User:Jmclau1/Cervical Distraction Test

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Purpose

The cervical distraction test attempts to relieve the patient’s symptoms by decreasing pressure on the cervical nerve roots. ^[1]

Procedure

The patient is in supine position (on back) to relax the cervical spine muscles. The examiner stands or sits at the head of the patient with one hand under the occiput (back of skull) and the other on top of the forehead, stabilizing the head. Examiner flexes the patient’s neck to a position of comfort. A traction force is applied to the skull, producing distraction of cervical spine.This procedure should not be performed until a cervical fracture of dislocation has been ruled out. ^[1]

Mechanism

Compression of the cervical facet joints and/ or stenosis of the neural foramina. ^[2]

Results

The patient’s symptoms are relieved or reduced.^[2]

Adverse Effects

This procedure should not be performed until a cervical fracture of dislocation has been ruled out. ^[1]

History

References

^ ^a ^b ^c Starkey, Chad, Sara D. Brown, Jeffrey L. Ryan, Chad Starkey, and Chad Starkey. Orthopedic and Athletic Injury Examination Handbook. Philadelphia: F.A. Davis Co, 2010.
^ ^a ^b Mason, E, and C Doyle. "Book Review : Special Tests for Orthopedic Examination, 3rd Ed. Jeff G. Konon, Denise L. Wiksten, Jerome A. Isear Jr, Holly Brader, Slack Inc., 2006, 374 Pages, @$22.95, Isbn 1-5564-2741-7." Physiotherapy. 95.1 (2009): 59-60. Print.

Starkey, Chad, Sara D. Brown, Jeffrey L. Ryan, Chad Starkey, and Chad Starkey. Orthopedic and Athletic Injury Examination Handbook. Philadelphia: F.A. Davis Co, 2010.

Mason, E, and C Doyle. "Book Review : Special Tests for Orthopedic Examination, 3rd Ed. Jeff G. Konon, Denise L. Wiksten, Jerome A. Isear Jr, Holly Brader, Slack Inc., 2006, 374 Pages, @$22.95, Isbn 1-5564-2741-7." Physiotherapy. 95.1 (2009): 59-60. Print.

External links

Videos

http://www.orthopaedia.com/display/Main/Cervical+Neck+Distaction+Test ( Video will demonstrate the cervical distraction test)

http://wn.com/Orthopedic_exam_Cervical (Demonstration video)

[starky-1] Starkey, Chad, Sara D. Brown, Jeffrey L. Ryan, Chad Starkey, and Chad Starkey. Orthopedic and Athletic Injury Examination Handbook. Philadelphia: F.A. Davis Co, 2010.

[Mason-2] Mason, E, and C Doyle. "Book Review : Special Tests for Orthopedic Examination, 3rd Ed. Jeff G. Konon, Denise L. Wiksten, Jerome A. Isear Jr, Holly Brader, Slack Inc., 2006, 374 Pages, @$22.95, Isbn 1-5564-2741-7." Physiotherapy. 95.1 (2009): 59-60. Print.

[1]

[2]