cervical spine musculoskeletal pathologies Flashcards
What are the types of segmental joint dysfunctions?
hypomobility
hypermobility
What joints are affected with segmental joint dysfunction?
Facet joints (zygopophyseal joints)
Acute disc herniations are more common in the _____ spine.
lumbar
definition: Lack of normal joint glide present at a segment that leads to symptoms of pain or movement loss ( Joint Not moving Enough)
segmental joint dysfunction (hypomobility)
Segmental joint dysfunction: hypomobility has a (gradual/quick) onset of symptoms
gradual
Segmental joint dysfunction: hypermobility has a (gradual/quick) onset of symptoms
quick
What is greater in segmental joint dysfunction: hypomobility… Limited movement or intensity of pain
limited movement is greater
Segmental joint dysfunction: hypomobility has limited movement of the neck in ___ directions
one or two
Segmental joint dysfunction: hypermobility has limited movement of the neck in ___ directions
all
With hypomobility in the upper C-spine, SB and ROT are restricted in (opposite/same) directions
opposite
With hypomobility in the mid-lower C-spine, side bending and ROT are restricted in the (opposite/same) direction.
same
With C-spine hypomobility, joint glide that is present at the segment can be even more restricted when the segment is tested in what movements?
FLX/EXT
What segment is most commonly hypomobile in EXT (stuck in FLX)?
C2/C3 segment
The AO joint is common to be restricted in ____ with upper C- spine FLX/EXT.
ROT
What areas in the C-spine are more common to have hypomobility?
- CT junction
- C2/C3 segment
- AO joint
definition: Excessive joint glide present at a segment that leads to symptoms of pain or movement loss (Joint Moving Too Much)
segmental joint dysfunction: hypermobility
What type of segmental joint dysfunction common affects people of younger age (<50 yrs)?
hypermobility
What segmental joint dysfunction presents with the following symptoms:
- locking/catching symptoms with quick neck movements
- moderate referral
- localized neck pain
hypermobility
(true/false) When you see a segment that is hypermobile, there are typically hypomobile segments close by that are creating more stress on the hypermobile segment.
true
What segments in the C-spine are more commonly hypermobile?
- C4/C5
- C5/C6
With acute disc herniation, The nucleus pulposus of a cervical disc typically herniates________through the annulus fibrosis and often compresses on the nerve root located on the side of herniation.
posterolaterally
(true/false) Irritation of the nerve root w/ an acute disc herniation can occur directly from the disc pressing on it. It can also occur from the release of chemicals and inflammatory mediates that come in contact with nerve root due to the herniation.
true
Is it more common to get an acute disc herniation in a younger or older population? why?
younger b/c there is more water in their IV discs
Who is at risk for an acute disc herniation?
- Ages 25-40
- women >men