Cervical Somatic Dysfxn LECT

Question 1

Cervical Spinal nerves exit ___ vertebral body

Answer 1

Above

Question 2

Thoracic spinal nerves exit ___ vertebral body

Answer 2

Below

Question 3

Lumbar spinal nerves exit ___ vertebral body

Answer 3

Below

Question 4

Describe the Atlas

Answer 4

C1
No vertebral body
Rotates around the dens of C2
Bounded anteriorly on the dens by the anterior arch and posteriorly by the transverse atlantal ligament

Question 5

Describe the Axis

Answer 5

Vertebral body of C2 extends superiorly to form the dens

Question 6

In an AP radiograph, the distance between spinous processes should be ____

Answer 6

Equal

No space should be 50% wider than the one immediately above or below

Question 7

Open Mouth radiograph enables assessment of ___ and ___

Answer 7

C1/C2

Lateral masses of C1 should not extend wider than the lateral masses of C2

Question 8

If lateral masses of C1 extend wider than the lateral masses of C2, this is indicative of a ___

Answer 8

Burst fracture

Question 9

XR R posterior oblique view demonstrates the ___

Answer 9

Left foramina

Question 10

OA major motions

Answer 10

Flexion/extension

Question 11

OA minor motions

Answer 11

Type 1 like, opposite directions
Sidebending
Rotation

Question 12

AA primary motion

Answer 12

Rotation

Question 13

C2-C7 are similar to what Fryette’s Principle?

Answer 13

Type 2

Question 14

What is the fulcrum side?

Answer 14

The side toward which you are inducing sidebending

Question 15

Indications for Cervical ST

Answer 15

Cervical SD with significant ST component

Question 16

Contraindications for Cervical ST

Answer 16

Fx
Open wound or surgical site
Infection
DVT
Coagulopathy
Neoplasm

Question 17

Indications for Cervical HVLA, ART

Answer 17

Cervical SD with identified ROM restriction most likely attributable to a SD in a cervical facet joint, AA joint, or OA joint
Hard, firm end-feel

Question 18

Contraindications for Cervical HVLA, ART

Answer 18

Advanced RA
Down's syndrom
Vertebral/Carotid artery disease
Inflammatory arthritidies
Malignancy
Acute radiculopathy
Klippel-Feil syndrome
Chiari malformation
Achondroplastic dwarfism

Question 19

Indications for MET or Still’s technique

Answer 19

Cervical SD

Question 20

Contraindications for MET or Still’s

Answer 20

Undiagnosed joint swelling
Severe osteoporosis
Neoplasm
Infection
Hematoma
RA
Fx or dislocation

Question 21

Timing for ST

Answer 21

30 seconds for 10-15 reps or until tissue response reflects optimal response or no change in continued treatment

Question 22

Timing for HVLA

Answer 22

1 rep

Question 23

Timing for MET

Answer 23

3-5 reps

Question 24

Timing for ART

Answer 24

10-30 reps

Question 25

Timing for Still’s

Answer 25

1 rep