Method Of Exam

• Inspect the neck and shoulders.
• Instruct the patient to shrug their shoulders (Trapezius) against resistance to check the degree and symmetry of muscle power.
• Check the full range of motion of neck, noting flexion to the chest, extension, rotation and tilting towards each shoulder.
• Test for patient's strength by trying to overpower (gently) his neck flexion, extension, and rotation to either side and lateral motion.

Normal:

• 30 degree rotation, able to touch chest with chin, 55 degree extension and 40 degree lateral bend.
• No resistance during the range of motion.
• Can resist reasonable power.