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Cervical Rotation Lateral Flexion Test

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Cervical rotation lateral flexion test, front view, showing end position of testing for an elevated position of the left first rib. A, Test shown is positive for an elevated left first rib; B, Test shown is negative for an elevated left first rib.[1]
Cervical rotation lateral flexion test[2]
  • Cervical Rotation Lateral Flexion Test

Purpose

  • Test for hypomobility of 1st rib in patients with brachialgia or pain originating from the brachial plexus[3]

Description

  • The patient is seated
  • The cervical spine is maximally rotated away from the affected side
  • While in this position, the neck is gently flexed with "ear towards chest"
  • Positive test
    • Absence of flexion

Pathology

Evidence

  • Unknown

See Also

References

  1. ↑ Smith, Tanya M., et al. "The double crush syndrome: a common occurrence in cyclists with ulnar nerve neuropathy-a case-control study." Clinical Journal of Sport Medicine 18.1 (2008): 55-61.
  2. ↑ Koppenhaver, Shane L., et al. "The validity of the cervical rotation lateral flexion test in predicting benefit after manipulation treatment to the first and second rib." Musculoskeletal Science and Practice 62 (2022): 102629.
  3. ↑ Lindgren KA, Leino E, Manninen H. Cervical rotation lateral flexion test in brachialgia. Arch Phys Med Rehabil. 1992 Aug;73(8):735-7. PubMed PMID: 1642524.
Created by:
John Kiel on 23 July 2019 22:26:32
Authors:
Last edited:
29 August 2025 14:14:52
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