Cervical MET/ART

Question 1

hand placement OA MET/ART

Answer 1

• one hand under occiput

- index and middle finger of other hand on chin beneath lower lip

Question 2

in typical cervical MET/ART where is the physician’s 2nd metacarpal-phalangeal joint placed

Answer 2

on the articular pillar to aide in induced sidebending to the RB

Question 3

compression test

Answer 3

physician stands behind patient and applies axial compression in neutral
+: pain down arm in nerve root distribution
- indicates cervical radiculopathy

Question 4

spurling’s maneuver

Answer 4

1: compress head in neutral
2: compress head in extension
3. side bend away from affected side and then towards affected side and add compression

Question 5

oculocephalogyric reflex

Answer 5

1. pt engages RB with eye motion and holds 3-5s
2. patient closes eyes (relaxes)
3. physician further engages RB using head and neck

Question 6

oculocephalogyric reflex

with an extension SD, where does the patient look

Answer 6

downwards towards their feet

Question 7

oculocephalogyric reflex

with a flexion SD, where does the patient look

Answer 7

toward the top of their head

Question 8

oculocephalogyric reflex

with a R sidebending SD, where does the patient look

Answer 8

up and to the left

Question 9

oculocephalogyric reflex

with a L sidebending SD, where does the patient look

Answer 9

up and to the right

Question 10

oculocephalogyric reflex

with a R rotation SD, where does the patient look

Answer 10

directly to the left

Question 11

oculocephalogyric reflex

with a L rotation SD, where does the patient look

Answer 11

directly to the right