Cervical Rotation Lateral Flexion Test | First Rib Hypomobility
Lindren and colleagues 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.
In 1990, they came up with the cervical rotation lateral flexion test to assess hypomobility of the first rib, and in 1992 assessed the test’s 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’s the only study that ever described this test so the clinical value remains questionable at least.
To conduct the test the patient is in sitting position. The patient’s 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’s chest.
The 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.
What customers have to say about the Assessment E-Book
The Assessment E-Book This book helped me in my studying for my exam and in assessing my first patients. Awesome! Also for beginners!
The Assessment E-Book It’s an amazing Compilation! Congrats to all the work you have put in there. You’ll propably find all the test’s you’ve been looking for with propper explaination and source to doublecheck for you self. definetly a must have for every student, but it will also help an experienced practioner. Im looking forward to the lifelong updates on the topics.
Great work, guys
The Assessment E-Book A must-have for all physiotherapists, osteopaths and manual therapists. The authors conducted an extensive research on assessment tests in manual therapy. I find it very easy to read. The more I read the more I learn. Thank you!
The Assessment E-Book This book is great! It is very structured and detailed. It works extremely well on my Macbook and iPad.
The Assessment E-Book The best way to spend 80euros. Totally worth it. The amount of work you put behind this must have been absolutely huge. Every physical or physiotherapist should own it.
Congrats guys you’ve done an incredible job.
I’ve learnd a lot of new things and my approach to therapy in general have totally changed.
In one word: amazing. Keep going guys ! Best wishes from france.
The technical storage or access is strictly necessary for the legitimate purpose of enabling the use of a specific service explicitly requested by the subscriber or user, or for the sole purpose of carrying out the transmission of a communication over an electronic communications network.
The technical storage or access is necessary for the legitimate purpose of storing preferences that are not requested by the subscriber or user.
The technical storage or access that is used exclusively for statistical purposes.The technical storage or access that is used exclusively for anonymous statistical purposes. Without a subpoena, voluntary compliance on the part of your Internet Service Provider, or additional records from a third party, information stored or retrieved for this purpose alone cannot usually be used to identify you.
The technical storage or access is required to create user profiles to send advertising, or to track the user on a website or across several websites for similar marketing purposes.