Signs, Symptoms, and Assessment of Upper Crossed Syndrome

The first and most obvious sign of upper crossed syndrome (named by Vladimir Janda) is the characteristic postural dysfunction of protracted scapulae, medially (internally) rotated humeri, hyperkyphotic (overly flexed) upper thoracic spine, and a protracted (anteriorly held) head.

cervical distraction test performed to assess a space occupying condition of the cervical spine

Special Orthopedic Assessment Tests for the Neck – Space Occupying Conditions

The term “space occupying condition” is used to describe a condition in which there is compression on a spinal nerve in the intervertebral foramen.

posterior glide / translation motion of the spine

Motions of the Cervical Spine

Table 1 shows average healthy ranges of axial motion of the cervical spine (head and neck), from the atlanto-occipital joint through the C7-T1 joint.