3113 ROM Neck Flexion – Passive Range of Motion (PROM)

Neck Flexion PROM


  • 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


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


  • 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)


  • 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


  • 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


  • 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




  • NA
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