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fall B 2024 > assessment of cervical spine > Flashcards

assessment of cervical spine Flashcards

1
Q

upper cervical ROM: flexion

A

20 deg (C0-2)

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2
Q

cervical ROM: flexion

A

45 deg

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3
Q

upper cervical ROM: extension

A

25 deg (C0-2)

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4
Q

cervical ROM: extension

A

45 deg

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5
Q

upper cervical ROM: side-bending

A

5 deg (C0-1)

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6
Q

cervical ROM: side-bending

A

45 deg

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7
Q

upper cervical ROM: rotation

A

40 deg (C1-2)

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8
Q

cervical ROM: rotation

A

60 deg

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9
Q

cervical loose packed

A

midway between flexion and extension

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10
Q

cervical close packed

A

full extension

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11
Q

capsular pattern

A

side-bend = rotation > extension

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12
Q

external occipital protuberence

A

midline bump superior to hairline

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13
Q

superior nuchal line

A

lateral to external occipital protuberence

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14
Q

mastoid

A

directly under earlobes

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15
Q

C1 transverse process

A

halfway between mastoid and mandible
deep to SCM

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16
Q

C2 spinous process

A

first spinous process inferior to occiput, bifid

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17
Q

facet joints

A

posterior lateral slope of hexagonal neck

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18
Q

C6 and C7 spinous processes

A

extend the spine, C6 translates anterior first then C7
T1 does not move

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19
Q

first rib

A

width of mastoid at the base of the neck

20
Q

spinous processes

A

T1 - found in cervical palpation
T3 - spine of scapula
T7 - inferior angle of scapula

21
Q

transverse processes and ribs
(finger rule)

A

T1-2: 1 finger
T3-4: 2 fingers
T5-8: 3 fingers
T9-10: 2 fingers
T11-12: 1 finger

22
Q

2nd rib

A

highest accessible rib from anterior

23
Q

vertebral artery non-ischemic

A

ipsi posterior head/neck pain

24
Q

vertebral artery ischemic

A

dizziness, diplopia, dysarthria, dysphagia, drop attacks ataxia
nausea, nystagmus, numbness in face
cognitive change
photophobia

25
Q

carotid artery non-ischemic

A

unfamiliar head/neck pain
horner’s syndrome
pulsatile tinnitus

26
Q

carotid artery ischemic

A

TIA
iscemic stroke

CAN GO BACK, TOO LATE

27
Q

alar ligament testing

A

sitting upright
palpates C2 and side bends head to one side
SP should move contra to side bending

+ SP does not move to contralat side of side bending

28
Q

modified sharp-purser test

A

sitting, flex neck
one hand on forehead and the other pinching C2
push hands toward each other

  • firm end feel
    + reproduction of symptoms during flexion or sliding motion of head
29
Q

cervical flexion ROM

A

stationary arm: perpendicular to floor
fulcrum: ear hole
movement arm: base of nose

0-45 deg

30
Q

cervical extension ROM

A

stationary arm: perpendicular to floor
fulcrum: ear hole
movement arm: base of nose

0-45 deg

31
Q

cervical side bend ROM

A

stationary arm: perpendicular to floor
fulcrum: SP of C7
movement arm: bisecting cranium vertically

0-45 deg

32
Q

Cervical Rotation ROM

A

stationary arm: lateral border of acromion
fulcrum: superior surface and center of cranium
movement arm: parallel with nose

0-60 deg

33
Q

cervical flexion 0-5

A

pt supine, tucks chin to sternum
apply resistance through chin into extension

longus colli

34
Q

cervical anterolateral flexion 0-5

A

pt supine, laterally flex
apply resistance through forehead

35
Q

cervical extension 0-5

A

pt prone, head up
pply resistance through base of cranium

36
Q

upper extremity myotomes

A

C1-2: cervical flexion
C3: cervical side bend
C4: scap elevation
C5: GH abduction
C6: elbow flexion
C7: elbow extension
C8: thumb abduction
T1: 5th finger abduction

37
Q

upper extremity reflexes

A

C5: biceps
C6: brachioradialis
C7: triceps
C1-4: scapulohumeral (+/-)
hoffmann’s: finger flick (+/-)

38
Q

upper extremity sensory testing

A

C2: mastoid
C3: collar bone
C4: acromion
C5: outer bicep
C6: base of thumb
C7: middle finger
C8: base of pinky
T1: medial lower arm
T2: medial upper arm

39
Q

prone C2-C3 PAIVM

A

pt prone
palpate facet joint
apply force into table

40
Q

side-glide PAIVM

A

pt supine
move articular pillar to the side

41
Q

thoracic spine central PA mobilization

A

pt prone
push into table

42
Q

median nerve bias

A

pt supine
hand on shoulder to keep from abducting
move arm into abd with elbow flexed
extend wrist and fingers 1-3
externally rotate shoulder and extend elbow

43
Q

radial nerve tension test

A

pt supine
prevent abd of shoulder
thumb inside fist
internal rotate shoulder and extend elbow

44
Q

ulnar erve tension test

A

pt supine
hand on shoulder to keep from abducting
move arm into abd with elbow flexed
extend wrist and fingers 4-5
flex elbow and bring hand to ear

45
Q

closed fist percussion sign

A

firm closed fist

+ sharp sudden pain

46
Q

Lhermitte’s sign

A

sitting with arms relaxed
flex cervical spine

+ electrical response near end ROM

fall B 2024 (19 decks)

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