C spine

Question 1

ROM evaluation - upper C spine

Answer 1

extension/protraction - hand on top of head to pull backwards, other hand around jaw to pull up.
flexion/retraction - hand in U at chin pushing AP, stabilise at occiput.

Question 2

ROM evaluation - upper c spine quadrant

Answer 2

standing on side where theyre rotating to
protraction, hand on their chin and occiput to bring head in flexion towards me, add rotation towards same side to really close it down

Question 3

ROM evaluation - lower C spine quadrant

Answer 3

retraction, lat rotation, lateral flexion

Question 4

Palpation

Answer 4

supine:
- occiput base
- mastoid process
- C2 SP
- suboccipital muscles
- C7 SP
- paraspinal muscles
- articular pillars C2-7 aka Z joints
- sternocleidomastoid muscle - get them to protract to find it
- trapezius muscle
- temperomandibular joint
- thyroid cartilage

Question 5

PAVIMs - mid/lower C spine

Answer 5

Central PA mob/glide - prone
Unilateral PA - supine
Transverse - from one side, 2 thumbs, push to other side on SP TO CHECK
Unilateral AP - prone

Question 6

PAVIMs - upper C spine

Answer 6

Unilateral PA C2 - prone
Central PA on C0-1

Question 7

Ligament testing - upper C spine (AA joint)

Answer 7

Sharp-purser test -(Co-1)
feel for C2 and stbailise aorund it in C grip.
apply slight flexion, do PA glide through other hand on forehead.

Question 8

Ligament testing - C spine alar lig.

Answer 8

(C1-2)
stabilise C2, sight flxn.
rotation with other head on top of head.
lots of mvmt = damaged alar lig.

Question 9

Traction

Answer 9

patient supine, me lunging at head.
hands overlapped under nuque at C2. apply cranial glide with very slight flexion by lunging backwards to not pull with arms.
for radicular pain

Question 10

PPVIMs

Answer 10

for mobility issues

Question 11

SNAGS C1/2, C2-7 rotation

Answer 11

down from mastoid process to TP with thumb to feel and other over to push.
sustain glide at upward 45˚ during rotation.
take baseline, treat (4-5sets) with overpressure and retest (PILL).
“better, same, worse pain”

Question 12

SNAGS C1-7 flexion/extension

Answer 12

edge of one thumb on SP, other on top to push.
flexion:
- lift joint up, then move into flexion while holding pressure.
- overpressure at EOR
extension:
- same thumb position
- push then go up into extension , while holding pressure.
- overpressure