Cervical OMM

Question 1

The upper thoracics and associated ribs are commonly dysfunction with _______.

Answer 1

Nerve root compression

Question 2

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

Answer 2

C5-C6

Question 3

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

Answer 3

Extension, sidebending

Question 4

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

Answer 4

C6-C7

Question 5

A common comorbidity with upper crossed syndrome is ________.

Answer 5

Thoracic outlet syndrome (especially lower brachial plexus)

Question 6

Upper medial scapular pain is commonly found with ________.

Answer 6

Nerve root impingement

Question 7

Which muscles are tonically facilitated in upper crossed syndrome?

Answer 7

Pectorals, upper trapezius, levator scapulae

Question 8

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

Answer 8

MRI, X-ray

Question 9

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

Answer 9

Disc herniation, osteophyte formation (spondylosis)

Question 10

Cervical myelopathy will generally present with _______ motor symptoms.

Answer 10

Upper

Question 11

A good OMT technique for nerve root compression is _______.

Answer 11

Suboccipital traction

Question 12

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

________ = sensory involvement of a nerve

________ = loss of function

Answer 12

Radiculitis, radiculopathy

Question 13

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

Answer 13

Hoffmann’s

Question 14

________ is cervical spinal cord pathology causing dysfunction.

Answer 14

Cervical myelopathy

Question 15

A good approach for a whiplash patient is:

________

________

________

Answer 15

Suboccipital release

Address upper thoracic and rib dysfunctions

Address cervical dysfunctions

Question 16

The major causes of cervical myelopathy are ________ and ________.

Answer 16

Spinal stenosis, herniated discs

Question 17

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

Answer 17

Radiculitis, sensory

Question 18

________ 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 18

Radiculopathy, both

Question 19

Which muscles are physically inhibited in upper crossed syndrome?

Answer 19

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