Resisted Isometric Movements

To perform resisted isometric movements the patient should be seated with their head in neutral. The same movements that were tested actively and passively are then performed isometrically against examiner resistance (flexion, extension, side flexion, rotation). The best way to test these movements is to tell the patient “Don’t let me move you” to ensure that the movement is as isometric as possible and that only a minimal amount of movement occurs. The examiner looks for impaired muscle activity as well as reproduction of symptoms such as pain  (Magee 2007).



Patient history
Active range of motion
Passive range of motion
Neurological testing