Cranial Cervical Flexion Test
- Cranial Cervical Flexion Test is used for Cervical Spine Examination
- The patient is positioned in supine. During the ULTT that places a bias towards testing the patient’s response to tension placed on the median nerve, the examiner sequentially introduces the following movements to the symptomatic upper extremity.
- Scapular depression
- Shoulder abduction to approximately 90 degrees with the elbow flexed
- Forearm supination, wrist and finger extension
- Shoulder lateral rotation
- Elbow extension
- Contralateral then ipsilateral cervical side-bending
- A Positive Cranial Cervical Flexion Test is indicated by the presence of any of the following findings:
- Reproduction of all or part of the patient’s symptoms
- Side-to-side differences of greater than 10 degrees of elbow or wrist extension
- On the symptomatic side, contralateral cervical side-bending increases the patient’s symptoms, or ipsilateral side-bending decreases the patient’s symptoms
- Sensitivity: 97 %
- Specificity: 22 %
- physio-pedia
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