Cervical Spine Flashcards
Things to ask during exam?
sleep position/ pillows dizziness with mvmt? headaches? pain in shoulders or TMJ (regional Interdependence) numb/tingle in hands
dizziness with mvmt can indicate
artery insufficiency (rotate trunk with stable head) vestibular problem
C1 refer pain to
c2?
c3?
top of head
temporal area
occiput
Hand numb/tingle indicates?
feet/hand numb indicates
space-occupying lesion in intervertebral foramen
SC lesion
What to observe for C spine?
forward head/scap
cervical lordosis
breathing pattern
gait deviations
gait impairments early indication of
loss of proprioception
sensation
motor control
2dary to SCI
What are symptoms of Cervical Myelopathy?
at least 3 of these:
- antalgic gait/wide BOS
- Pos Babinksi
- Pos Hoffmans
- inverted brachioradialis reflex.
- > 45
when brachipradialais reflex elicits finger flexion and not elbow flexion
inverted brachioradialis reflex
Paplation sites for C spine?
Soft tissue on both sides
ROM for C Spine?
smooth/quality
segmental inc/dec
symmetrical side bend/rotation
deviations
how is PROM for rotation of UPPER cervical spine accomplished?
forward bend to end range the compare rotation.
about 45 deg is norm
Accessory motion of C spine?
strength?
forward/back bend
rotate left right
neck flexor muscle endurance test
Cranial Cervical Flexion test
Special tests?
Vertebral Artery test Alar ligament test Modified Sharp Purser Test Spurlings test Thoracic outlet.
Common Dx in C spine?
muscle/ligament injury facet impairment radiculopathy herniated disc OA/stenosis Fx Whiplash post surgical
Motion in lower cervical spine is believed to be coupled how?
side bending and rotation occur to equal extent on same side.
