NECK - SHOULDER PAIN

KINETIC CONTROL MOVEMENT TEST

1. Neck Flexion and Extension Control:
- Test Procedure: The individual performs controlled neck flexion and extension
movements while seated or standing.
- Observations: Assess for smooth and controlled movement without
compensatory strategies (e.g., excessive tilting or rotation of the head).
- Interpretation: Jerky or uncontrolled movements may indicate issues with the
coordination and control of neck flexors and extensors.

2. Shoulder Scapular Control Test:

- Test Procedure: The person performs various arm movements (e.g., shoulder
flexion, abduction) while the evaluator observes scapular movement.
- Observations: Look for coordinated and controlled scapular movement without
excessive upward or downward rotation or winging.
- Interpretation: Aberrant scapular movements may suggest weaknesses or
imbalances in the muscles controlling scapular motion.

3. Cervical Rotation Control Test:

- Test Procedure: The individual rotates the head to each side while maintaining a
neutral spine.
- Observations: Assess for smooth and controlled rotation without compensatory
movements such as lateral flexion.
- Interpretation: Jerky or restricted movement may indicate issues with cervical
rotation control.
4. Upper Trapezius and Levator Scapulae Control Test:
- Test Procedure: The person elevates and depresses the shoulders, and the
evaluator observes controlled movement without excessive shrugging.
- Observations: Look for coordinated activation and relaxation of the upper
trapezius and levator scapulae.
- Interpretation: Inappropriate activation or excessive tension in these muscles
may suggest poor control.

5. Deep Neck Flexor Endurance Test:

- Test Procedure: The individual maintains a specific head position (e.g., chin tuck)
for an extended period.
- Observations: Observe the ability to sustain the position without signs of fatigue
or compensation.
- Interpretation: Early fatigue or difficulty maintaining the position may indicate
weakness in the deep neck flexors.

6. Shoulder Girdle Stability Test:

- Test Procedure: The individual performs arm movements in different planes, and
the evaluator assesses the stability of the shoulder girdle.
- Observations: Look for smooth and controlled movements without excessive
shoulder elevation or instability.
- Interpretation: Instability or compensatory movements may suggest issues with
shoulder girdle control.
7. Cervical Spine Segmental Mobility Test:
- Test Procedure: The evaluator assesses the segmental mobility of the cervical
spine by gently applying pressure to individual vertebrae.
- Observations: Observe the range and quality of movement at each cervical
segment.
- Interpretation: Restricted or excessive movement at specific segments may
indicate issues with cervical spine mobility.

Neck movement control test

 GLUTEUS MEDIUS

KINETIC CONTROL MOVEMENT TEST

1. Single-Leg Bridge Test:

- Test Procedure: The individual lies on their back with knees bent and feet flat on the
ground. They lift one leg off the ground and then lift the hips, maintaining a straight line
from the shoulders to the lifted knee.

- Observations: Assess for pelvic stability and control during the single-leg bridge, looking
for any drop or tilt on the side of the lifted leg.

- Interpretation: Difficulty maintaining pelvic stability may suggest weakness or poor

control of the gluteus medius.

2. Single-Leg Squat Test:

- Test Procedure: The person stands on one leg and performs a controlled squat,
maintaining proper alignment of the knee and hip.

- Observations: Look for any lateral deviation or collapse of the hip and knee during the
squat.

- Interpretation: Deviations may indicate a lack of control or strength in the gluteus

medius.

3. Trendelenburg Test:

- Test Procedure: The individual stands on one leg with the other leg lifted. The evaluator
observes for any pelvic drop on the unsupported side.

- Observations: Note any dropping of the pelvis on the side opposite to the stance leg.

- Interpretation: Pelvic drop may suggest inadequate gluteus medius function on the
stance leg.
4. Sidelying Hip Abduction Test:

- Test Procedure: The person lies on their side, and the evaluator assesses the ability to
lift the top leg while maintaining a neutral pelvis.

- Observations: Look for compensatory movements, such as pelvic rotation or lateral

trunk tilting.

- Interpretation: Compensations may indicate weakness or poor control of the gluteus

medius.

5. Single-Leg Standing Test:

- Test Procedure: The individual stands on one leg while maintaining proper alignment of
the pelvis and trunk.

- Observations: Assess for any lateral pelvic tilt, hip drop, or other signs of instability
during single-leg standing.

- Interpretation: Difficulty maintaining stability may suggest weaknesses or imbalances in

the gluteus medius, affecting overall hip control.

6. Step-Down Test:

- Test Procedure: The individual steps down from a platform or step while maintaining
control of the descent.

- Observations: Assess for proper hip and knee alignment during the step-down.

- Interpretation: Poor control may be indicative of gluteus medius weakness or

dysfunction.