Transverse Ligament Stress Test

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Purpose

Test for hypermobility of the atlantoaxial articulation.

Technique ↑ Dutton, M. (2008). Orthopaedic: Examination, evaluation, and intervention (2nd ed.). New York: The McGraw-Hill Companies, Inc.

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• The patient is placed in a supine postion with the Therapist supporting the patient's head with the palms and 3rd-5th fingers.
• The Therapist then places the index fingers between the occiput and spinous process of C2, so the index fingers are over the neural arch of the C1 vetebra.
• The Therapist then lifts the patients head and C1 vetebra anteriorly, without allowing flexion or extension.
• The position should be held for 10-20 seconds.
• A positive test is the reoccurance of symptoms. 

Evidence

Provide the evidence for this technique here

Resources

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References

<a href="http://www.prohealthsys.com/anatomy/grays/arthrology/atlantoaxial_articulation.php">Atlantoaxial Articulation. Retrieved June 1, 2009, from Professional Health Systems Web site: http://www.prohealthsys.com/anatomy/grays/arthrology/atlantoaxial_articulation.php</a>