Cervical Spine Flashcards

1
Q

1828

A

birth of AT still

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2
Q

1974

A

AT still flung the banner of oseopathy to the breeze

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3
Q

1892

A

american school of osteopathy opens in kirksville

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4
Q

1917

A

death of AT still

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5
Q

1961

A

the california merger

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6
Q

the superior facets of the atlas face

A

backward, upward, and medially and are concave

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7
Q

what is the most important or most clinically significant somatic dysfunction which should be addressed in ALL newborns

A

occpital condylar compression

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8
Q

Symptoms of occpital condylar compression

A

affecting cranial nerves 9, 10, and 11 it can be the cause of poor suck, swallowing, difficulties, emesis, hiccups, congenital torticollis and pyloric stenosis

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9
Q

what is the primary motion of the OA joint

A

flection/extension

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10
Q

complimentary motions of occiput is

A

flexion with a posterior translatory slide and extension, anterior translatory slide

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11
Q

motion of the OA joint is limited by

A

muscular and ligamentous attachments

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12
Q

what is the relationship of the OA joint in terms of sidebending and rotation

A

“always” opposite

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13
Q

if the occiput rotates left

A

occiput slides left and sidebeninds right

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14
Q

what is the motion of the AA joint

A

rotation- nearly pure

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15
Q

shape of the AA facets

A

all convex, wobble in flexion and extension

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16
Q

somatic dysfuction occurs in ______for the AA joint

A

rotation

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17
Q

the AA joint mostly closely resembles

A

type one fryette mechanism

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18
Q

if the AA joint rotates right

A

left facet atlas slides uphill and right facet atlas slides downhil

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19
Q

functionally what is the suboccipital articulation

A

universal swivel joint

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20
Q

final compensator of the spine

A

OA and AA joints

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21
Q

function of the final compensator of the spine

A

keeps eyes level
promotes binocular vision
C2C3 sustains tremendous stress between final compensator and the rest of the spin (common location for chronic somatic dysfunction

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22
Q

what is the disk height ration

A

2:5

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23
Q

the C3-C7 intervertebral disks are

A

thicker anteriorly

24
Q

C3-C7 intervertebral disks help maintain

A

cervical lordosis

25
for the cervical joints rotation and side bending are
same direction
26
superior atricular pillars face
backward/upward
27
inferior articular pillars face
foreward and downward
28
in flexion _____is primary motion
rotation
29
in backward bending ______-is the primary motion
sidebending
30
__________maintain stability while allowing motion
joints of luschka
31
type of joint are the joints of luschka
specialized synovial
32
when do the joints of luschka develop
at ages 8-10
33
__________act as guide rails for flexion and extension
joints of luschka
34
_________limit lateral translator motion
joints of luschka
35
where is a really common place for somatic dysfunction to occur but is difficult to treat
cervicothoracic junction
36
hagmans fracture
unstable fracture of the C2 pedicles with forward displacement of C1 and the body of C2 and C3
37
traumatic spondyloisthesis of c2 is the result from
hyperextension of the head relative to the neck
38
use of OMT for cervicals is contraindicated if
there is a fracture
39
articular pillars are also known as
lateral masses
40
articular pillars are the
area between the cervical facet joints (true transverse processes are the anterior and posterior tubercles)
41
anterior component usually refers to
less prominent transverse process
42
posterior component usually refers to
positional descriptor used to determine the side of reference when rotation of a vertebrae has occurred; usually refers to the more prominent transverse process
43
major motion of the occiput is
flextion/extension
44
minor motion of occiput is
rotation and sidebending
45
if it translates to the right then
sidebent left
46
if rotated right at OA then
OA will not move anterior in extension
47
suboccpital symptoms, tension, and tissue changes are almost always associated with
upper thoracic and rib problems on the same side
48
what area souuld you treat first
upper thoracic area
49
chronic dysfunction in the cervical area is often associated with
chronic dysfunction in the sacral area
50
dysfunction in cervical region can cause
benign cervical vertigo
51
what are usually involved in acute neck problems
scalenes and longus group (cervical prevetebral muscles)
52
gross cervical motion testing will reveal restriction of rotation and sidebending to the
same side
53
sternocleidomastoid shortening causes
rotation and sidebending opposite
54
treatment of scalene and pre-vertebral muscles must start with treatment of
thoracic 1,2,3
55
what is the sequence for treating whiplash
thoracics, suboccipital and neck
56
muscle energy technqiue for acute muscle spasms of neck
barrier is not engaged so not direct or indirect technique
57
benign cervical vertigo
vestibular disturbance caused by cervical muscle spasm, tenderness, and tissue texture changes in the OA and upper cervical areas