| Cervical ROM - Active/Passive |  | 
| Flexion /50/ | Extension /60/ | 
| (L) Lateral Flexion /45/ | (R) Lateral Flexion /45/ | 
| (L) Rotation /80/ | (R) Rotation /80/ | 
| Reproduction of Pain/Symptoms• • • | Notes | 
| Thoracic ROM - Active |  | 
| Flexion | Extension | 
| (L) Rotation | (R) Rotation | 
| Manual Muscle Testing (MMT) |  | 
| Findings |  | 
| Cervical Orthopedic Tests |  | 
| Findings |  | 
| Soft Tissue Findings |  | 
| Soft Tissue: 1• • • | Finding(s)• • • | 
| Soft Tissue: 2• • • | Finding(s)• • • | 
| Soft Tissue: 3• • • | Finding(s)• • • | 
| Notes |  | 
| Joint Findings |  | 
| Joint: 1• • • | Restriction• • • | 
| Joint: 2• • • | Restriction• • • | 
| Joint: 3• • • | Restriction• • • | 
| Notes |  | 
| Neuromuscular Patterns |  | 
| Findings |  | 
| TMJ Findings |  | 
| Findings |  | 

