{"id":12215,"date":"2022-10-20T12:08:12","date_gmt":"2022-10-20T10:08:12","guid":{"rendered":"https:\/\/www.physiotutors.com\/?post_type=wiki&#038;p=12215"},"modified":"2026-10-15T19:05:53","modified_gmt":"2026-10-15T17:05:53","slug":"accessory-nerve","status":"publish","type":"wiki","link":"https:\/\/www.physiotutors.com\/wiki\/accessory-nerve\/","title":{"rendered":"Accessory Nerve"},"featured_media":12216,"template":"","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":""},"class_list":["post-12215","wiki","type-wiki","status-publish","has-post-thumbnail","hentry"],"acf":{"free_access":"","app_link":"","sections":[{"acf_fc_layout":"page-header-detail-page","background":{"background_image":12216,"background_image_alt_text":"Accessory Nerve"},"heading":"Accessory Nerve | Cranial Nerve XI \/ CN XI Assessment","subheading":"Screening","content_editor":"","button_type":"internal_link","button_label":"Check our shop","button_style":"button-five","button_internal_link":4646,"button_anchor":"","button_url":"","button_file":null,"label":""},{"acf_fc_layout":"submenu","links":[{"button_type":"anchor","button_label":"Learn","button_internal_link":null,"button_anchor":"section-number-3","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Free sample","button_internal_link":null,"button_anchor":"section-number-5","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Assessment E-Book","button_internal_link":null,"button_anchor":"section-number-6","button_url":"","button_file":null}],"dropdown_label":"Go to","button_right":{"button_type":"internal_link","button_label":"Try Premium free","button_style":"button-three","button_internal_link":26802,"button_anchor":"","button_url":"","button_file":""},"button_description":""},{"acf_fc_layout":"content-content","section_options":{"vertical_alignment":"top","column_right_box":false,"column_left_width":"col-12 col-lg-4 offset"},"column_left":{"content_editor":"<h4>Learn<\/h4>"},"column_right":{"content_editor":"<h6>Accessory Nerve | Cranial Nerve XI \/ CN XI Assessment<\/h2>\n<span style=\"font-weight: 400;\">The accessory nerve (CN XI) is formed by cranial and spinal contributions. The cranial roots are functionally identical to the vagus nerve. The spinal roots innervate the sternocleidomastoid and upper part of the trapezius muscle. No diagnostic accuracy studies are available on these assessments so the clinical value is unknown<\/span>\n<div class=\"embed-container\">\n\n[embed]https:\/\/www.youtube.com\/watch?v=cVuH6wL1GU0[\/embed]\n\n<\/div>\n<span style=\"font-weight: 400;\">With the patient in sitting position inspect the neck are for atrophy. If no atrophy is apparent ask him to shrug his shoulders and not let you push the shoulders down. This assesses the upper trapezius.\u00a0<\/span>\n\n<span style=\"font-weight: 400;\">For the sternocleidomastoid, ask the patient to rotate the head in both directions against your resistance.<\/span>\n\n&nbsp;\n\n&nbsp;\n\nLearn more about the assessment of all cranial nerves below:\n<ul>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/olfactory-nerve\/\">Cranial Nerve I: Olfactory Nerve<\/a><\/li>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/optic-nerve\/\">Cranial Nerve II: Optic Nerve<\/a><\/li>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/oculomotor-nerve\/\">Cranial Nerve III: Oculomotor Nerve<\/a><\/li>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/trochlear-nerve\/\">Cranial Nerve IV: Trochlear Nerve<\/a><\/li>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/trigeminal-nerve\/\">Cranial Nerve V: Trigeminal Nerve<\/a><\/li>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/trigeminal-nerve\/\">Cranial Nerve VI: Abducens Nerve<\/a><\/li>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/facial-nerve\/\">Cranial Nerve VII: Facial Nerve<\/a><\/li>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/vestibulocochlear-nerve\/\">Cranial Nerve VIII: Vestibulocochlear Nerve<\/a><\/li>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/glossopharyngeal-nerve\/\">Cranial Nerve IX: Glossopharyngeal Nerve<\/a><\/li>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/vagus-nerve\/\">Cranial Nerve X: Vagus Nerve<\/a><\/li>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/hypoglossal-nerve\/\">Cranial Nerve XII: Hypoglossal Nerve<\/a><\/li>\n<\/ul>\n&nbsp;\n\n&nbsp;\n"}},{"acf_fc_layout":"content-content","section_options":{"vertical_alignment":"top","column_right_box":false,"column_left_width":"col-12 col-lg-4 offset"},"column_left":{"content_editor":"<h4>References<\/h4>"},"column_right":{"content_editor":"<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/24307604\/\" target=\"_blank\" rel=\"noopener\">Damodaran, O., Rizk, E., Rodriguez, J., &amp; Lee, G. (2014). Cranial nerve assessment: a concise guide to clinical examination.\u00a0<i>Clinical Anatomy<\/i>,\u00a0<i>27<\/i>(1), 25-30.<\/a>"}},{"acf_fc_layout":"cta-form-v2","content_editor":"<h2>Get the <strong>21 most useful<\/strong> orthopedic tests<\/h2>\r\n<p>Download our <strong>free<\/strong> e-book with the 21 most useful orthopedic tests per body region, to help you reach the right diagnosis.<\/p>","form":"39","image":29349,"image_alt_text":"Free e-book with 21 orthopedic tests"},{"acf_fc_layout":"cta-image-v2","layout":"","background":"transparent","heading":"","content_editor":"<p class=\"subheading\">Like what you\u2019re learning?<\/p>\n<p class=\"heading-two\">Get the full Physiotutors <strong>Assessment Book<\/strong><\/p>\n\n<ul>\n \t<li>600+ pages on orthopedic assessment<\/li>\n \t<li>Video demonstrations and direct links to the PubMed studies<\/li>\n \t<li>Statistical values for every special test, from the latest research<\/li>\n \t<li>Free lifetime updates<\/li>\n \t<li>Available in English, German, French, Spanish, Italian, Portuguese and Turkish<\/li>\n<\/ul>","button_type":"internal_link","button_label":"See the Assessment Book","button_style":"button-two","button_internal_link":4646,"button_anchor":"","button_url":"","button_file":null,"side_button":{"side_button_content_editor":""},"bottom_button":{"bottom_button_content_editor":""},"image":22705,"image_alt_text":""}]},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Accessory Nerve | Cranial Nerve XI \/ CN XI Assessment<\/title>\n<meta name=\"description\" content=\"The Accessory Nerve (CN XI) is the eleventh of 12 cranial nerves and supplies the sternocleidomastoid and trapezius muscles of the neck.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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