[vc_row][vc_column width=”1/2″][vc_custom_heading text=”Neck Extension AROM” use_theme_fonts=”yes”][/vc_column][vc_column width=”1/2″][vc_custom_heading text=”ROM 3122″ font_container=”tag:p|text_align:right” use_theme_fonts=”yes”][/vc_column][/vc_row][vc_row][vc_column][vc_tta_tour active_section=”1″][vc_tta_section i_icon_fontawesome=”fa fa-cogs” title=”Procedure” tab_id=”1453644987098-a0bdfd0a-a284″ add_icon=”true”][vc_column_text]
Procedure
- Ask the client to look up towards the ceiling as far as they feel comfortable
- A client with normal neck extension is usually able to look straight up to the ceiling
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Zero Position
Client seated or standing 
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Caution
- Ensure that the client has no jewelry around the neck that could get caught on the table
- The therapist should put themself into a position where they are able to support the client if needed
- Pain referring into head or neck might be caused by cervical spine lesions, nerve root compressions, cancer and infections refer out
- No resisted tests with clients who had fresh injury or trauma that has not been seen by other medical professionals (e.g. doctors, chiropractors)
- If history is not clear refer out
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Endfeel
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Avoid
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Permit
- Jaw depression / opening of mouth
- If on neck extension restriction is felt in the laryngeal area ask your client to open the mouth on extension of the neck
- If that increases the ROM it might have been the hyoid muscles restricting the movement
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Agonist Muscles
Neck (Head) Extensors
- Upper Trapezius
- Splenius Capitis
- Splenius Cervicis
- Longissimus Capitis
- Longissimus Cervicis
- Levator Scapulae
- Rectus Capitis Posterior Major
- Rectus Capitis Posterior Minor
- Obliquus Capitis Superior
- Spinalis
- Semispinalis Capitis
- Semispinalis Cervicis
- Iliocostalis Cervicis
- Multifidus
- Cervical Rotatores
- Cervical Interspinalis
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Antagonist Muscles
Neck (Head) Flexors
- Sternocleidomastoid (SCM)
- Scalenus Anterior
- Longus Cervicis
- Longus Capitis
- Longus Colli
- Rectus Capitis Anterior
- Rectus Capitis Lateralis
- Platysma
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Tissues Compressed
- Agonists, neck flexors
- Posterior IVDs
- Facet joints (zygopyseal) joints
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Tissues Stretched
Tissues Stretched
- Antagonists, neck flexors
- Anterior Longitudinal Ligament
- Anterior IVDs
- Trachea
- Oesophagus
- Carotid Arteries
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Joints Directly Involved
- atlanto-occipital joint
- intervertebral joints C1-T1
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Joints Indirectly Involved
- intervertebral joints T1-L1
- coxal joint
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Special Notes
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