In concussion examination for cervical MSK impairments, which domains are typically assessed?

In concussion examination for cervical MSK impairments, which domains are typically assessed?

• A. ROM; muscle strength/endurance; tenderness to palpation; cervical/scapulothoracic regions; PROM C/S and T/S
• B. Only radiographic imaging findings
• C. Hearing and balance testing only
• D. Gait analysis exclusively

Answer: (A)

When evaluating concussion with suspected cervical musculoskeletal involvement, you focus on how the neck and upper thorax move and function. Starting with range of motion shows you what motions are restricted and whether stiffness could be contributing to symptoms like neck pain or headaches. Assessing strength and endurance of the neck muscles and the scapular stabilizers reveals any weakness or fatigability that might alter cervical mechanics and provoke symptoms during activity. Palpation for tenderness helps identify myofascial pain sources and hyperirritable spots in surrounding muscles that can amplify neck-related symptoms. Looking at the cervical and scapulothoracic regions together recognizes how the upper spine and shoulder girdle work as a unit; dysfunction here—like altered posture or poor scapular motion—can drive ongoing symptoms and affect recovery. Finally, measuring passive range of motion in the cervical and thoracic spine provides objective mobility data and informs safe progression of rehab and return-to-play. Imaging or isolated hearing/balance or gait assessments are not the primary focus when specifically examining cervical MSK impairments, though they may be part of broader concussion evaluation.

When evaluating concussion with suspected cervical musculoskeletal involvement, you focus on how the neck and upper thorax move and function. Starting with range of motion shows you what motions are restricted and whether stiffness could be contributing to symptoms like neck pain or headaches. Assessing strength and endurance of the neck muscles and the scapular stabilizers reveals any weakness or fatigability that might alter cervical mechanics and provoke symptoms during activity. Palpation for tenderness helps identify myofascial pain sources and hyperirritable spots in surrounding muscles that can amplify neck-related symptoms. Looking at the cervical and scapulothoracic regions together recognizes how the upper spine and shoulder girdle work as a unit; dysfunction here—like altered posture or poor scapular motion—can drive ongoing symptoms and affect recovery. Finally, measuring passive range of motion in the cervical and thoracic spine provides objective mobility data and informs safe progression of rehab and return-to-play. Imaging or isolated hearing/balance or gait assessments are not the primary focus when specifically examining cervical MSK impairments, though they may be part of broader concussion evaluation.