Youtor
Alar Ligament Test
>> YOUR LINK HERE: ___ http://youtube.com/watch?v=0UYfVGxTBX0
Alar Ligament Test • Purpose of Test: The alar ligament test assesses the integrity of the alar ligament. The alar ligament connects the occipital condyles to the dens of the axis. When intact, the alar ligament produces ipsilateral rotation of C2 with lateral cervical flexion. • It is crucial to screen the upper cervical ligaments when there is a question of cervical trauma. • Step 1: 0:23 With the patient lying supine, support their head with both hands and palpate the C2 spinous process with your index finger tips. • Step 2: 0:39 Laterally flex the patient’s head, while palpating the C2 spinous process to confirm ipsilateral rotation of C2 with lateral flexion. You will palpate the spinous process moving in the opposite direction of the lateral flexion. • IE. When side bending to the right, the C2 spinous process should move left. • Check both sides • A positive alar ligament test is indicated by a delay or absence in movement of the C2 spinous process with lateral flexion of the cervical spine. • Evidence: • Wise and Shenk, 2011 ISC 21.1.5 pp. 19-21 • IFOMPT Cervical Screening Document
#############################
