Cervical Flashcards

1
Q

Reinforces anterior disc and limits extension…ligament?

A

Anterior Longitudinal Ligament

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2
Q

Reinforces posterior discs, limits flexion

A

Posterior longitudinal ligament

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3
Q

Thicker than in thoracic/lumbar regions

Limits flexion

A

Ligamentum nuchae = supraspinous ligament

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4
Q

Limit flexion and rotation/limits lateral flexion

A

Interspinous/intertransverse ligaments

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5
Q

Attach lamina of one vertebrae to another, reinforces articular facets
Limits flexion and rotation

A

Ligamentum flavum

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6
Q

Damage that may occur with hyperextension injuries

A

Tearing of SCM muscle, longissimus coli muscle
Pharyngeal edema, tearing of the anterior longitudinal ligament, Separation of cartilaginous end plate of the intervetebral disc

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7
Q

Damages that may occur with hyperflexion type injuries

A

Tears of the posterior cervical muscles
Tears of the ligamentum nuchae
Tears of the posterior longitudinal ligament
Intervertebral disc injury

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8
Q

Treatment of traumatic sprains and strains

A

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

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9
Q

Involves chronic degenerative disc that results from ‘wear an tear on the WB structures of the C-spine

A

Spondylosis

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10
Q

Longterm goals spondylosis

A

Protection from unwanted forces
Instruction in cervical posture mechanics
Flexibility exercises
Strengthening activities

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11
Q

Causative factors of spondylosis

A

sustained impact loading and repetitive micro-trauma

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12
Q

mechanical compression or inflammation of a nerve root which causes neurologic symptoms into the UEs

A

Radiculopathy

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13
Q

S and S of radiculopathy

A

peripheral pain, radicular signs, local cervical pain, scapular pain

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14
Q

Cervical Dermatomes ……C1

A

Top of head

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15
Q

Cervical Dermatomes ……C2

A

Temporal area

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16
Q

Cervical Dermatomes ……C3

A

Sides of jaw, anterior neck

17
Q

Cervical Dermatomes ……C4

A

Anterior shoulders, clavicles

18
Q

Cervical Dermatomes ……C5

A

Anterior upper arm

19
Q

Cervical Dermatomes ……C6

A

Anterolateral forearm

20
Q

Cervical Dermatomes ……C7

A

Palmar aspect of middle finger

21
Q

Cervical Dermatomes ……C8

A

Palmar aspect of 5th finger

22
Q

Cervical Myotomes….C1-C2

A

Cervical Flexion

23
Q

Cervical Myotomes….C3

A

Cervical Slide flexion

24
Q

Cervical Myotomes….C4

A

Scapular elevation

25
Q

Cervical Myotomes….C5

A

Shoulder Abduction

26
Q

Cervical Myotomes….C6

A

Elbow flexion/ Wrist extension

27
Q

Cervical Myotomes….C7

A

Elbow extension/ Wrist flexion

28
Q

Cervical Myotomes….C8

A

Thumb extension

29
Q

Cervical Myotomes….T1

A

Finger Abduction

30
Q

Cervical Distraction Test Purpose

A

To test for the presence of cervical radiculopathy

Positive test: considered positive if symptoms are reduced

31
Q

Is an increase in the thoracic posterior convexity that is manifested by a rounded-back (and protracted scapulae) posture

A

Kyphosis

32
Q

Treatment of kyphosis:

A

Postural re-ed (ventilation, inhibition and stretching, spinal mobility)

33
Q

How does OP (Osteoporosis) create kyphotic posture

A

OP causes anterior wedging of the involved segments and creates the kyphotic posture

34
Q

Even though Disc herniations are rare where do they most commonly occur

A

9th- 12th thoracic vertebrae

35
Q

For disc herniations what does treatment depend on

A

Whether the disc herniation is herniated laterally or centrally

36
Q

Soft-tissue injuries usually involve direct contact (contusion during actvs) or indirect overstretching or contraction of the thoracic muscles

A

Thoracic Spine muscle injuries

37
Q

Management ofThoracic Spine muscle injuries

A

Control of pain and edema
Active ROM actvs and strengthening (as allowed by pain)
Prone thoracic and lumbar extension exercises to pt’s tolerance