Cervical Lab Interventions Flashcards
OA joint traction helps improve what motions
Flexion and extension
But u can use when all directions hurt and have nerve pain w flexion and extension
How would u do a OA joint mob for a opening on the R side
put pt into CV flexion w L to R side slide
How would u do a OA joint mob for a opening on the L side
put pt into CV flexion w R to L side glide
How would u do a OA joint mob for a closing on the L side
Put pt into CV extension w L to R side glide
How would u do a OA joint mob for a closing on the R side
Put pt into extension w R to L side glide
What can u do for a AA joint rotation self mobilization
SNAG - do after having manual therapy or MET
How would u perfomr a AA joint rotation self mob (SNAG) to increased L rotation at C 1-C2 rotation
Have towel wrapped across superior vertebral body of affected joint and tell pt to hold towel down toward chest on L side w R hand and then use L hand to hold towel straight away from face and tell them to pull towel up and to the L while rotating neck to the left … hold for 6 secs
If a patient is restricted w rotation in the C spine what joint should they assess
AA joint (C1- C2)
How would u increase R rotation while doing a AA joint MET
Have pt SB to L then rotate to the R and have pt look hard to the L for 6 secs then take to new end range
What oscillatory grade would someone use for cerviogenic HA treatment
Grade 1 or 2 for like 10 seconds
How is the pateints head position different for Cervicogenic HA treatment for C1 under occipital and C2 under C1 and for C2-C3
C1- head is in neutral (PA mob)
C2- head is rotated 30° to ipsilateral side of HA (PA mob)
C3- head in neutral
How do u perfomr side glide (C2-T1) join mob for a opening restrictions to R side and L side
R side = flex neck up to segment being asses and side glides L to R.
L side= flex neck up to segment being assessed and side glides R to L
How do u perfomr side glide (C2-T1) join mob for a closing restrictions to R side and L side
R side= Extend neck to segment being assessed and side glide R to L
L side= extend neck to segment being assessed and side glide L to R
What are PRECUATIONS from manual therapy
- joint effusion or inflammation
- RA
- presence of neuro signs
- pregant
- dizzy
- steroid or anti coagulant therapy
How can u progress CV flexion + cervical flexion
In supine have pt put hands being head and us hands to bend neck so that chin is on chest and use ur front neck mm to hold position and then u could ass eccentric control to lower head back down
Contras for muscle performance training (MET)
- Unstable angina
- Uncontrolled HTN
- Uncontrolled dysrhythmias
- Hypertrophic
cardiomyopathy - Certain stages of
retinopathy - Pain
- Inflammation
Precautions from mm performance training
- CHF
- Myocardial ischemia
- Poor L ventricle function
- Autonomic neuropathies
What do u need to considered when doing mm performance training
• Appropriate level of intensity
• Sufficient time for warm up and cool
down to permit adequate physiological
adaptations
What are indication for Cervical traction
- Neck pain w/ radiating pain
- Neck pain w/ referred pain
into upper arm (suggests
aggravated facet joint) - Spinal stenosis
- Significant mm spams
How many lbs or BW % do u do for mechanical traction for the c spine
10-40 lbs or 7% of BW
How many lbs is needed for vertebral separation for the c spine for traction
20-30 lbs
What do u wan to avoid when doing mechanical traction
Avoide rebound effect by ensuring some traction is still present for oof cycles
For a herniated nucleus pulposus what is the Rx duration for traction
Static for 5-10 mons or intermittent for 15 mins
What are contras from mechanical traction
- Impaired cognitive function
- RA
- Osteoporosis
- Evidence of instability
- Claustrophobia
- Spinal tumors
- Spinal infections
- Spondylolithesis
- Vascular compromise
- Very young or very old pts
What is the position of the arm for a ULTT 1 and what nerves is it hitting
Passive test into c spin neutral , shoulder depression , GH abduction , wrist/finger extension , forearm supination , GH ER , elbow extension , C spine contra SB
Median
What is the Rx for nerve glides
PT repeats test and stops just short of significant symptoms
PT returns arm to starting and repeats
2-3 sects of 10-20 reps
How long should they do a self nerve glide
Moving back and forth between positions for 2-3 sets of 10-20 reps
What is the different between a nerve glide and stretch
Glide is there is an on and odd side and a stretch is on and on
How long should pt hold nerves stretch
10-15 secs for 3-5 reps
How would a pt perfomr a self medical nerve glide
Pt extends finger , wrist and elbow into sensitizing position (ON) while also SB head towards affected side (OFF) and then reverse
Are nerves glides sustained or oscillatory
Oscillatory
What movements are performed at the arm passively for ULTT 2 and what never is it targeting
C-spine neutral → shoulder depression → GH IR → wrist/finger flexion, forearm pronation → elbow extension → GH abduction —> C-spine contralateral side bending
Radial n
How would a pateint perform self radial n glides
Start in stnading o seating w c spine in neutral and shoulder help need side w elbow extended
pt flexed fingers and wrist then abducts the shoulder into sensitizing position (ON) while also SB head toward affected side (OFF) then vise versa
What position is the PT taking the arm for the ULTT 3 and what n is it hitting
: C-spine neutral → shoulder depression
→ GH abduction → GH ER → forearm pronation,
wrist/finger extension → elbow flexion → C-spine contralateral side bending
Ulnar
