Atypical Cervical HVLA

Question 1

upper respiratory infections

Answer 1

normally viral
-can lead to secondary bacterial

visceral afferent - upper thoracic segments - increased tone head, neck, lungs

goal of OMT - improve arterial supply, improve venous and lymph draining, reduce muscle spasm, reduce discomfort, balance autonomic reflex disturbances, improve immune function

Question 2

venous drainage from head

Answer 2

internal jugular veins
-jugular foramen

-associated with OA and AA areas

Question 3

treating upper thoracic and rib

Answer 3

make cervical spine and cranial mechanism easier to treat

Question 4

OA diagnosis

Answer 4

motion of occiput on atlas

Question 5

AA diagnosis

Answer 5

motion of atlas on axis

Question 6

muscle energy modification for HVLA of OA and AA

Answer 6

after engaging barrier - instruct patient to turn head to the side of rotation and do MET

Question 7

motion of OA

Answer 7

flexion and extension

sidebending and rotation opposite directions

Question 8

diagnosis of OA

Answer 8

middle finger posterior to occipital condyles

index fingers on articular pillars of C1

Question 9

motion of AA

Answer 9

major - rotation

Question 10

diagnosis of AA

Answer 10

middle fingers over articular pillars of atlas

index fingers over articular pillars of axis

Question 11

OA stuck open

Answer 11

rotated to that side

ex/ right OA stuck open is rotated right sidebent left

Question 12

OA and AA final corrective force for HVLA

Answer 12

rotational thrust with 2nd MCP

Question 13

typical cervical final corrective force for HVLA

Answer 13

A/P and S/I thrust from 2nd MCP