C/S hypermobility

Question 1

C/S hypermobiltiy S&S

Answer 1

• intolerance to prolonged static positions
• feeling of instability, shaking, lack of control
• fatigue, holding head up (head too heavy)
• muscle gurading to protect instability
• ligamentous dull ache
• frequent need for self manipulation
• neurological symptoms: present with greater instabilty

Question 2

C/S hypermobility presentation and eval

Answer 2

• observation: poor posture
• UQS ROM: excessive, aberrant movements and pain at end range
• joint assessment: excessive joint play, lax end feels
• possible stiff adjacent areas such as upper thoracic and upper cervical
• neuro S&S with greater grades of hypermobility
• osteophytes on X-rays

Question 3

C/S hypermobility interventions

Answer 3

• avoid end ranges
• neutral C/S
• posture: axial extension - reduce forward head rounded shoulders kyphotic posture
• correct any hypomobilty in adjacne areas Upper cervical and upper thoracic

Question 4

Stabilization exercises for the C/S

Answer 4

• jull - deep cranio-cervical and cervical flexors
• multifidi/extensors muscle exercise
• scapular retractors - mid trap, rhomboids