C-Spine

Question 1

Pre-flight

Answer 1

Undressed
Flat bed
Orthotics

Question 2

Gait

Answer 2

Walk➡️ heel L4, toe S1, squat L3

Gait ataxic, shuffling etc

Question 3

Look

Answer 3

Position of head & neck
Torticollis
SCM tumor
Wasting especially deltoid & bi and triceps

SIDE: lordosis vs kyphosis, webbed neck
BACK: low post hairline, assym shoulders, wasting peri-scap

Question 4

FEEL

First ask if there is any pain‼️

Answer 4

Spinous processes
Paravert➡️ traps
Post triangle
Sternomastoid

Question 5

MOVE

Answer 5

Forward flex- chin to chest, atlanto-occiput joint
Extension- look @ ceiling
Rotation
Lat flex

Question 6

Special tests

Answer 6

Spurlings test➡️ nerve root compression…ext & rota to affected side = radicular symptoms

Question 7

Signs of myelopathy

Answer 7

Toe heel walking- ataxia and balance
Romberg- dorsal column & proprioception 
Finger escape
Clench and release- >20 in 10secs
🔼 tone
Hoffmanns

Question 8

Neuro

ask about bowel and bladder function‼️

Answer 8

Tone- increase 
Power- C5 deltoid 
           -C6 biceps/ wrist extension
           -C7 triceps 
           -C8 triceps and finger flexion 
           -T1 interossei 
Reflexes
   Biceps C5
   Brachioradialis C6
   Triceps C7
[myelopathic reflexes... inverted brachioradialis, Hoffmanns, scapulohumeral, jaw jerk to diff myelopathic from cerebellar]
SENSATION