{"id":12713,"date":"2022-11-11T15:46:17","date_gmt":"2022-11-11T14:46:17","guid":{"rendered":"https:\/\/www.physiotutors.com\/?post_type=wiki&amp;p=12713"},"modified":"2022-11-11T15:46:17","modified_gmt":"2022-11-11T14:46:17","slug":"cervical-rotation-lateral-flexion-test","status":"publish","type":"wiki","link":"https:\/\/www.physiotutors.com\/wiki\/cervical-rotation-lateral-flexion-test\/","title":{"rendered":"Cervical Rotation Lateral Flexion Test"},"featured_media":12714,"template":"","class_list":["post-12713","wiki","type-wiki","status-publish","has-post-thumbnail","hentry"],"acf":{"sections":[{"acf_fc_layout":"page-header-detail-page","background":{"background_image":12714,"background_image_alt_text":"Cervical Rotation Lateral Flexion Test"},"heading":"Cervical Rotation Lateral Flexion Test | First Rib Hypomobility","subheading":"Thoracic Spine Assessment","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":"","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":"Assessment E-Book","button_internal_link":null,"button_anchor":"section-number-4","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Reviews","button_internal_link":null,"button_anchor":"section-number-5","button_url":"","button_file":null}],"dropdown_label":"Go to","button_right":{"button_type":"internal_link","button_label":"Become a member","button_style":"button-three","button_internal_link":16662,"button_anchor":"","button_url":"","button_file":""},"button_description":"Find this wiki on the Physiotutors platform"},{"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>Cervical Rotation Lateral Flexion Test | First Rib Hypomobility<\/h2>\n<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/2327890\/\" target=\"_blank\" rel=\"noopener\">Lindren and colleagues<\/a> argue that hypomobility of the first rib within the upper aperture of the thoracic cage can cause neural irritation and lead to symptoms known as thoracic outlet syndrome and limit cervical range of motion as well.\n\nIn 1990, they came up with the cervical rotation lateral flexion test to assess hypomobility of the first rib, and in <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/1642524\/\" target=\"_blank\" rel=\"noopener\">1992<\/a> assessed the test\u2019s inter-rater reliability and validity against cineradiography in assessing first rib elevation. In a sample of 23 patients, they found an excellent Kappa value of 1 and a positive test correlated with limited elevation of the first rib on cineradiography. The sample in the study is fairly small and it\u2019s the only study that ever described this test so the clinical value remains questionable at least.\n<div class=\"embed-container\">\n\n[embed]https:\/\/www.youtube.com\/watch?v=dn95zk-bx6A[\/embed]\n\n<\/div>\nTo conduct the test the patient is in sitting position. The patient\u2019s head is rotated away from the affected side and then lateral flexion is added in the opposite direction than flexion so that the ear moves towards the patient\u2019s chest.\n\nThe test is positive if there is no movement of lateral flexion along the axis of the costotransverse joint or if a bony restriction blocks the movement.\n\nAnother way to assess for hypomobility of the first rib is the direct <a href=\"https:\/\/www.physiotutors.com\/wiki\/first-rib-assessment\/\">assessment of first rib hypomobility<\/a>.\n\nIf you are curious to learn more about joint play assessment &amp;\u00a0 treatment of the costotransversal joints, click <a href=\"https:\/\/www.physiotutors.com\/nl\/wiki\/rib-joint-play\/\">here<\/a>.\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\/2327890\/\" target=\"_blank\" rel=\"noopener\">Lindgren, K. A., Leino, E., Hakola, M., &amp; Hamberg, J. (1990). Cervical spine rotation and lateral flexion combined motion in the examination of the thoracic outlet.\u00a0<i>Archives of physical medicine and rehabilitation<\/i>,\u00a0<i>71<\/i>(5), 343-344.<\/a>\n\n<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/1642524\/\" target=\"_blank\" rel=\"noopener\">Lindgren, K. A., Leino, E., &amp; Manninen, H. (1992). Cervical rotation lateral flexion test in brachialgia.\u00a0<i>Archives of physical medicine and rehabilitation<\/i>,\u00a0<i>73<\/i>(8), 735-737.<\/a>"}},{"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\">BUY THE FULL PHYSIOTUTORS <strong>ASSESSMENT BOOK<\/strong><\/p>\n\n<ul>\n \t<li>600+ Pages e-Book<\/li>\n \t<li>Interactive Content (Direct Video Demonstration, PubMed articles)<\/li>\n \t<li>Statistical Values for all Special Tests from the latest research<\/li>\n \t<li>Available in \ud83c\uddec\ud83c\udde7 \ud83c\udde9\ud83c\uddea \ud83c\uddeb\ud83c\uddf7 \ud83c\uddea\ud83c\uddf8 \ud83c\uddee\ud83c\uddf9 \ud83c\uddf5\ud83c\uddf9 \ud83c\uddf9\ud83c\uddf7<\/li>\n \t<li>And much more!<\/li>\n<\/ul>","button_type":"internal_link","button_label":"Check out our 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