Flexion-Rotation Test

Mobility

Specific for C1-C2 dysfunction.

Purpose

Screen for Flexion-Rotation findings.

Execution

1. Lie supine with knees bent
2. Passively flex the cervical spine
3. Maintain full flexion and rotate the head left and right
4. Observe end range and symptom reproduction
5. Compare sides

Key Observations

• Normal >44 deg rotation in flexion
• Asymmetry indicates restriction

Views

• supine

Protocol

1. Observe from: supine.
2. Standardize start position and instructions.
3. Perform 2-3 trials per side when applicable.
4. Record key observations and any positive indicators.
5. Compare left vs right when applicable.

Reference

Toby Hall et al.