Cervical Extension Syndrome Flashcards
rounded shoulders
facilitated pecs
anteiror head carriage
facilitated SCM
head extension
facilitated suboccipitalis
elevation of shoulders
facilitated upper trap and levator
winging scapula
inhibited serratus anterior
cervical extension syndrome consists of what?
forward head pain with extension weak intrinsic flexors pain with prolonged posturing headache in suboccipital region
nerves running through semispinalis capitis area
lesser occipital
greater occipital
least occipital nerve
How to tell if a person is doing improper cervical flexion
have patient lay supine
have them flex cervical spine “look at your feet”
what do they do if they have improper cervical flexion?
chin protrusion
overactive SCM
shaking
if there is a reduction in active flexion, what is happening in the neck?
forward translation without coupled sagittal rotation, resulting in approximation of facets
which part of the cervical spine is more mobile? less?
more: UC
less: lower cervical
quadruped rockback
patient on hands and knees
rock back onto knees
what is a positive quadruped rockback? what muscles are involved?
rock back, neck extends
involvement of levator scapulae, upper trapezius
what do you need to do to correct flexion syndrome?
have them try to make a double chin (sitting against the wall or have hand against head)
this engages local intrinsic muscles
can be done supine
get into quadruped position and rock back and have them try to keep neck in line with spine
what can you do to help thoracic mobility?
have them raise arms up from the side and from the front
have them bring the scapulae together while bringing their arms down
