Cervical Anatomy and Kinesiology Flashcards

1
Q

which area of the spine has most sagittal plane movement?

A

cervical spine

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2
Q

cervical lordosis

A

30-35 degrees

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3
Q

thoracic kyphosis

A

40 degrees

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4
Q

lumbar lordosis

A

45 degrees

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5
Q

what area of the spine has the most horizontal plane movement?

A

cervical spine

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6
Q

closed pack position of the cervical spine

A

full extension

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7
Q

resting position of the cervical spine

A

midway between flexion and extension

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8
Q

what happens to the capsular pattern as we age?

A

side-bending and rotation grow equally limited
-then extension
-then flexion is the least limited

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9
Q

noncapsular pattern example

A

being able to turn your head to the left but not as much on the right

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10
Q

what area of the spine has the most frontal plane movement?

A

cervical spine

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11
Q

in extension, how do the spinal segments change?

A

cervical- increase in lordosis
thoracic- decrease in kyphosis
lumbar- increase in lordosis

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12
Q

in flexion, how do the spinal segments change?

A

cervical- decrease or loss of lordosis
thoracic- increase of kyphosis
lumbar- decrease of loss of lordosis

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13
Q

what degree are the facets of the cervical spine oriented

A

45 degrees

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14
Q

what type of motion is there the most pain in the cervical spine

A

3D motions, stresses the joint the most

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15
Q

U joints exist where

A

between C2-3 to C6-7

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16
Q

what motion do U joints help most with

A

helps guide sagittal plane motion

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17
Q

what are the kinematics of the U joints

A

convex on concave
roll and slide in opposite directions

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18
Q

what motion do the U joints resist

A

frontal plane motion (most pain here)

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19
Q

PLL definition

A

many layers with different orientation to control movement

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20
Q

ALL definition

A

limits ext and reinforce disc, can be damaged in whiplash

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21
Q

ligamentum flavum

A

preserves the normal curvature of the spine and to straighten the column after it has been flexed

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22
Q

nuchal ligament

A

lots of muscle attachments so STM can help improve ROM

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23
Q

which vertebrae have ipsilateral coupling

24
Q

disc to vertebral body size ratio

25
progression of disc degeneration
-end-plate fx -internal disc disruption -protrusion -annular tear -prolapse -extrusion -sequestration
26
what kind of force causes an end-plate fracture
compressive force
27
what nerve innervates the disc
sinuvertebral nerve
28
pressure is increased most in what plane of movement
sagittal
29
increased pressure leads to increased...
rate if degeneration
30
function of the atlas
to support the head
31
what is the orientation of the superior articular facets of C1
post/lat to ant/med at 30 degrees
32
half of the rotation comes from where
C1/C2
33
axis orientation
20 degrees from horizontal plane
34
capital protraction is
extension
35
capital retraction is
flexion
36
arthrokinematics of capital extension
occiput rolls posterior slides anterior
37
arthrokinematics of capital flexion
occiput rolls anterior and slides posterior
38
coupling
naturally occurring kinematic motion
39
transverse ligament
largest and strongest in upper c-spine, restricts flexion and post displacement of atlas
40
bilateral contraction of axial muscles
pure flexion/extension
41
unilateral contraction of axial muscles
flexion/extension with lateral flexion/side bending and/or rotation
42
pediatric torticollis
characterized by muscle spasm/tightening in the SCM or trap
43
thoracic outlet syndrome
spasm causing mechanical compression on brachial plexus and vascular issues
44
borders of the anterior triangle
SCM, anterior scalene, first rib
45
what does the anterior triangle contain
subclavian vein, lymph vessels, phrenic nerve
46
what are the borders of the posterior triangle
anterior scalene, middle scalene, first rib
47
posterior triangle contains...
subclavian artery and brachial plexus
48
cervical protraction is what movements of the upper and lower cervical spine
extension of C1-C2 flexion of C3-7
49
cervical retraction is what movements of the upper and lower cervical spine
flexion of C1-2 extension of C3-7
50
typical cervical flexion movements
inferior facet slides superior and anterior on inferior superior facets
51
typical cervical extension movements
inferior facet of superior vertebra slides inferior and posterior on superior facet of inferior vertebra
52
typical movement for side-bending of cervical spine (Right side-bend)
R inferior facet of superior vertebra slides inferior and posterior on R superior face of inferior vertebra inferior facet on L superior vertebra slides superior and anterior on L superior facet of inferior vertebra
53
rotation of typical vertebra of cervical spine (R rotation)
R inferior facet of superior vertebra slides inferior and posterior on R superior facet of inferior vertebra inferior facet of L superior vertebra slides superior and anterior on L superior facet of inferior vertebra
54
what motion increases dimensions of intervertebral foramen
cervical flexion and contralateral rotation
55
what decreases dimensions of intervertebral foramen
cervical extension
56
what are the five Ds to the vertebral artery
dizziness, drop attacks, diplopia, dysarthria, dysphagia
57
what are the 3 Ns to the vertebral artery
nausea, numbness, and nystagmus