Follows a dermatome or myotome distribution
Diminished muscle tendon reflexes
Sensory changes
Motor weakness
If C6 is affected: diminished brachioradialis reflex, bicep muscle weakness, paresthesias in the arms to the thumb/index finger
If C7 is affected: diminished triceps reflex, tricep muscle weakness, paresthesias radiating in the arms to the middle finger
Spurling maneuver (neck compression test)
With patients head extended and rotated to affected side, apply pressure to top of head
Positive if it produces pain or parasthesias beyond the shoulder
High specificity (0.89-1.00) with variable sensitivity (0.38-0.97)
Diminished muscle tendon reflexes
Sensory changes
Motor weakness
With patients head extended and rotated to affected side, apply pressure to top of head
Positive if it produces pain or parasthesias beyond the shoulder
High specificity (0.89-1.00) with variable sensitivity (0.38-0.97)
Cervical radiculopathy
Musculoskeletal
Long thoracic neuropathy
Torticollis
Epidural compression syndromes
Dystonic reaction
Cervical disk herniation
Cervical spondylosis