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Minnesota State University, Mankato
Minnesota State University, Mankato

Cervical Spine Evaluation Module

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Determine 6: activity, MOI, location of pain or neurologic symptoms, reports of weakness, type of pain, severity of pain, onset of pain, unusual sounds/sensations, actions that increase & decrease pain, S/S, change in S/S over time, prior injury/surgery, prior treatment, family history & general medical health


Inspection 1,6:

General: swelling, discoloration, deformity, muscle symmetry/atrophy

Skin: blisters, discoloration, open wounds, scars & skin infections

Anterior View: posture including: shoulder height, muscle symetry, muscle tone

Posterior View: posture including: shoulder height, muscle symetry, muscle tone

Lateral View: posture including: head position, shoulder position, cervical curve, thoracic curve, muscle tone

Low Back Palpation Rollover: using internet explorer rollover the images to trace some anatomy of the low back

Bony Palpation & Soft Tissue Palpation 1: hyoid, thyroid cartilage, first cricoid ring, carotid tubercle, occiput, inion, superior nuchal line, mastoid process, cervical spinous processes, facet joints, sternocleicomastoid, lymph chain, thyroid gland, carotid pulse, parotid gland, supraclavicular fossa, trapezius, lymph nodes, greater occipital nerves & superior nuchal ligament

Range of Motion 1,5:

AROM: flexion, extension, lateral flexion, rotation

PROM: flexion, extension, lateral flexion, rotation

RROM: flexion, extension, lateral flexion, rotation

Manual Muscle Testing  2:

Sternocleidomastoid, Cervical Extensors, Upper Trapezius

Neurovascular Exam

Special Tests  3,7:

Brachial Plexus Traction/Compression, Nerve Root Compression/Spurlings, Valsalva, Vertebral Artery Syndrome, Tap/Bump


Identifies examiner's impression of injury & potientally complicating factors based on subjective & objective information


Explains examiner's goals as well as how the examiner intends on meeting these goals through initial managent, treatment, rehabilitation