C-spine Flashcards

1
Q

Approximately 70% of patients with chronic neck pain exhibit decline in muscular strength and endurance of the

A

SCOM and deep cervical flexor

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2
Q

Continuous imbalance between deep and superficial muscles will lead to

A

forward head posture

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3
Q

most common postural dysfunction causing chronic neck and shoulder pain

A

forward head posture

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4
Q

what can c0-c1 problem lead to

A

H/A, vertigo, fatigue, poor concentration, irritability
Physical attachment of dura

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5
Q

C0-C2 problem is most likely issue with

A

fascial connections

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6
Q

what can cause Muscle Impairment with Chronic Neck Pain

A

delayed cervical neck muscle contraction with upper body movement

Increased use of superficial cervical neck flexors during functional activities

Increased fatigability of cervical neck flexors in pain patients

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7
Q

common injuries of cervical spine

A

DDD
Posterior disc herniation
Spinal stenosis
Upper cross syndrome
Facet joint irritation
Strains of trapezius muscle, SCM etc.

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8
Q

what can happen if deep muscle of the neck become weak

A

Superficial muscles- become overactive to protect the neck
= excessive shear and compression

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9
Q

Example Progressions of Cervical Core Training

A

Seated (avoid gravity)
Laying down
Chin tuck with combined movements
4 point against gravity
Standing with ball behind head
PNF patterning (Diagonal, CARs)
Proper positioning with functional movements

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10
Q

Interventions to Manage a Disc Lesion in the Cervical Spine -> early phase

A

Early phase
Decrease acute symptoms
Examples: Modalities, massage, traction

Teach awareness of neck position and movement
Scapular movements

Passive cervical nods
Chin in midline gently nod the patient’s head and allow neck to flatten against the table
Patient does in sitting position on their own

Traction
Sustained traction 10 min, intermittent traction 15 min
15lbs of force causes vertebral separation

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11
Q

Management of Disc Lesions in the Cervical Spine -> subacute phase

A

Completed once S/S of inflammatory process are under control and pain is no longer constant

Increase mobility in restricted muscles/joint/fascia/nerve
Head nods for longus colli and multifidus
Movement of the head with proper postural awareness
Add in upper extremity movement

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12
Q
A
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12
Q

give exemple of proprio exercise for cervical

A

Laser pointer
Moving eyes only
Moving cervical spine keeping eyes fixated
Tracing/drawing objects with cervical movement
Balancing object on head with walking

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13
Q

cervical extensor tend to be

A

Tend to be tonic and tight
Compensatory muscles

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14
Q

people with incorrect FHP can suffer from

A

chronic or unpleasant conditions such as, pinched nerves and blood vessels, like thoracic outlet syndrome, muscle and tissue pain, syndromes like fibromyalgia, chronic strains and early degeneration and arthritis

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15
Q

FHP can cause tension in

A

TMJ, give headache and bite problem

16
Q

cervicogenic headache referred pain where

A

head or face from first three to four CN

17
Q

TX of cervicogenic headache

A

ROM for mobility, Stretches for tight muscles, deep neck flexor activation

18
Q

_ is an intervention that is often recommended for the treatment of patients with neck pain

A

mechanical cervical traction

19
Q

cervical traction is used to

A

relieved pressure on neural structure

20
Q

Cervical Traction Parameters

A

1-3 times/day
10-15 minutes of sustained traction
10-30lbs of traction force
Intermittent vs sustained
Neck position- midway between flexion and extension (acute/subacute), flexion or extension (chronic)

21
Q

how munch time do put cervical traction for disc herniation

A

5-10min, 25-40lbstuiioip

22
Q

is a little post treatment muscle soreness common after cervical traction

A

yes

23
Q

indication for spinal traction

A

Nerve root impingement
Disk herniation
Spondylolisthesis
Narrowing within intervertebral foramen
Osteophyte formation
Degenerative joint diseases
Subacute painJoint hypomobility
Discogenic pain
Muscle spasm or guarding
Muscle strain
Spinal ligament or capsular contractures
Improvement in arterial, venous, and lymphatic flow

24
Q

contraindication for spinal traction

A

Acute sprains or strains
Acute inflammation
Fractures
Vertebral joint instability
Any condition in which movement exacerbates existing problem
Bone diseases
Osteoporosis
Infections in bones or joints
Vascular conditions
Pregnant females
Cardiac or pulmonary problems

25
Q

There is (high/low) level evidence that cervical manipulation and mobilisation as unimodal interventions are effective on pain and range of motion at the immediate follow up

A

low

26
Q

There is (high/low) level evidence that traction is no more effective than placebo traction

A

low

27
Q

when can you do neuromeningeal mobs

A

once symptoms have centralized

28
Q

contradiction of neuromeningial mobs

A

Acute or unstable neurological signs
Spinal cord injury or symptoms
Neoplasm and infection
**Watch for vascular compromise

29
Q

Relaxation Techniques Cervical and Upper Thoracic Regions

A

Seated or standing with arms by the side
Diaphragm breathing
Bend neck forward and backwards
Side bend head and rotate from side to side
Roll the shoulders; protract, elevate, retract and relax scapula
Circle the arms with elbows flexed or extended
Jaw relaxation

30
Q

exercise that target upper trap

A

prone rowing
military press
T with neutral glenohumeral rotation
shoulder shrug
shoulder lateral rais
upright row

31
Q

exercise that target mid trap

A

prone shoulder extension
prone rowing
sideline GH ER
side line shoulder flexion
T with neutral GH rot or ER

32
Q

exercise that target lower top

A

shoulder abd
bilateral GH ER at 0º abd
prone GH ER at 90º abd
prone shoulder rowing
Y
T with GH ER
side line with GH ER