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Clinical Assesment > Cervical Spine > Flashcards

Cervical Spine Flashcards

1
Q

The cervicoencephalic

A

Upper cervical spine
(C0-C2)

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2
Q

The cervicobrachial

A

Lower cervical spine
(C2-C7)

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3
Q

Atlanto occipital joints degree of movements

A

Flexion-extension 15•-20• (principal motion)
Lateral flexion 10•

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4
Q

⭐️The atlanto axial joint is the⭐️

A

Most mobile articulation of the spine

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5
Q

Atlanto axial joint degrees

A

Lateral rotation 50• (principal motion)
Flexion-extension 10•
Lateral flexion 5•

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6
Q

The intervertebral discs make up ___ of the height of the cervical spine

A

25%

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7
Q

No disc found between

A

C0-C1 and C1-C2

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8
Q

⭐️Cervical lordosis degree⭐️

A

30•-40•

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9
Q

⭐️if the cervical spine is injured, the head tends to be⭐️

A

Tilted and rotated away from the pain and the face is tilted upward

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10
Q

⭐️if the patient is ____ the head tends to be tilted and rotated ______⭐️

A

Hysterical
Toward the pain and the face is tilted down

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11
Q

When looking at the patient from an anterior view the chin should be

A

In line with the sternum

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12
Q

When looking at the patient from a lateral view the ears should be

A

In line with the shoulder and the forehead vertical

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13
Q

⭐️Usually the palpation is preformed with the patient in⭐️

A

Supine so that maximum relaxation of the neck muscles is possible

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14
Q

The following structures should be palpated in the anterior region

A

Hyoid bone, thyroid cartilage and first cricoid ring
Paranasal sinuses
First 3 ribs
Supraclavicular fossa

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15
Q

The following structures should be palpated in the lateral region

A

TP’s of cervical vertebrae
Lymph nodes and carotid arteries
Temporomandibular joints, mandible, and parotid glands

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16
Q

The following structures should be palpated in the posterior region

A

External occipital protuberance
SP’s and facet joints of cervical vertebrae
Mastoid process

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17
Q

Supine: Lift head keeping chin tucked in (neck flexion)

A

6-8 reps: F
3-5 reps: FF
1-2 reps: FP
0 reps: NF

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18
Q

Prone: lift head backward (neck extension)

A

Hold 20-25 s: F
Hold 10-19 s: FF
Hold 1-9 s: FP
Hold 0 s: NF

19
Q

Side lying, pillow under head so head is not flexed: lift head sideways away from pillow (neck side flexion)

A

Hold 20-25 s: F
Hold 10-19 s: FF
Hold 1-9 s: FP
Hold 0 s: NF

20
Q

Supine: lift head off bed and rotated to one side keeping head off bed or pillow (neck rotation)

A

Hold 20-25 s: F
Hold 10-19 s: FF
Hold 1-9 s: FP
Hold 0 s: NF

21
Q

Sitting: 4 corners inferior (neck flexion and lateral rotation)

A

5-6 reps: F
3-4 reps: FF
1-2 reps: FP
0 reps: NF

22
Q

Sitting: 4 corners superior (neck extension and lateral rotation)

A

5-6 reps: F
3-4 reps: FF
1-2 reps: FP
0 reps: NF

23
Q

Female patients tend to have a greater ROM than males except in

A

Flexion

24
Q

The range available decreases with age, except

A

Rotation at C1-C2 which may increase

25
Q

Nodding occurs in the ___ cervical spine whereas flexion occurs in the ___ cervical spine

A

Upper
Lower

26
Q

Flexion degree

A

80•-90•

27
Q

Extension degree

A

70•

28
Q

Rotation degree

A

70•-90•

29
Q

Lateral flexion degree

A

20•-45•

30
Q

How many movements during AROM

A

6

31
Q

⭐️For flexion ROM is normally found when chin is able to reach chest, however, how many finger widths between chin and chest is still considered normal⭐️

A

2

32
Q

Extension

A

No anatomical block to stop movement, problems result from whiplash or cervical strain

33
Q

Lateral flexion

A

Ear moves toward shoulder not shoulder towards ear

34
Q

⭐️Rotation and lateral flexion always⭐️

A

Occur together but not necessarily in the same direction

35
Q

PROM is best done in

A

Supine

36
Q

Flexion end feel

A

Tissue stretch

37
Q

Extension end feel

A

Tissue stretch

38
Q

Lateral flexion end feel

A

Tissue stretch

39
Q

Rotation end feel

A

Tissue stretch

40
Q

How many movements during PROM

A

6

41
Q

How many movements during RROM

A

6

42
Q

Resting position for cervical spine

A

Midway between flexion and extension

43
Q

Closed packed position for cervical spine

A

Full extension

44
Q

Alarligament

A

Limits flexion and rotation of C spine and Stabilizes alanto axial joint in rotation

Clinical Assesment (17 decks)

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