Table 5.
Patient #2 - Right Cervical and Upper Trapezius Pain
| Mechanical Assessment: Active Range of Motion and Repeated Movements of the Cervical Spine | |||
|---|---|---|---|
|
| |||
| Day 1/Visit 1 Motion | AROM | Response after 1 rep | Repeated movement response |
| Protrusion | Full | Increased ERP | Worse - Increased pain |
| Flexion | Full | Increased PDM | Worse – Increased pain |
| Retraction | Moderate loss | Increased distal sx | Better – Increased ROM/Decreased pain |
| Extension | Moderate Loss | Increased PDM | Better – Increased ROM/Decreased pain (0.5/10) |
| R Lateral Flex | Min/mod loss | Increased PDM | NT |
| L Lateral Flex | Minimal loss | Increased PDM | NT |
| R Rotation | Moderate loss | Increased PDM | NT |
| L Rotation | Minimal loss | Increased PDM | NT |
|
| |||
| Day 3/Visit 2 | |||
|
| |||
| Protrusion | Full | NE | NE |
| Flexion | Full | NE | Worse – Produced right cervical pain |
| Retraction | Full | NE | Better – Decreased pain |
| Extension | Nil/minimal Loss | Increased PDM | Better – Increased ROM/Abolished pain |
| R Lateral Flex | Full | NT | NT |
| L Lateral Flex | Full | NT | NT |
| R Rotation | Nil/minimal loss | NT | NT |
| L Rotation | Full | NT | NT |
| R Side glide | Full | NT | NT |
| L Side glide | Full | NT | NT |