Cervical Flashcards
Reinforces anterior disc and limits extension…ligament?
Anterior Longitudinal Ligament
Reinforces posterior discs, limits flexion
Posterior longitudinal ligament
Thicker than in thoracic/lumbar regions
Limits flexion
Ligamentum nuchae = supraspinous ligament
Limit flexion and rotation/limits lateral flexion
Interspinous/intertransverse ligaments
Attach lamina of one vertebrae to another, reinforces articular facets
Limits flexion and rotation
Ligamentum flavum
Damage that may occur with hyperextension injuries
Tearing of SCM muscle, longissimus coli muscle
Pharyngeal edema, tearing of the anterior longitudinal ligament, Separation of cartilaginous end plate of the intervetebral disc
Damages that may occur with hyperflexion type injuries
Tears of the posterior cervical muscles
Tears of the ligamentum nuchae
Tears of the posterior longitudinal ligament
Intervertebral disc injury
Treatment of traumatic sprains and strains
AROM (after pain and edema are controlled), cervical isometric strengthening exercises, education in cervical posture mechanics
Avoid reproducing the motion that caused the injury
Full recovery involves the elimination of pain and swelling initially, rest from any aggravating positions, return of normal cervical spine ROM, enhanced muscle strength, postural awareness actvs
Involves chronic degenerative disc that results from ‘wear an tear on the WB structures of the C-spine
Spondylosis
Longterm goals spondylosis
Protection from unwanted forces
Instruction in cervical posture mechanics
Flexibility exercises
Strengthening activities
Causative factors of spondylosis
sustained impact loading and repetitive micro-trauma
mechanical compression or inflammation of a nerve root which causes neurologic symptoms into the UEs
Radiculopathy
S and S of radiculopathy
peripheral pain, radicular signs, local cervical pain, scapular pain
Cervical Dermatomes ……C1
Top of head
Cervical Dermatomes ……C2
Temporal area