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Deep Neck Flexor Endurance Test

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Other Names

  • Deep Neck Flexor Endurance Test
  • Neck Flexor Endurance Test


Demonstration of the deep neck flexor endurance test[1]


  • Patient is supine, knees bent and feet on table
  • Patient tucks chin to chest, lifts head off table 1 inch
  • Evaluate for substitution of platysma or sternocleidomastoid muscle
  • Assess length of time patient can hold neck
    • Normal: Men (38.9 seconds), Women (29.4 seconds)
    • Abnormal: less than 21.4 seconds


  • Have patient tuck neck and raise off table
  • Draw 1 cm line along the wrinkles of the neck from anterior to posterior
  • Measure time to failure
  • When the line separates along the wrinkles, the DNF have fatigued


  • Decreased Neck Flexor Endurance associated with head posture dysfunction


  • Unknown

See Also


  1. Florencio, Lidiane Lima, et al. "Cervical muscular endurance performance in women with and without migraine." journal of orthopaedic & sports physical therapy 49.5 (2019): 330-336.
Created by:
John Kiel on 15 May 2023 08:18:11
Last edited:
15 May 2023 08:36:11