Cervical

Question 1

Upper cervical spine consists of:

Mid:

Lower:

Answer 1

C0-C2

C3-C6

C7-T4

Question 2

How is sidebending and rotation coupled at C1/C2

Answer 2

Opposite/contralateral

with head rotation to the right, it sidebends to the left

Question 3

The uncinate process and uncovertebral joints are found in what levels of the c-spine

Answer 3

C3-C7

Question 4

How is rotation and side bending paired in C3-C7

Answer 4

Same/Ipsilateral

R sidebending w/ R rotation

Question 5

Uncovertebral joints mainly affect what movement

Answer 5

Sidebending

Question 6

Most motion lost in the C-Spine will be from ________

Answer 6

the joint, not tight muscles

Question 7

How to test suboccipital tightness

Answer 7

Move head into flexion until motion at C2 begins

should have 20-25 degrees

Question 8

How to assess anterior and middle scalene tightness

Answer 8

stabilize shoulder

extension

ipsilateral rotation

opposite side bend

(Basically VBI testing position)

Question 9

how to asses levator scapula and posterior scalene tightness

Answer 9

Chin to opposite armpit

(Contralateral sidebending + contra rotation + flexion)

Question 10

how to assess upper trap tightness

Answer 10

slight flexion

contralateral side bend

Question 11

How to use BP cuff to train chin tuck

Answer 11

Start with 20mmHg, push to 22mmHG and hold, try to get 24, hold, 26, hold, 28, hold 30

Question 12

How should we cue someone to do a chin tuck

Answer 12

“Use your eyes to look down at your chin”

Question 13

What does dr. P say we need to do first before giving a patient chintucks

Answer 13

Manual therapy to free up the hypo mobility present in upper and lower cervical

Then we can do chin tucks to increase stability where pt is likely hypermobile (middle cervical)

Question 14

What muscles might come on the compensate for a chin tuck

Answer 14

SCM and scalenes

Question 15

What is coupling activation?

Answer 15

Using rotation and side bending in sidelying at the same time to the same side ( for lower cervical spine)

Or opposite rotation and side bending for upper cervical (put a towel roll to support C3-C7

Question 16

What’s the purpose of having someone lift an arm during a chintuck?

Answer 16

Try to train them to not let their upper trap and scapular muscles turn on and to keep the deep neck flexors engaged

Question 17

What do you need to accomplish first before you can do cervical isometrics

Answer 17

Chin tuck