Anterolateral Neck Flexors Strength Test

Purpose:
To asses the strength of the Anterolateral Neck Flexors (SCM and scalene on one side).

Procedure:

  • Patient is supine
  • Patient abducts arm to 90°, flexes the elbows to 90°, and rest their dorsal hands on the table.
  • Patient rotates the head away from the side being tested. Therapist stabilizes the side being tested.
  • Patient lifts the head into slight flexion and hold it against gravity.
  • Patient keeps the head lifted off the table (Grade 3).
  • Therapist holds the temporal region on the side being tested.
  • Therapist pushes in an oblique posterolateral direction, away from the tested side.

Positive Sign:
Weakness of the Anterolateral Neck Flexors if the patient is unable to keep the neck in flexion against gravity or the therapist’s pressure.