ROM Assessment Guide

Cervical ROM

Learn how to assess cervical movement using Active, Passive and Resisted ROM.

Movement Selector
Selected Movement

Flexion

Active ROM

Ask the client to bring the chin toward the chest.

Passive ROM

Support the head and gently move the cervical spine into flexion.

Resisted ROM

Client attempts cervical flexion while gentle resistance is applied against the forehead.

What to Observe

  • Pain
  • Range restriction
  • Compensation
  • Difference between sides
Assessment Flow

Assessment Flow

Observe→Active ROM→Passive ROM→Resisted ROM→Compare sides→Special Tests
Special Tests

Special Tests

Spurling’s Test

Use when cervical nerve root irritation is suspected.

Cervical Compression Test

Used to assess cervical compression symptoms and symptom provocation.

Cervical Distraction Test

Used to compare symptom response with cervical distraction.

Upper Cervical / Vertebral Artery Screening

Use appropriate cervical screening procedures according to training and scope of practice.

Quick Check

Quick Check

1. Which cervical movement brings the chin toward the chest?

2. Which cervical movement turns the head to look over the shoulder?

For educational revision only. ROM and orthopaedic test findings should be interpreted together with the client’s history, symptoms and other assessment findings.