C Spine & Posture Flashcards
What levels make up the lower C spine?
C7-T4
Which joints are unique to the C spine? What levels are they at?
Uncal
C3-C7
Convex concave rule for C spine
C1/C2: Convex on convex
rest: concave on convex
How is motion coupled in the C spine?
C1/C2: contralateral rotation and SB
All other levels: ipsilateral
What motion is limited with uncal degeneration?
SB
Function of uncal joints
Create stability and decrease disc herniation
When testing flexibility of suboccipitals, what is normal flexion?
20-25 deg
How to position head to test flexibility of anterior and middle scalenes?
Extend, SB away, rotate towards
How to position head to test flexibility of levator scapulae and posterior scalene?
Flex
SB and rotate away
How to position head to test flexibility of upper trap?
Maximally SB away
What is long/weak with lordotic posture?
T extensors
Neck flexors
Upper back
Erector spinae
Hamstrings
Abdominal
What is short/tight with lordotic posture?
Neck extensors
Hip flexors
Lower back
Pelvis position with lordotic posture
Increased lumbosacral angle
Increased L lordosis
Anterior pelvic tilt
Hip flexion
What is long/weak with swayback posture?
T extensors
Hip flexors
External obliques
Upper back extensors
Neck flexors
What is short/tight with swayback posture?
Hamstrings
Internal obliques
Low back erector spinae
Quadratus lumborum
Pelvis and spine position with swayback posture
Entire pelvis shift anterior
Hip extension
T spine shifted posteriorly
T spine kyphosis
Forward head
Flatten L spine
_____ based exercises should be given for flatback posture
Flexion
Pelvis and spine position with flatback posture
Posterior pelvic tilt
Decreased lumbosacral angle
Decreased lumbar lordosis
Flattened T spine position
What is long/weak with flatback posture?
Hip flexors
What is short/tight with flatback posture?
Hamstrings
Abdominals
Which rib quadrant does ER at side assess?
Upper back
Normal ROM for ER at side
60 deg
Which rib quadrant does ER at 90 assess?
Lower chest
What is normal ROM for ER at 90?
90 deg (reach table with wrist)
Which rib quadrant does reaching behind the upper back assess?
Lower back
Normal ROM for reaching behind upper back
Touch shoulder blade w/o back arching
Which rib quadrant does reaching behind the lower back assess?
Upper chest
Normal ROM for reaching behind lower back
Touch shoulder blade w/o back arching
Thoracic AROM extension assessment is for what levels?
T5 and below
What is the only assessment of T spine AROM that assesses upper T spine?
Thoracic AROM flexion (bend neck and T spine)
Which test is used to assess 1st rib mobility?
Cervical rotation lateral flexion test (CRLF)
