Cranial Cervical Flexion Test

 Cranial Cervical Flexion Test

What is Cranial Cervical Flexion Test?

  • Cranial Cervical Flexion Test is used for Cervical Spine Examination

How it's Performed?

  • The patient is positioned in supine. During the ULTT that places a bias towards testing the patient’s response to tension placed on the median nerve, the examiner sequentially introduces the following movements to the symptomatic upper extremity.
    • Scapular depression
    • Shoulder abduction to approximately 90 degrees with the elbow flexed
    • Forearm supination, wrist and finger extension
    • Shoulder lateral rotation
    • Elbow extension
    • Contralateral then ipsilateral cervical side-bending

What does a positive Cranial Cervical Flexion Test mean?

  • A Positive Cranial Cervical Flexion Test is indicated by the presence of any of the following findings:
    • Reproduction of all or part of the patient’s symptoms
    • Side-to-side differences of greater than 10 degrees of elbow or wrist extension
    • On the symptomatic side, contralateral cervical side-bending increases the patient’s symptoms, or ipsilateral side-bending decreases the patient’s symptoms

Sensitivity & Specificity

  • Sensitivity: 97 %
  • Specificity: 22 %


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