Athletic Training & Sports Medicine Center

 

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Cranial Nerve Assessment: XI. Accessory (Spinal)

Examination type Neurological
Patient & Body Segment Positioning Patient needs to be in a comfortable position, either sitting or standing
Examiner Position The examiner needs to be anterior to (in front of) the patient
Performing the Test

Resist the patient in ROM of the neck including flexion, extension, and lateral flexion (left & right).  Also resist shoulder shrugging.

Tissues Being Tested Cranial nerve XI. Accessory or spinal nerve
Positive Test Weakness or reduced ROM
Interpretation Intracranial involvement
Common errors in performing exam Do not have the patient rotate head.  Also, be sure to compare bilaterally.
Factors possibly resulting in misinterpretation Make sure that the athlete understands what you are doing when performing the test
Related tests  Cranial nerve assessment
References Booher M. James. Athletic Injury Assessment. 4th edition. McGraw Higher Education 2000
Links:

http://www.meddean.luc.edu/lumen/MedEd/GrossAnatomy/h_n/cn/cn1/cn5.htm

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