What defines a positive result in the craniocervical flexion test for cervicogenic headaches?

• A. Increased flexion of the head
• B. Decrease in neck pain during the test
• C. Ability to maintain an increased head position
• D. Reproduction of symptoms in extension

Answer: (C)

In the craniocervical flexion test, a positive result is determined by the ability to maintain an increased head position. This test specifically assesses the function of the deep cervical flexor muscles, particularly the longus colli and longus capitis, which play a crucial role in stabilizing the cervical spine and controlling head posture.

When a patient successfully maintains an increased head position during the test, it indicates that these muscles are functioning effectively, which is important because dysfunction in these muscles is commonly associated with cervicogenic headaches. A proper response in this test can help clinicians differentiate between various types of headaches and provide targeted interventions.

Other options provided do not align with the criteria for a positive test result. For example, increased flexion of the head may occur without indicating muscle control and coordination. A decrease in neck pain during the test does not necessarily reflect the specific stabilizing function being assessed and might not relate directly to the mechanics of cervicogenic headaches. Lastly, reproduction of symptoms in extension relates to different pathologies and does not pertain to the in-depth assessment of cervical flexor strength or endurance that this test aims to evaluate.