1) The patient assumes a sitting or supine position. The head is slightly flexed to further engage the alar ligament. The examiner assesses resting symptoms.
2) The examiner stabilizes the C2 SP using a pincer grasp. A firm grip ensures appropriate assessment of movement.
3) Either side flexion or rotation is passively initiated by the examiner. Movement of C2 is assessed during PROM.
4)+ test= Failure to "feel" movement of C2 SP during side flexion and rotation.
