Jump to content
We need you! See something you could improve? Make an edit and help improve WikSM for everyone.

Cervical Flexion Rotation Test

From WikiSM

Other Names

Load video
YouTube

Demonstration of the cervical flexion-rotation test[1]
  • CFRT
  • Flexion-Rotation Test
  • Upper Cervical Flexion Test

Purpose

  • To assess the mobility of the C1-C2 cervical vertebrae or Atlanto Axial Joint
  • C1-C2 motion segment accounts for 50% of the rotation in the cervical spine

Description

  • The patient is supine, examiner is at the head of the bed
  • Occiput is maximally flexed, ideally resting against the examiners abdomen
  • The patients head is then maximally rotated to the left and the right
  • A positive test includes:
    • Firm resistance is encountered
    • Pain is provoked
    • Range is limited before the expected end range

Pathology

Evidence

Decreased mobility of the C1-C2 joint

  • Hall et al[2]
    • Sensitivity: 90%
    • Specificity: 88%
    • 92% agreement for experienced examiners

See Also

References

  1. ↑ Page, Phil. "Cervicogenic headaches: an evidence-led approach to clinical management." International journal of sports physical therapy 6.3 (2011): 254.
  2. ↑ Hall TM, Robinson KW, AkasakaK. Intertester Reliability and Diagnostic Validity of the Cervical Flexion-Rotation Test. J Manipulative Physiol Ther. 2008;31:293-300
Created by:
John Kiel on 23 July 2019 22:18:24
Authors:
Last edited:
28 August 2025 17:28:16
Category:
Retrieved from "https://wikism.org/w/index.php?title=Cervical_Flexion_Rotation_Test&oldid=36808"