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DynaMo Plus Test: Neck Strength Protocol

Liesl Thrum
  • Updated

Neck Flexion

Neck Extension

Neck Lateral Flexion

Neck Protraction

Neck Retraction

Neck Flexion
Seated Compression

Patient position Sitting at the edge of the table with their arms crossed and hands on opposite shoulders, and their feet flat on the ground.
Contact point Anterior aspect of patient's forehead.
Device orientation Horizontal, with the palm pad supported by the practitioner and the curved pad in contact with the patient.
Position of examiner Standing adjacent to the patient, with one hand holding the DynaMo Plus and resisting anterior force applied by the patient, the other supporting the patient's upper back.
Instruction Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.
Attachments Palm pad and curved pad.

Neck Flexion
Seated Tension

Patient position Seated on a chair with feet on the floor and both hands rested on the patient's thighs.
Contact point The tie-down strap in contact with the front of the patient's head, at the level of the forehead.
Device orientation Horizontal, linked to the tie-down strap at one end and anchored to a fixed surface by the cable strap at the other, anterior to the patient.
Position of examiner Seated next to the patient in a position to orientate the DynaMo Plus, instruct and demonstrate the movement.
Instruction Pull the DynaMo Plus as hard as you can. 3, 2, 1 - pull, pull, pull and relax.
Attachments Tie-down and cable strap.

Neck Flexion
Standing Compression

Patient position Sitting at the edge of the table with their arms crossed and hands on opposite shoulders, and their feet flat on the ground.
Contact point Anterior aspect of patient's forehead.
Device orientation Horizontal, with the palm pad supported by the practitioner and the curved pad in contact with the patient.
Position of examiner Standing adjacent to the patient, with one hand holding the DynaMo Plus and resisting anterior force applied by the patient, the other supporting the patient's upper back.
Instruction Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.
Attachments Palm pad and curved pad.

Neck Flexion
Standing Tension

Patient position Standing upright with their arms at their side.
Contact point Around the patient's head, just superior to the level of the occiput.
Device orientation Horizontal, connected to the tie down strap at one end and attached to a fixed surface posterior to the patient.
Position of examiner Standing next to the patient in position to instruct and demonstrate the movement.
Instruction Pull the DynaMo Plus as hard as you can. 3, 2, 1 - pull, pull, pull and relax.
Attachments Tie-down strap and cable strap.

Neck Flexion
Supine Tension

Patient position Supine, with their arms crossed, and their head extending past the edge of the table so that it remains unsupported.
Contact point Circumference of the patient's head via the cable strap.
Device orientation Vertical, with the cable strap around the patient's head and the hand attachment held by the practitioner, posterior to the patient's head.
Position of examiner Standing adjacent to the patient's head, supporting the DynaMo Plus with both hands.
Instruction Pull the DynaMo Plus as hard as you can. 3, 2, 1 - pull, pull, pull and relax.
Attachments Hand attachment and cable strap.

Neck Extension
Seated Compression

Patient position Sitting at the edge of the table with their arms crossed and hands on opposite shoulders, and their feet flat on the ground.
Contact point Posterior aspect of patient's head, just superior to the occiput.
Device orientation Horizontal, with the palm pad supported by the practitioner and the curved pad in contact with the patient.
Position of examiner Standing adjacent to the patient, with one hand holding the DynaMo Plus and resisting posterior force applied by the patient, the other placed on the patient's arms supporting the patient's torso anteriorly.
Instruction Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.
Attachments Palm pad and curved pad.

Neck Extension
Standing Compression

Patient position Sitting at the edge of the table with their arms crossed and hands on opposite shoulders, and their feet flat on the ground.
Contact point Posterior aspect of patient's head, just superior to the occiput.
Device orientation Horizontal, with the palm pad supported by the practitioner and the curved pad in contact with the patient.
Position of examiner Standing adjacent to the patient, with one hand holding the DynaMo Plus and resisting posterior force applied by the patient, the other placed on the patient's arms supporting the patient's torso anteriorly.
Instruction Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.
Attachments Palm pad and curved pad.

Neck Extension
Standing Tension

Patient position Standing upright with their arms at their side.
Contact point Around the patient's head, just superior to the level of the occiput.
Device orientation Horizontal, connected to the tie down strap at one end and attached to a fixed surface anterior to the patient.
Position of examiner Standing next to the patient in position to instruct and demonstrate the movement.
Instruction Pull the DynaMo Plus as hard as you can. 3, 2, 1 - pull, pull, pull and relax.
Attachments Tie-down strap and cable strap.

Neck Extension
Prone Tension

Patient position Prone, with their arms hugging the edge of the table, and their head extending past the edge of the table so that it remains unsupported.
Contact point Circumference of the patient's head via the cable strap.
Device orientation Vertical, with the cable strap around the patient's head and the hand attachment held by the practitioner, anterior to the patient's head.
Position of examiner Standing adjacent to the patient's head, supporting the DynaMo Plus with both hands.
Instruction Pull the DynaMo Plus as hard as you can. 3, 2, 1 - pull, pull, pull and relax.
Attachments Cable strap and hand attachment.

