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CERVICAL Flashcards

1
Q

Describe your assessment outcomes if longus colli was tight and causing FRS dysfunction?

A

you would find FRS c2-c7, acrom would show extension and rotation restriction

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2
Q

Longus capitis is tight on the left which dysfunction might this create

A

FRSlt

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3
Q

which land marks are palpated while assessing C1?

A

TPs

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4
Q

Splenius capitis is hypertonic on the left. which dysfunction may be present

A

ERS lt

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5
Q

RCP minor and OCS are tight on the left. Which assessment outcome would be found?

A

right side bending restriction of CO from flexed position.

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6
Q

C1 is assessed with the lower cervical in which position?

A

Flexed

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7
Q

Which cervical dysfunction would present if the left Obliquus capitis infer muscle was tight?

A

this would presents right rotation restriction of C1. Isometric intrinsic treatment used would be to rotate the patient to the right while patient is looking left to contract the muscle.

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8
Q

C5 is extended and you feel restriction in the left side bending. which dysfunction is present?

A

FRS rt

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9
Q

ERS and FRS are which type of dysfunction?

A

Non-Neutral/type 2

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10
Q

The multifidus originating on the right TP of C7 is tight. which dysfuntion may this cause?

A

FRSlt of C7 and ERSrt of C3-C6

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11
Q

C2-C7 are classified as the lower cervical because….

A

we assess all of these segments in the same way

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12
Q

Why is rotation used as a patient effort during the isometric intrinsic treatment for FRS conditions?

A

The MOI insert above the segment involved and rotation occures top down

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13
Q

lower cervical is flexed. you palpate restriction when pushing on the right articular pillar of C6. which dysfunction is present?

A

ERSlt

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14
Q

Name the dysfunction caused be tightness of the obliquus capitis superior, rectus capitis posterior major and rectus capitis posterior minor. Describe the assessment out come that would indicate this

A

ERSlt the patient would have a right rotation restriction and FRSlt

LOOK INTO THIS FURTHER

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15
Q

The assessment outcomes associated to tightness f the longus Colli is

A

FRS of the Lower cervical

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16
Q

When assessing CO, what position is the lower cervical in?

A

Neutral

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17
Q

you prescribe a passive stretch for your clients tight right multifidi. what position are they holding during this exercise?

A

right rotation

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18
Q

Which conditions are assessed at CO?

A

ERS/FRS

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19
Q

The left multifidi inserting on the SP of C2 are hypertonic. which dysfunctions might these cause?

A

ERS lt of C2 and FRSrt of C3-C6

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20
Q

The right SCM is tight. what position might the clients head be in during postural assessment?

A

Flexed and left rotated

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21
Q

VBI test is positive. what is the correct protocol for the therapist to follow?

A

Maintain the clients neck and head in neutral for the duration of the assessment and treatment

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22
Q

adheasion in the left OCI and RCP major could cause……

A

Right rotation restriction of C1, FRSrt of C2, extension restriction of the left facet joint between c2 and C3

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23
Q

C1 rotation restriction to the left. what are the MOI

A

Right OCI and RCP major

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24
Q

CO is flexed and you note a restriction in the right side bending. which dysfunction is presenting?

A

ERSlt

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25
Q

Type 1 neutral dysfunctions present with….

A

sidebending and rotation to the opposite sides

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26
Q

Which screening test may be positive if the middle scalene is adaptively shortened? what other tests would you perform to verify this?

A

TOS, Travels, Acrom.
Restricted side bend, ERS or FRS

MORE DETAIL

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27
Q

A congenital condition involving contracture of the SCM muscle is known as

A

Torticollis

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28
Q

Which screening test may be positive due to hypertonicity of the Right ant. scalene? how would you verify that the muscle is hypertonic?

A

TOS test might be positive, (WHICH ONE) patient would have restricted side bending, ERSrt c2-27

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29
Q

You want to incorporate a PNF stretch for the clients right multifidi. what is their effort during the 7-10 second contraction phase of this exercise?

A

Left rotation

30
Q

Ant. scalene intrinsic

A

rotate to the same side, patient effort to occular in the opposite direction on upward angle

31
Q

mid scalene intrinsic

A

rotation doesn’t work. Side bend away. patient effort side bend back.

32
Q

SCM intrinsic

A

rotate to the same side, occular reflex to the opposite

33
Q

levator scap intrinsic

A

Depress the scapula, flex and side bend away. patient effort is to sidebend back

34
Q

Post. scalene intrinsic

A

flex lower cervical spine and side bend away. patient effort is to look back over same shoulder

35
Q

multifidus intrinsic

A

Flex lower cervical and rotate to the same side. patient effort is to look to the opposite.

36
Q

OCI & RCP major (C1 rotation restriction)

A

Moi are the opposite of the rotation restriction. stretch using rotation. patient effort is looking back to contract.

