5290. Limitation Of Motion Of Cervical Spine

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<H3 style="MARGIN: auto 0in">5290. LIMITATION OF MOTION OF CERVICAL SPINE</H3><H3 style=MARGIN: auto 0in">

INITIAL EXAM, AMIE WORKSHEET # 1440, 1450 </H3>EXAMINATION:

The examiner should:

1. Describe the history of the disease, including time of onset, progression and effects of any therapeutic interventions on comfort or mobility of spine. If associated with other rheumatological conditions, please specify.

2. Similarly, describe any other joints involved.

3. Record range of motion:

a. Forward flexion: the angle between a line tangential to the spine posteriorly at C-7 and a line parallel to the spinous process in forward flexion. Normal is at least 60 degrees.

b. Backward extension: the angle between the plane of the occiput and the plane of the spine at T-1 in extension. Normal is at least 75 degrees.

c. Lateral flexion: the angle between the vertical and the axis of the upper cervical spine in maximal right and left tilting in the coronal plane. Normal is 40 degrees right and left.

d. Rotation: measured as the angle between the transverse angle of the shoulders and the occipito-mental line at maximum rotation of head and neck to right and left. Normal is 55 degrees right and left (total 100 degrees).

4. Record any neurological deficits.

DIAGNOSTIC TEST RESULTS:

X-ray of cervical spinal axis from occiput to T-1 to establish diagnosis and assess deformity.

DIAGNOSIS:

The examiner should specify the anatomical and pathophysiological diagnosis.

Whether position is favorable or unfavorable.