Indications

Hautant’s test is a cervical spine examination procedure that assesses for vertebrobasilar ischaemia. It is also a neurological procedure that checks for insufficient blood flow through the vertebral arteries.

Procedure

Patient should be awake and cooperative for the Hautant’s test.

  1. Patient should be seated during the procedure.
  2. The patient flexes both shoulders at 90 degrees with elbows extended and wrist straight.
  3. The examiner tells the patient to close her eyes then rotate and extend the head to one side.
  4. The examiner assesses the patient for arm drift, vertigo, pre-syncope signs, visual changes and/or nausea.

Patient rotates and extends head to one side while eyes are closed.

Interpretation

Positive Hautant’s Test

There is positive Hautant’s test when there is arm drift, complaints of vertigo, visual changes and pre-syncope signs and the presence of nausea. These signs indicate possible vertebrobasilar ischaemia.

Clinical Notes

The Hautant’s Test may be used as a general screening procedure before cervical manipulation is done.