cervical spine neck pain/whiplash/torticollis Flashcards
cervical spine upper facets and lower
upper point towards eye
lower point towards opp ASIS
OA joint motion
major is flexion and extension
-minor are SB and rotation
typical cervical spine
C2-7
rotation and SB to same side
modified type II mechanics
HVLA for OA thrust location
towards eyes
HVLA thrust typical C cpine with SB focus
with Rotation focus
SB: spinous process T1 Rotation: rays of sun -upper = eye -middle = straight across -lower towards opp ASIS
contraindications of HVLA
RA DS PVD osetoporosis pts on anticoag
anterior superficial soft tissues, first muscle to become injured
SCM
hyperextension can put strain on
anterior longitudinal ligament
treatment acute stage whiplash
OMT ASAP!!!!!
-ice pack
NSAIDs
acute stage whiplash physical activity for
- severe injuries
- moderate to mild injuries
severe: 1-3 days of bedrest, passive exercise in bed
moderate to mild injury: limited activiies and passive ROM
early chronic stage treat 1 wk to 1 month
-acute inflammation gone but still have increased muscle tension
-moist heat, NSAIDs
OMT, more aggresive like ME and HVLA
early chornic stage physical activity
1 week to 1 month
close to full activity
late chronic stage treatment 1-3 months
OMT to whole body as indicated
HVLA anywhere
late chronic stage phys activity 1-3 months or longer
encouraged to work toward full capacity
non spinal causes of neck pain
malignancy vascular CV infection visceral referred shoulder pain rheumatologic neurologic
torticollis ___ spasm—>____
SCM, rotation
laterocollis ___ spasm –>
trap, lateral tilt
other 2 types collis
anterocollis and retrocollis
congenital torticollis can cause what in infants
asymmetry of facial structures
when do you refer pt to ortho in congenital torticollis
if no response to stretching and treatment after 1-2 months
-if presentation is at over 1 ten best tx is surgical release of SCM
