Cervical Spine BLT/FPR/Still's Techniques

Question 1

• What are Cervical DTRs to test?

Answer 1

• Biceps (C5)
• Brachioradialis (C6)
• Triceps (C7)

Question 2

• Identify the dermatomes of the upper extremity

Answer 2

Question 3

• What are neurological concerns with examining the cervical spine?

Answer 3

• Radicular neurological pain
  
  • Tends to be unilateral
  • Requires further diagnostic testing
  • Manipulation may be offered with caution
    
    • Physician comfort
    • Patient comfort

Question 4

• How do you perform FPR on Hypertonic Suboccipital Muscles?

Answer 4

• Slightly flex neck to neutralize spinal curve
• Apply < 1 lb of compressive force
• Move patient into dysfunction (where it likes to do)
• Hold 3-5 sec
• Return to neutral and release compressive force
• Reasses tonicity

Question 5

• How do you perform FPR of a cervical segment dysfunction?

Answer 5

• Slightly flex head and neck to neutralize spinal curve
• Apply axial compression (<1 lb) of pressure and move segment to ease of motion

Question 6

• Still’s OA SD

Answer 6

Question 7

Still’s AA SD

Answer 7

Question 8

Stills Typical Cervical SD

Answer 8

Question 9

BLT OA SD

Answer 9

Question 10

BLT Cervical SD

Answer 10