Method Of Exam

• 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.