When is passive spinal motion restriction performed?

Passive spinal motion restriction is performed primarily in situations where there is an indication of potential spinal injury, which can include instances of severe pain, neurological deficits, or altered mental status. Although neck pain can be a symptom related to spinal injuries, implementing passive spinal motion restriction solely based on the presence of neck pain without other risk factors is not standard practice.

This technique is most appropriate when there are clear indicators that a spinal injury may have occurred, and it is crucial to limit movement to prevent further injury while waiting for medical evaluation. Often, a patient may not be able to move effectively due to severe pain, neurological signs, or the presence of an injury. Therefore, understanding the context of the patient’s symptoms is important, whereas the availability of assistance, confirmation of injury, and more substantial clinical indicators guide the need for passive strategies.

Performing this restriction is best done in conjunction with confirming the possible mechanism of injury, ensuring the patient's safety and stability until medical professionals can deliver appropriate care.