[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]


  • 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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  • 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 OUTicon ring

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  • 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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Agonist Muscles

Neck Same Side Rotators

Neck Opposite Side Rotators

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Antagonist Muscles

Neck Same Side Rotators

Neck Opposite Side Rotators

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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

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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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