestibular component to the patient’s symptoms.

What is the Watson headache approach?

Watson Headache® Approach is a sequence of manual therapy techniques and innovative clinical reasoning, identifying and managing relevant neck disorders not only in cervicogenic headache but also in primary headache.

What is normal cervical rotation ROM?

The cervical spine’s range of motion is approximately 80° to 90° of flexion, 70° of extension, 20° to 45° of lateral flexion, and up to 90° of rotation to both sides.

What is normal neck flexion?

In neck flexion, a normal range of motion is 40 to 80 degrees, which is measured by a device called a goniometer. This shows how far you can move your neck without experiencing pain, discomfort, or resistance.

What is cervical neck torsion test?

The premise behind tests using neck torsion is that by holding the neck still and rotating the trunk, there is isolated stimulation of cervical afferents. Thus if the test is positive, a cervicogenic cause of the dizziness is more likely.

What are the symptoms of a Cervicogenic headache?

Cervicogenic Headache Pain

  • Pain originating at the back of the neck and radiating along the forehead, area around the eye, temple, and ear.
  • Pain along the shoulder and arm on the same side.
  • Reduced flexibility of the neck.
  • Eye swelling and blurriness of vision may occur on the affected side in some cases.

What is flexion of cervical spine?

Cervical flexion: bending the head forward towards the chest. Cervical extension: bending the head backward with the face towards the sky.

How many degrees should you be able to turn your head?

Between 160 to 180 degrees; i.e. you should be able to rotate your neck to the right and to the left, so that your nose is in line with your shoulder (or near enough).

How many times do you perform a ROM assessment?

Typically, ROM testing is performed three times. The first time is to establish a baseline, assessing the patient’s limitations due to injury or disease, and helping to design a course of rehabilitative treatment.

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