Cervical Flexion-Rotation Syndrome

Cervical Flexion-Rotation Syndrome


Similar to Cervical Flexion Syndrome, the neck is more painful when it is straight or flexed.  Additionally, there is an asymmetry that causes a deviation into flexion during cervical rotation.  This is due to dominance of extrinsic rotators vs. intrinsic rotators.

Diagnostic Tests:

Kinetic Control / Uncontrolled Movement Tests:

  • Cervical Side-Bend Control – Head Turn Test
  • Cervical Rotation Control – Head Tilt Test
  • Low Cervical Side-Bend Control – Upper Neck Tilt Test
  • Upper Cervical Side-Bend Control – Lower Neck Lean Test


Improve performance of intrinsic cervical extensors.

Improve performance of intrinsic cervical rotators.

Identify unilateral activities during every day life and modify or eliminate them.

Improve thoracic flexion.


These are primarily sourced from work by the great Shirley Sahrmann PhD. I use these pages as a personal reference for this type of information.


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