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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
Type 1 neutral dysfunctions present with....
sidebending and rotation to the opposite sides
26
Which screening test may be positive if the middle scalene is adaptively shortened? what other tests would you perform to verify this?
TOS, Travels, Acrom. Restricted side bend, ERS or FRS MORE DETAIL
27
A congenital condition involving contracture of the SCM muscle is known as
Torticollis
28
Which screening test may be positive due to hypertonicity of the Right ant. scalene? how would you verify that the muscle is hypertonic?
TOS test might be positive, (WHICH ONE) patient would have restricted side bending, ERSrt c2-27
29
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?
Left rotation
30
Ant. scalene intrinsic
rotate to the same side, patient effort to occular in the opposite direction on upward angle
31
mid scalene intrinsic
rotation doesn't work. Side bend away. patient effort side bend back.
32
SCM intrinsic
rotate to the same side, occular reflex to the opposite
33
levator scap intrinsic
Depress the scapula, flex and side bend away. patient effort is to sidebend back
34
Post. scalene intrinsic
flex lower cervical spine and side bend away. patient effort is to look back over same shoulder
35
multifidus intrinsic
Flex lower cervical and rotate to the same side. patient effort is to look to the opposite.
36
OCI & RCP major (C1 rotation restriction)
Moi are the opposite of the rotation restriction. stretch using rotation. patient effort is looking back to contract.
37
FRS @ CO
side bend to opposite to stretch. patient effort is to move back
38
ERS @ CO
side bend away. patient effort is to move back.
39
No neutral mechanics in _____
cervical spine
40
Order of testing
Active ROM VBI compresstion Decompression Spirlings Quadrant Maximal foamine TOS
41
C7-C2 ERS MOI
Multifidus Rotatories semispinalis post. scalene mid scalene levator scap
42
C7-C2 FRS MOI
Multifidus* (NOT C2) Rotatories semispinalis ant. scalene mid scalene longus colli RCP maj * (C2) OCI * (C2)
43
C1 MOI Rotation restriction
OCI RCP maj
44
CO MOI ERS
OCS RCP maj RCP min Capitis group RC Lat
45
CO MOI FRS
RC ant. Longus capitis RC Lat
46
Ant. scalene
O: TP C3-c6 I: R1
47
Mid scalene
O: TP C2-C7 I: R1
48
Post. scalene
O: TP C5-C7 I: R2
49
C7-C2 ERS Assessment
Flex 30-45 degrees do not tuck the chin. check each segment.
50
C7-C2 FRS Assessment
Extend 1 segment at a time
51
C1 rotation restriction
Flex to "lock up" 30 to 45 degrees. rotate to feel for C1 TP
52
CO ERS Assessment
Flex occiput only, sheer
53
CO FRS Assessment
Extend occiput only, sheer
54
Cervical assessments C7-C2 use this type of motion:
Translation or translatory
55
cervical spine has only type one or type 2 mechanics?
Type 2 No Neutral mechanics Side bending and rotation happen on the same side
56
cervical spine has no ________ dysfunctions
Group No neutral mechanics
57
Cevical spin only assesses for _____ and _____Conditions
ERS, FRS
58
ERS Assessment position: Passive ROM assessment.
-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
FRS assessment position: Passive assessment
60
MOI of an ERS in the lower cervical
multifidi up to C2 MID scalene C2-C7 Post scalene origin C5-C7 Levator scap C1-C4 Upper trap - skull, vertebral column
61
Mid scalene action
side bend same side C2-c7
62
post scalene action
Extention/side bending to the same side C5-C7
63
FRS assessment: Passive assessment
-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
MOI for FRS in the cervical spine C2-c7
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
FRS muscles of C2
Rectis capitus posteror maj. (RCP maj) obliquis capitus inferior (OCI)
66
Rotation assessment C1
- 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
MOI of rotation restrictions at C1
Obliqus capitus inferior (OCI) RCP maj SCM MAYBE
68
C0 Assessment ERS
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
C0 FRS assessment
- 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
C0 ERS MOI - post lateral
rcp maj and min oblicus capitis sup splenius cap rectus cap lateralis
70
C0 muscle of involment
longus capitus rectis capitus ant. rectis capitis lateralis. SCM. (line of pull) holds ers or frs

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