Physical examination maneuver

Physical Exam

Nuchal Rigidity

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Video coming September 2026

How to Perform

With the patient supine, place your hands behind the head and gently flex the neck, bringing the chin toward the chest. The finding is present when there is involuntary resistance to this passive flexion (the neck resists and the chin cannot easily reach the chest), while side-to-side rotation of the head remains comparatively free.

How to Interpret

Showing all 1 finding

Meningitis

Nuchal rigidity
Rule in
Not helpful
Rule out
Not helpful
Evidence:Limited

References

  • Thomas KE, Hasbun R, Jekel J, Quagliarello VJ. The diagnostic accuracy of Kernig's sign, Brudzinski's sign, and nuchal rigidity in adults with suspected meningitis. Clin Infect Dis. 2002;35(1):46-52. doi:10.1086/340979. PubMed: 12060874
  • McGee S. Evidence-Based Physical Diagnosis. 6th ed. Philadelphia, PA: Elsevier; 2025.