Flexion Rotation Test

Execution:

  1. Patient is in supine lying position with the cervical spine in maximal flexion
  2. The examiner passively brings the patient’s upper cervical spine into maximal rotation to both sides

Positive Outcome: ≥10° reduction in passive ROM compared to the healthy average of 44° (so ≤34° of PROM)

 

Study

Reliability Sn Sp LR+

LR-

Hall et al. (2010)

Inter к= 0.95-0.97

NA NA NA

NA

Ogince et al. (2007)

Inter к= 0.81

91 90 9.1

0.1

Hall et al. (2010):Cut-off at 30° of rotation

NA

70 70 2.33

0.42

Comment: This test is excellent to detect a limitation in rotation on C1/C2 in patients with cervicogenic headache compared to healthy participants, while its accuracy is limited to distinguish patients with cervicogenic headache from other forms of headaches