Method Of Exam
Author: A. Chandrasekhar, MD
Consultant: M. Merchut, MD
Fix the head with one hand while you examine neck
Inspection
Note the normal concavity of cervical spine
Identify Transverse process of C7
Observe Trapezius and Sternomastoid muscles
Palpation
Feel each spinous process looking for focal areas of tenderness
Joint
Feel for crepitus during passive motion
Para spinal muscles
Range of motion
Active
Touch chin
for flexion
Throw head back
for extension
Touch each shoulder
with ears for lateral flexion
Touch each shoulder with chin for lateral rotation
Passive
Feel for crepitus during passive motion
Normal:
30 degree rotation, able to touch chest with chin, 55 degree extension and 40 degree lateral bend.
No resistance during the range of motion.