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Extension/Retraction Biased Neck Pain Cheat Sheet (DRAFT) by

Presentation, management, etc

This is a draft cheat sheet. It is a work in progress and is not finished yet.


- Cx protrusion = upper cx ext and lower cx flexion
- Cx retraction = upper cx flexion and lower cx ext


- Cx retraction testing - pt retracts head then back to neutral
- Seated Cx retrac­tion: full retraction with 2 seconds end range overpr­essure to chin
- Seated Cx retraction + overpr­essure - full retraction + 2 secs of end range overpr­essure with one hand , opposite hand applied counter pressure to patients upper tx
- Sustained prone retrac­tion: Pt lies prone with elbows on the table, head resting on fists, pt moves into full retraction and holds for 30 secs
- Repeated prone retrac­tion, pt lies prone with elbows on the table and head resting on clasped hands, pt moves into full retraction for 2 secs then neutral