[vc_row][vc_column width=”1/2″][vc_custom_heading text=”Neck Rotation PROM” use_theme_fonts=”yes”][/vc_column][vc_column width=”1/2″][vc_custom_heading text=”ROM 3143″ 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
- Grasp the client’s head on either side, thumbs in front, fingers behind the client’s ears
- Lift the client’s head just off the table or slide it on the table when turning to either side
- When performed with the head of the client off one end of the treatment table, sit at head end and allow to support your elbows on your thighs for stability
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Zero Position
- Client supine, far enough down on the table for the therapist to place their forearms onto the table
- Therapist sits at the head end of table
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Caution
- Perform slowly and carefully
- Pain referring into head or neck might be caused by cervical spine lesions, nerve root compressions, cancer and infections REFER OUT
- If history is not clear REFER OUT
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Endfeel
- Soft, antagonists, neck rotators to opposite side
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Avoid
- Neck flexion TIP 195
- Spine and hip rotation TIP 104
- Scapular protraction TIP 200
- Lateral flexion of the neck TIP 196
- Keep eyes in transverse (horizontal) plane
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Permit
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Agonist Muscles
Neck Same Side Rotators
- Splenius Capitis
- Splenius Cervicis
- Longus Colli
- Longus Capitis
- Rectus Capitis Anterior
- Rectus Capitis Posterior Major
- Obliquus Capitis Inferior
- Longissimus Capitis
Neck Opposite Side Rotators
- Sternocleidomastoid (SCM)
- Scalenes
- Upper Trapezius
- Semispinalis Cervicis
- Multifidus
- Cervical Rotatores
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Antagonist Muscles
Neck Same Side Rotators
- Splenius Capitis
- Splenius Cervicis
- Longus Colli
- Longus Capitis
- Rectus Capitis Anterior
- Rectus Capitis Posterior Major
- Obliquus Capitis Inferior
- Longissimus Capitis
Neck Opposite Side Rotators
- Sternocleidomastoid (SCM)
- Scalenes
- Upper Trapezius
- Semispinalis Cervicis
- Multifidus
- Cervical Rotatores
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Tissues Compressed
- Atlanto-occipital (occiput / C1)
- Atlanto-axial, C1 / C2
- Intervertebral C2 to T5
- Cervical Zygophyseal C1 to C7
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Tissues Stretched
- Antagonists, neck rotators
- Glenohumeral Capsule
- Conoid Ligament
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Joints Directly Involved
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Joints Indirectly Involved
- Intervertebral T5 to L5
- Coxal joint
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Special Notes
- 60 to 70% of neck rotation are happening between C1 and C2
- The rest is distributed between the other cervical vertebrae but also includes the upper thoracic vertebrae TIP
- Passive ROM often goes quite a bit further than AROM as the testing conditions are different (standing vs supine)
- In supine the head and neck of the client are usually more relaxed. Do not confuse this fact with a NO-YES scenario
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Permit
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