- For Bell’s palsy
- Chvostek’s test
- To assess facial nerve
- Orbicularis oris strength test, AR
- To confirm Bell’s palsy
- Positive sign : Patient cannot keep their eyes closed against therapist’s resistance.
- Chvostek’s test
- TMJ disorder
- Three- Kunkle test
- To demonstrate the available active range of depression of the mandible
- Positive sign: if the client can get only one knuckle or no knuckles at all between the incisors
- TMJ joint, AF ROM
- To assess for the motion of the mandible at the temporomandibular joint
- Positive sign: clicking, crepitus, asymmetry of motion and pain
- Three- Kunkle test
- Muscle test
- Swallowing test
- To see if the cause of the pain when swallowing, is trigger points on the SCM
- Positive Sign: pain diminishes when the client swallows as you pincer grasp the most tender point
- pain may be caused by throat infection, hematoma, bony protruberance of the cervical spine or tumor so client should be advised to see a medical doctor.
- Scalene cramp test
- To reproduce the pain of active scalene trigger points
- Positive sign : pain in the referred pattern for the scalene muscles
- Scalene relief test
- To assess for the presence of active trigger points in the anterior scalene muscle.
- Positive sign: reduction of pain
- Swallowing test
- Cervical spine test
- Vertebral artery test
- To assess for circulation deficiency of the vertebral artery at the transverse foramen
- Positive sign : vertigo, nausea, nystagmus
- If the test is positive, the client’s head is smoothly and quickly returned to the neutral position.
- Do not perform further testing, refer the client to a physician.
- Spurling’s test
- To assess for compression of a cervical nerve root or for facet joint irritation.
- Positive sign
- if nerve root compression: radiating pain or other neurological sign(numbness)
- if facet joint irritation : pain in local
- do not perform this test if the vertebral artery test is positive
- Cervical compression test
- To assess for compression of a cervical nerve root or for facet joint irritation.
- Positive sign
- if nerve root compression: radiating pain or other neurological sign(numbness)
- if facet joint irritation : pain in local
- Cervical distraction test
- To relieve pressure on the cervical nerve roots
- Particularly following Spurling’s or cervical compression test)
- Positive sign : reduction of the client’s pain
- Vertebral artery test
Orthopedic Test – Head, Neck(cervical spine) and face
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