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Osteopathc principles and practice > Cervical Spine > Flashcards

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
Q

for the cervical joints rotation and side bending are

A

same direction

26
Q

superior atricular pillars face

A

backward/upward

27
Q

inferior articular pillars face

A

foreward and downward

28
Q

in flexion _____is primary motion

A

rotation

29
Q

in backward bending ______-is the primary motion

A

sidebending

30
Q

__________maintain stability while allowing motion

A

joints of luschka

31
Q

type of joint are the joints of luschka

A

specialized synovial

32
Q

when do the joints of luschka develop

A

at ages 8-10

33
Q

__________act as guide rails for flexion and extension

A

joints of luschka

34
Q

_________limit lateral translator motion

A

joints of luschka

35
Q

where is a really common place for somatic dysfunction to occur but is difficult to treat

A

cervicothoracic junction

36
Q

hagmans fracture

A

unstable fracture of the C2 pedicles with forward displacement of C1 and the body of C2 and C3

37
Q

traumatic spondyloisthesis of c2 is the result from

A

hyperextension of the head relative to the neck

38
Q

use of OMT for cervicals is contraindicated if

A

there is a fracture

39
Q

articular pillars are also known as

A

lateral masses

40
Q

articular pillars are the

A

area between the cervical facet joints (true transverse processes are the anterior and posterior tubercles)

41
Q

anterior component usually refers to

A

less prominent transverse process

42
Q

posterior component usually refers to

A

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
Q

major motion of the occiput is

A

flextion/extension

44
Q

minor motion of occiput is

A

rotation and sidebending

45
Q

if it translates to the right then

A

sidebent left

46
Q

if rotated right at OA then

A

OA will not move anterior in extension

47
Q

suboccpital symptoms, tension, and tissue changes are almost always associated with

A

upper thoracic and rib problems on the same side

48
Q

what area souuld you treat first

A

upper thoracic area

49
Q

chronic dysfunction in the cervical area is often associated with

A

chronic dysfunction in the sacral area

50
Q

dysfunction in cervical region can cause

A

benign cervical vertigo

51
Q

what are usually involved in acute neck problems

A

scalenes and longus group (cervical prevetebral muscles)

52
Q

gross cervical motion testing will reveal restriction of rotation and sidebending to the

A

same side

53
Q

sternocleidomastoid shortening causes

A

rotation and sidebending opposite

54
Q

treatment of scalene and pre-vertebral muscles must start with treatment of

A

thoracic 1,2,3

55
Q

what is the sequence for treating whiplash

A

thoracics, suboccipital and neck

56
Q

muscle energy technqiue for acute muscle spasms of neck

A

barrier is not engaged so not direct or indirect technique

57
Q

benign cervical vertigo

A

vestibular disturbance caused by cervical muscle spasm, tenderness, and tissue texture changes in the OA and upper cervical areas

Osteopathc principles and practice (10 decks)

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