Cervical Lab 3 Flashcards
How do you preform the self snag?
Towel wrapped around C1
Pt holds towel down on chest on same side as affected (with opposite side hand)
Use same side hand to hold towel straight out infront of face
pull towel up and to that side while actively rotating neck
hold 6 seconds and repeat
to increase AA jt rotation with an MET
the patient sidebends to the __________
rotates towards the _________
looks towards the ______
opposite side
Same side
Looks to opposite side for 6 seconds and relaxes then PT takes them further
To treat cervicogenic headaches at C1 (OA) the patients head is in what position
how long do we oscillate for?
Where do we apply the pressure
neutral
10 seconds, relax, repeat
lamina
To treat cervicogenic headaches at C1/C2 (AA)
the pt’s head is in what position?
where do we apply the pressure?
How long do we oscillate for?
30 degrees rotation to IPSILATERAL side
to C2 lamina
oscillate for 10 seconds, relax, repeat
to treat C2-C3 for cervicogenic headache where is the pt’s head position?
Where do you oscillate?
neutral
C2
What are the steps to the CT junction manip in sitting?
Pt scoots edge of mat
interlace fingers behind head
PT interlaces fingers ontop of pt’s while holding under arms
Instruct pt to slump and bring weight into the PTs chest
PT leans posteriorly (so pt is upright)
quick thrust up
What CT junction manip is most specific to C7-T1?
Prone C-T junction, specifically a gapping technique to C7-T1
To preform the prone CTJ manip:
Pt’s head is rotated: _________
Sidebent _________
Your pisiform goes on the _______
Same side
to opposite side
TP of T1
Manual therapy contras
Infection
Febrile state
Acute circulatory condition
cancer
open wound or sutures near tx site
recent fx
osteoporosis
hematoma
advanced DM
hypersensitivity of skin
inappropriate end feel
RA(during exacerbation)
cellulitis
constant severe pain
extensive radiation of pain
Pt is afraid
indications for cervical traction
neck pain w/ radiating or referred pain into upper arm
spinal stenosis
significant mm spasms
How many lbs of cervical traction do you need for vertebral separation
how much is recommended?
What % bodyweight?
20-30lbs
though anywhere between 10-40 is recommended
or 7% bodyweight
We must avoid the rebound effect during cervical traction by ensuring that ______
some traction is still present in off cycles
how many sets and reps of nerve glides is recommended?
2-3 sets of 10-20 reps
where should a patient stop the ROM during nerve glides
just short of significant symptoms
When doing median glides what position do we alternate between
Head flexed towards side w/ elbow, wrist, fingers extended
head flexed away w/ elbow, wrist, fingers flexed
what are the 2 positions for radial glides
Pt flexes wrist + abduction of shoulder + head bent towards side
head bent away + wrist extends to neutral and shoulder adducts
What are the positions for ulnar nerve glides
Elbow flexes and wrist extends + sidebending towards
side bending away + elbow extends and wrist flexes