Neck Lateral Flexion (Left)
Seated Compression

Patient position Sitting off the edge of the bed with feet on the floor, their arms relaxed at their sides and hands on their thighs.
Contact point On the temporal bone, just superior to the ear.
Device orientation Horizontal, with the palm pad supported by the assessor and the curved pad in contact with the patient.
Position of examiner Standing beside the patient, holding the DynaMo Plus with one hand, applying lateral pressure and supporting the patient's opposite shoulder to ensure they remain stable with the other hand.
Instruction Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.
Attachments Curved pad, palm pad.

Neck Lateral Flexion (Left)
Standing Compression

Patient position Standing with their arms at their sides.
Contact point Lateral aspect of patient's head, on the temporal bone.
Device orientation Horizontal, with the practitioner supporting the palm pad and the curved pad in contact with the patient.
Position of examiner Standing adjacent to the patient, supporting the DynaMo Plus with one hand and supporting the patient's opposite shoulder with the other.
Instruction Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.
Attachments Palm pad and curved pad.

Neck Lateral Flexion (Left)
Prone Tension

Patient position Prone, with their arms hugging the edge of the table, and their head extending past the edge of the table so that it remains unsupported.
Contact point Circumference of the patient's head via the cable strap.
Device orientation Horizontal, with the cable strap around the patient's head and the hand attachment held by the practitioner, to the right of the patient's head.
Position of examiner Standing adjacent to the patient's head, supporting the DynaMo Plus with both hands.
Instruction Pull the DynaMo Plus as hard as you can. 3, 2, 1 - pull, pull, pull and relax.
Attachments Cable strap and hand attachment.

Neck Lateral Flexion (Right)
Seated Compression

Patient position Sitting off the edge of the bed with feet on the floor, their arms relaxed at their sides and hands on their thighs.
Contact point On the temporal bone, just superior to the ear.
Device orientation Horizontal, with the palm pad supported by the assessor and the curved pad in contact with the patient.
Position of examiner Standing beside the patient, holding the DynaMo Plus with one hand, applying lateral pressure and supporting the patient's opposite shoulder to ensure they remain stable with the other hand.
Instruction Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.
Attachments Curved pad, palm pad.

Neck Lateral Flexion (Right)
Standing Compression

Patient position Standing with their arms at their sides.
Contact point Lateral aspect of patient's head, on the temporal bone.
Device orientation Horizontal, with the practitioner supporting the palm pad and the curved pad in contact with the patient.
Position of examiner Standing adjacent to the patient, supporting the DynaMo Plus with one hand and supporting the patient's opposite shoulder with the other.
Instruction Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.
Attachments Palm pad and curved pad.

Neck Lateral Flexion (Right)
Prone Tension

Patient position Prone, with their arms hugging the edge of the table, and their head extending past the edge of the table so that it remains unsupported.
Contact point Circumference of the patient's head via the cable strap.
Device orientation Horizontal, with the cable strap around the patient's head and the hand attachment held by the practitioner, to the right of the patient's head.
Position of examiner Standing adjacent to the patient's head, supporting the DynaMo Plus with both hands.
Instruction Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.
Attachments Cable strap and hand attachment.

Neck Protraction
Seated Compression

Patient position Sitting at the edge of the table with their arms crossed and hands on opposite shoulders, and their feet flat on the ground.
Contact point Anterior aspect of patient's forehead.
Device orientation Horizontal, with the palm pad supported by the practitioner and the curved pad in contact with the patient.
Position of examiner Standing adjacent to the patient, with one hand holding the DynaMo Plus and resisting anterior force applied by the patient, the other supporting the patient's upper back.
Instruction Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.
Attachments Palm pad and curved pad.

Neck Protraction
Seated Tension

Patient position Seated on a chair with feet on the floor and both hands rested on the patient's thighs.
Contact point The tie-down strap in contact with the front of the patient's head, at the level of the forehead.
Device orientation Horizontal, linked to the tie-down strap at one end and anchored to a fixed surface by the cable strap at the other, anterior to the patient.
Position of examiner Seated next to the patient in a position to orientate the DynaMo Plus, instruct and demonstrate the movement.
Instruction Pull the DynaMo Plus as hard as you can. 3, 2, 1 - pull, pull, pull and relax.
Attachments Tie-down and cable strap.

Neck Retraction
Seated Compression

Patient position Sitting at the edge of the table with their arms crossed and hands on opposite shoulders, and their feet flat on the ground.
Contact point Anterior aspect of patient's forehead.
Device orientation Horizontal, with the palm pad supported by the practitioner and the curved pad in contact with the patient.
Position of examiner Standing adjacent to the patient, with one hand holding the DynaMo Plus and resisting anterior force applied by the patient, the other supporting the patient's upper back.
Instruction Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.
Attachments Palm pad and curved pad.

Neck Retraction
Seated Tension

Patient position Seated on a chair with feet on the floor and both hands rested on the patient's thighs.
Contact point The tie-down strap in contact with the front of the patient's head, at the level of the forehead.
Device orientation Horizontal, linked to the tie-down strap at one end and anchored to a fixed surface by the cable strap at the other, anterior to the patient.
Position of examiner Seated next to the patient in a position to orientate the DynaMo Plus, instruct and demonstrate the movement.
Instruction Pull the DynaMo Plus as hard as you can. 3, 2, 1 - pull, pull, pull and relax.
Attachments Tie-down and cable strap.

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