Patient Assessment Strain Vs. Sprain, Cervical Fractures

Front 1

With the patient seated, put the cervical spine through resisted range of motion, then through passive range of motion

Back 1

Strain vs. Sprain
O'Donoghue's Manuver
Pain during resisted range of motion signifies muscle strain. Pain during passive range of motion may indicate a sprain of any of these ligaments. alar ligaments, transverse ligaments, etc.

Front 2

With the patient sitting and the head slightly flexed, percuss the spinous process and associated musculature of each of the cervical vertebrae with a neurological reflex hammer.

Back 2

Cervical fractures
Spinal Percussion Test
Evidence of pain may indicate a fracture vertebra with no neurological compromise or disc lesion or neurological compromise

Front 3

With the patient supine, press on the patient's sternum with one hand. With the other hand, passively flex the patient's neck to the chest.

Back 3

Cervical Fractures
Soto-Hall Test

Front 4

Patient holding up the head to support the weight of the head on the cervical spine

Back 4

Cervical Fractures
Rust's Sign