Cervical Spine Pt 2 Flashcards
sharp purser tests the _____ ligament
transverse
how to do the sharp-purser test
- pt seated
- stabilize C2 w/ one hand, other hand on forehead
- push anterior
postitive sharp-purser test signs
- abnormal pupils
- eye twitch/nystagmus
- soft end feel
- muscle spasm
- dizziness
- nausea
- paresthesias
- lump sensation in throat
how to perform alar ligament test
- pt seated
- stabilize C2
- apply downward force to top of head and passively sidebend
- small motion expected
positive alar ligament test
excessive motion or cluncking
if you are going to perform any treatments at end range cervical rotation what test do you have to do first?
VBI
*every visit… not just the first
3 Ns
nystagmus
nausea
numbness
5 Ds
diplopia
dizziness
drop attacks
dysarthria
dysphagia
How to perform VBI
- pt supine
- overpressure end range L rot for 10 secs
- neutral 10 secs
- overpressure at end range R rot for 10 secs
- neutral 10 secs
*observe/ask about 5Ds and 3Ns
cervical flexion ROM norm
50
cervical extension ROM norm
60
cervical lateral flexion ROM norm
45
cervical rot ROM norm
50
rhomboids MMT
horizontal abduction thumb down
middle trap MMT
horizontal abduction thumb up
lower trap MMT
scaption with thumb up
with traction, how much pounds of pull would you have to provide to cause damage
more than 50lbs
*this is how you can reassure pts it is safe
total treatment time for traction
8-12 minutes
what should you do before mechanical traction? manual traction
manual traction
to avoid traction reaction, what should you always do
let off slow
T or F: in one study, patients receiving thoracic spine thrust manipulation experienced a greater decrease in neck pain
T
grade 5 manipulations are ______ velocity, ______ amplitude
high
small
you should start a grade 5 manipulation at…
end range
up to how many times should you attempt a manipulation
3
positional release
- palpate trigger point and then shorten the muscle and hold
- passively return to starting position (where it was painful)
muscle energy technique
- meet their resistance
- have them push against you (submaximal)
- hold 3-5 seconds
- go up the the next level of resistance
- 3-5 reps
OA muscle energy technique improves _____- while AA improves ____-
flexion
rotation
1st rib MET
- pt seated
- prop your arm on the table for pt to sit their arm
- palpate 1st rib
- SB/rotate towards arm
- block opposite SB
start the cervical stabilizer at _____- to ______ mmHG and then slightly nod to increase to _______ mmhg. Hold 10 seconds
20-22
2mmHg
*continue increasing by 2 until 30 mmHg or until failure
