The manual therapists at Firda Physical Medicine Centre in Norway have obtained the status of premier specialists in the field of physical diagnostics and the rehabilitation of patients with degraded function and various neck injuries since 2000.

This diagnostic program was partly developed in cooperation with BTE Technologies in Baltimore, USA.

Our therapists at Firda Physical Medicine Centre have worked diligently for 14 years to gain considerable theoretic and practical knowledge in physical medicine in order to properly diagnose and rehabilitate patients with neck injuries.

Many people suffer from debilitating symptoms and reduced neck function after neck injuries. Precise diagnostics of neck/head dysfunction with symptoms and sequela of neck injuries are therefore very important. However, we notice that many patients do not get the follow up care they should have had in relation to their significant symptoms and ailments as it pertains to diagnostics and treatment. Therefore, we have developed an excellent rapport with highly skilled medical professionals abroad that we have maintained for several years. More information...

Contents of the examination

Recording medical history (anamnesis)


During the patient’s diagnostic visit the therapist will take a medical history in order to accurately gather information from the patient about neck or head trauma that may be an underlying cause of their debilitating injury.

The direction of the head and the position of the neck at the moment of impact is important information which assists the therapist in properly diagnosing internal damage to different tissue structures in the neck.

Moreover, it is important that the patient describes their initial symptoms and how they have progressed over time.

Clinical examination

Klinisk undersøkelse

Testing the function of joints and soft tissue is essential in order to properly assess the functionality of the neck.

In the clinical examination the vertebral column is divided into three sections: Upper (C0 - C2), middle (C3 - C5), and lower (C6 - Th2). The examination of the upper section is further subdivided into upper and lower atlanto-occipital joints (C0 - C1 and C1 - C2)

The therapist attempts to discern how these sections behave in isolation as well as how they influence each other. The rest of the spine is also tested, along with shoulders, knees, and ankles to examine possible connections with the patient’s current ailments.

Testing in the Multi-cervical Unit (MCU)

The MCU is a device that has been specially designed to accurately measure the mobility and strength of the neck.

Using the MCU, we test your ability to handle loads in relation to the range of motion. In this manner, we can determine the areas where function has been impaired.

The MCU procedure has two parts; testing the motion of the neck, and testing coordination.

In the first test, the patients themselves try to demonstrate their range of motion in different directions; bending forward, rotating, bending sideways, and bending backwards. The results are compared to expected normal values.

We also look at the way the patient moves the neck, possible compensating movements, as well as the rhythm and fluidity of the motion during the test. The patients are tested with resistance measuring between 100 to 500 grams during the MCU testing procedure.

The therapist examines how the different sections of the neck interact, and their recruitment order along the path of motion.

Review of MRI/X-ray

We do not perform MRI at the centre, as we believe that the patient receives a fully adequate diagnosis report through our extensive test procedure.

However, in some cases it may be necessary to perform a functional X-ray or standard MRI at a facility near the patient’s place of residence in order to make a proper diagnosis. In these cases the results of the radiological examinations are detrimental to the diagnostic process and contribute to the successful rehabilitation of the patient.


At Firda Physical Medicine Centre, we are proud of our academic developments, and the diagnostic and rehabilitative help that we have been able to provide many of our patients from Norway and abroad.

More information about how to book an examination at our centre will be posted soon. In the mean time, please contact us at post@firdafysmed.no!


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