Neck Flexion PROM

Zero

• Client supine
• Therapist sits on a chair at the head end of the table or to the side of the table
• The client’s head has to be firmly supported with both hands

Procedure

• Therapist lifts the client’s head which has to be firmly supported with both hands so the client feels reassured about the movement

Caution

• Pain in the lower back when flexing the neck might be indicative of lumbar disc protrusion, refer out
• Pain referring into head or neck might be caused by cervical spine lesions, nerve root compressions, cancer and infections
• If history is not clear refer out    [expand title=”????????? “]????[/expand]
• Ask client to take necklace and / or dangling earrings off (can get caught on treatment table)

Avoid

• Spine and/or hip flexion (if tested seated or standing)    [expand title=” “]

  TIP 189 – Neck Flexion ROM

  Avoid Trunk Flexion

  • Clients often will flex the trunk and/or hip when flexing the neck, especially if they have limited neck flexion

  

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• Depression of the jaw (opening of the mouth)    [expand title=” “]

  TIP 289 – Neck Flexion ROM

  Avoid Depression of the Jaw

  • Avoid depression of the jaw or opening of the mouth

  

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• Scapular elevation    [expand title=” “]

  TIP 194 – Neck Flexion ROM

  Avoid Scapular Elevation

  • Avoid scapular elevation unless it is for the purpose of differentiating between neck and shoulder muscles
  • If neck flexion is restricted and the client points to the shoulder elevators, verify
  • Lift up their arm to passively elevate the scapula
  • Levator Scapulae and Upper Trapezius will slacken
  • If that solves the problem those were the culprits

  

  [/expand]

Permit

• NA