Cervical OMM

Question 1

________ is a disease process causing inflammation of a spinal nerve root. It generally results in ________ changes.

Answer 1

Radiculitis, sensory

Question 2

The upper thoracics and associated rib dysfunctions are commonly associated with _______.

Answer 2

Nerve root compression

Question 3

A common comorbidity with upper crossed syndrome is ________.

Answer 3

Thoracic outlet syndrome (especially lower brachial plexus)

Question 4

The most common level of nerve root impingement in the neck is ________.

Answer 4

C5-C6

Question 5

Cervical myelopathy will generally present with _______ motor neuron symptoms.

Answer 5

Upper

Question 6

The second most common level of nerve root impingement in the neck is ________.

Answer 6

C6-C7

Question 7

The imaging tests ordered for cervical myelopathy are ________ and ________.

Answer 7

MRI, X-ray

Question 8

The Spurling test is performed by placing the patients neck in ________ and ________ towards the affected side.

Answer 8

Extension, sidebending

Question 9

Upper medial scapular pain is commonly found with ________.

Answer 9

Nerve root impingement

Question 10

A good approach for a whiplash patient is:

________

________

________

Answer 10

Suboccipital release

Address upper thoracic and rib dysfunctions

Address cervical dysfunctions

Question 11

A good OMT technique for nerve root compression is _______.

Answer 11

Suboccipital traction

Question 12

Which muscles are phasically inhibited in upper crossed syndrome?

Answer 12

Middle/lower trapezius, serratus anterior, rhomboids, supraspinatous, infraspinatous, deep neck flexors

Question 13

A clinically applicable way to define radiculitis and radiculopathy is the following:

________ = sensory involvement of a nerve

________ = loss of function

Answer 13

Radiculitis, radiculopathy

Question 14

The major causes of cervical myelopathy are ________ and ________.

Answer 14

Spinal stenosis, herniated discs

Question 15

Which muscles are tonically facilitated in upper crossed syndrome?

Answer 15

Pectorals, upper trapezius, levator scapulae

Question 16

________ is cervical spinal cord pathology causing dysfunction.

Answer 16

Cervical myelopathy

Question 17

________ is a disease process in which nerve root dysfunction is due to compression of a nerve root. It can result in sensory changes, motor changes, or ________.

Answer 17

Radiculopathy, both

Question 18

________ sign is an involuntary flexion of the the fingers, especially the thumb, after flicking the middle finger’s DIP.

Answer 18

Hoffmann’s

Question 19

The two major ways in which nerve root impingement can occur is via ________ and ________.

Answer 19

Disc herniation, osteophyte formation (spondylosis)