C-spine Flashcards
Approximately 70% of patients with chronic neck pain exhibit decline in muscular strength and endurance of the
SCOM and deep cervical flexor
Continuous imbalance between deep and superficial muscles will lead to
forward head posture
most common postural dysfunction causing chronic neck and shoulder pain
forward head posture
what can c0-c1 problem lead to
H/A, vertigo, fatigue, poor concentration, irritability
Physical attachment of dura
C0-C2 problem is most likely issue with
fascial connections
what can cause Muscle Impairment with Chronic Neck Pain
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
common injuries of cervical spine
DDD
Posterior disc herniation
Spinal stenosis
Upper cross syndrome
Facet joint irritation
Strains of trapezius muscle, SCM etc.
what can happen if deep muscle of the neck become weak
Superficial muscles- become overactive to protect the neck
= excessive shear and compression
Example Progressions of Cervical Core Training
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
Interventions to Manage a Disc Lesion in the Cervical Spine -> early phase
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
Management of Disc Lesions in the Cervical Spine -> subacute phase
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
give exemple of proprio exercise for cervical
Laser pointer
Moving eyes only
Moving cervical spine keeping eyes fixated
Tracing/drawing objects with cervical movement
Balancing object on head with walking
cervical extensor tend to be
Tend to be tonic and tight
Compensatory muscles
people with incorrect FHP can suffer from
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