37
Q

FRS @ CO

A

side bend to opposite to stretch. patient effort is to move back

38
Q

ERS @ CO

A

side bend away. patient effort is to move back.

39
Q

No neutral mechanics in _____

A

cervical spine

40
Q

Order of testing

A

Active ROM
VBI
compresstion
Decompression
Spirlings
Quadrant
Maximal foamine
TOS

41
Q

C7-C2 ERS MOI

A

Multifidus
Rotatories
semispinalis
post. scalene
mid scalene
levator scap

42
Q

C7-C2 FRS MOI

A

Multifidus* (NOT C2)
Rotatories
semispinalis
ant. scalene
mid scalene
longus colli
RCP maj * (C2)
OCI * (C2)

43
Q

C1 MOI
Rotation restriction

A

OCI
RCP maj

44
Q

CO MOI ERS

A

OCS
RCP maj
RCP min
Capitis group
RC Lat

45
Q

CO MOI FRS

A

RC ant.
Longus capitis
RC Lat

46
Q

Ant. scalene

A

O: TP C3-c6
I: R1

47
Q

Mid scalene

A

O: TP C2-C7
I: R1

48
Q

Post. scalene

A

O: TP C5-C7
I: R2

49
Q

C7-C2 ERS Assessment

A

Flex 30-45 degrees do not tuck the chin. check each segment.

50
Q

C7-C2 FRS Assessment

A

Extend 1 segment at a time

51
Q

C1 rotation restriction

A

Flex to “lock up” 30 to 45 degrees.
rotate to feel for C1 TP

52
Q

CO ERS Assessment

A

Flex occiput only, sheer

53
Q

CO FRS Assessment

A

Extend occiput only, sheer

54
Q

Cervical assessments C7-C2 use this type of motion:

A

Translation or translatory

55
Q

cervical spine has only type one or type 2 mechanics?

A

Type 2
No Neutral mechanics
Side bending and rotation happen on the same side

56
Q

cervical spine has no ________ dysfunctions

A

Group
No neutral mechanics

57
Q

Cevical spin only assesses for _____ and _____Conditions

A

ERS, FRS

58
Q

ERS Assessment position:
Passive ROM assessment.

A

-Flex 30-45 degrees, do not tuck chin
-Palpate pressing on the articular pillars
-push right to left = side bending and rotating segment to the right; If restricted its an ERSlt (Lt facet won’t open)
-push left to right = side bending and rotation to the left; if restricted its an ERSrt (right facet won’t open)

59
Q

FRS assessment position:
Passive assessment

A
60
Q

MOI of an ERS in the lower cervical

A

multifidi up to C2
MID scalene C2-C7
Post scalene origin C5-C7
Levator scap C1-C4
Upper trap - skull, vertebral column

61
Q

Mid scalene action

A

side bend same side C2-c7

62
Q

post scalene action

A

Extention/side bending to the same side
C5-C7

63
Q

FRS assessment:
Passive assessment

A

-extend each segment individually
-palpate articular pillars
- press to the right to try to side bend to the right and close the right facet; If you don’t get much motion or get more motion from the left = side bending restriction to the right or and FRSlt (right facet will not close)
- press the left side to try to side bend to the left and close the left facet; if you don’t get much motion or get more motion from the right = side bending restriction to the left or an FRSrt (left facet will not close)
- LOOKING FOR A FACET THAT WONT CLOSE
- the side your pushing on is the side you want to close

64
Q

MOI for FRS in the cervical spine C2-c7

A

Multifidi from above and opposite C3-C7
Mid scalene holding side bending C2-C7
Ant. Scalene holding opposite Rotation/flexion C3-C6
Longus Colli holds flexion and side bending C1-c6

65
Q

FRS muscles of C2

A

Rectis capitus posteror maj. (RCP maj)
obliquis capitus inferior (OCI)

66
Q

Rotation assessment C1

A
  • Rotation restriction Lt or Rt
  • Flex lower cervical to lock them up
    -palpate behind the tp of c1 when
    -Restricted left = right muscles issue
    -restricted right = left muscle issue
67
Q

MOI of rotation restrictions at C1

A

Obliqus capitus inferior (OCI)
RCP maj
SCM MAYBE

68
Q

C0 Assessment ERS

A

flex C0
tuck chin to chest, lower cervical in neutral
cheer into right side bending vs left side
MOI Posterior muscles below C0 same side

69
Q

C0 FRS assessment

A
  • neutral spine
    -extend C0 only
  • sheer lt and rt
    trying to close each facet, named for the opposite of the fecet that wont close
  • moi is anterior or lateral same side as named side
69
Q

C0 ERS MOI - post lateral

A

rcp maj and min
oblicus capitis sup
splenius cap
rectus cap lateralis

70
Q

C0 muscle of involment

A

longus capitus
rectis capitus ant.
rectis capitis lateralis.
SCM. (line of pull) holds ers or frs

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