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Transverse Ligament Stress Test

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Other Names

The Transverse Ligament Stress Test[1]
  • Transverse Ligament Test
  • Alar Ligament Stress Test
  • Alar Ligament Test



  • The patient is in the supine position
  • The examiner supports the patients head with palms and digits
  • The examiner places index finger between occiput and SP of C2 over the neural arch of C1
  • The patients head is then lifted at the C1 vertebrae anteriorly with care to keep the neck in neutral
  • The position should be held for 10-20 seconds.
  • Positive test is reproduction of patients symptoms
    • Abnormal pupil response
    • Eye twitching or nystagmus
    • Soft end feel
    • Muscle spasm
    • Dizziness
    • Nausea
    • Paresthesia of the lip face or limb
    • Lump sensation in the throat



  • Unknown

See Also


  1. Beazell, James R., and Eric M. Magrum. "Rehabilitation of head and neck injuries in the athlete." Clinics in sports medicine 22.3 (2003): 523-557.
Created by:
John Kiel on 13 August 2019 12:16:23
Last edited:
25 May 2023 06:44:12