Cervical Spine Pt 2

Question 1

sharp purser tests the _____ ligament

Answer 1

transverse

Question 2

how to do the sharp-purser test

Answer 2

• pt seated
• stabilize C2 w/ one hand, other hand on forehead
• push anterior

Question 3

postitive sharp-purser test signs

Answer 3

• abnormal pupils
• eye twitch/nystagmus
• soft end feel
• muscle spasm
• dizziness
• nausea
• paresthesias
• lump sensation in throat

Question 4

how to perform alar ligament test

Answer 4

• pt seated
• stabilize C2
• apply downward force to top of head and passively sidebend
• small motion expected

Question 5

positive alar ligament test

Answer 5

excessive motion or cluncking

Question 6

if you are going to perform any treatments at end range cervical rotation what test do you have to do first?

Answer 6

VBI
*every visit… not just the first

Question 7

3 Ns

Answer 7

nystagmus
nausea
numbness

Question 8

5 Ds

Answer 8

diplopia
dizziness
drop attacks
dysarthria
dysphagia

Question 9

How to perform VBI

Answer 9

• 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

Question 10

cervical flexion ROM norm

Answer 10

50

Question 11

cervical extension ROM norm

Answer 11

60

Question 12

cervical lateral flexion ROM norm

Answer 12

45

Question 13

cervical rot ROM norm

Answer 13

50

Question 14

rhomboids MMT

Answer 14

horizontal abduction thumb down

Question 15

middle trap MMT

Answer 15

horizontal abduction thumb up

Question 16

lower trap MMT

Answer 16

scaption with thumb up

Question 17

with traction, how much pounds of pull would you have to provide to cause damage

Answer 17

more than 50lbs
*this is how you can reassure pts it is safe

Question 18

total treatment time for traction

Answer 18

8-12 minutes

Question 19

what should you do before mechanical traction? manual traction

Answer 19

manual traction

Question 20

to avoid traction reaction, what should you always do

Answer 20

let off slow

Question 21

T or F: in one study, patients receiving thoracic spine thrust manipulation experienced a greater decrease in neck pain

Answer 21

T

Question 22

grade 5 manipulations are ______ velocity, ______ amplitude

Answer 22

high
small

Question 23

you should start a grade 5 manipulation at…

Answer 23

end range

Question 24

up to how many times should you attempt a manipulation

Answer 24

3

Question 25

positional release

Answer 25

• palpate trigger point and then shorten the muscle and hold
• passively return to starting position (where it was painful)

Question 26

muscle energy technique

Answer 26

• meet their resistance
• have them push against you (submaximal)
• hold 3-5 seconds
• go up the the next level of resistance
• 3-5 reps

Question 27

OA muscle energy technique improves _____- while AA improves ____-

Answer 27

flexion
rotation

Question 28

1st rib MET

Answer 28

• pt seated
• prop your arm on the table for pt to sit their arm
• palpate 1st rib
• SB/rotate towards arm
• block opposite SB

Question 29

start the cervical stabilizer at _____- to ______ mmHG and then slightly nod to increase to _______ mmhg. Hold 10 seconds

Answer 29

20-22
2mmHg
*continue increasing by 2 until 30 mmHg or until failure