Cervical

Question 1

How do you diagnose OA?

Answer 1

Type 1 - like

Sidebent and rotation directions are OPPPOSITE

Nueutral, Flexion, or Extension

Question 2

How do you diagnose AA?

Answer 2

Rotation Only

Fully flex C-Spine and rotate head finding which direction has a greater restricion

AA RR or AA RL

Question 3

How do you diagnose C2-C7 Typical Joints?

Answer 3

Type 2 - Like

Can be grouped or a single segment

Test for Flexion/Extension/Neutral

Rotation and Sidebending are in the SAME direction

Question 4

What Direct Treatment do you do for OA?

Answer 4

MET

Put patient into the Barrier

• For OA N RR SL:
• Put patient into Left Rotation, Sidebent Right

Have patient resist your force, trying to return to neutral for a few seconds, then have them relax

Push them further into barrier and repeat

Question 5

What direct treatment do you do for AA?

Answer 5

MET

JUST ROTATION

Have patient fully flexed and rotate their head into the restrictive barrier

Tell patient to resist your force by attempting to return to neutral, then have them relax

Push further into restrictive barrier and repeat

Question 6

What direct treatment do you do for C2-C7?

Answer 6

MET

Move patient into restrictive barrier and have them resist your force for a few seconds before relaxing, then repeat

Return to Neutral and Reassess with TART

Example - C3-C5 F RR SR
- Move patient into Extension, RL, SL while monitoring the PTPs

Question 7

What indirect treatment do you do for OA?

Answer 7

BLT

Patient Supine, physician seated at head

Use one hand to “pinch” grasp the laminae on either side of C1

Place other hand on top of head

Put Pt into position of ease (e.g., OA N RR SL; put them into Rotated Right and Sidebent left) and find the balance

Test respiratory phases by having Pt hold in either Inhalation or Exhalation for 15-20 seconds

Then return to neutral

Reassess with TART