Cervical Spine Rehab

Question 1

what can lead to forward head posture

Answer 1

continuous imbalances between deep and superficial muscles

Question 2

FHP is the most common …

Answer 2

postural dysfunction causing chronic neck and shoulder pain

Question 3

increased lordosis =

Answer 3

increased degeneration of joints

Question 4

cervical spine requires

Answer 4

a lot of mobility
important for our senses

Question 5

C0-C1 problems

Answer 5

H/A
vertigo
fatigue
poor concentration
irritability
physical attachment of dura

Question 6

C0-C2 problems

Answer 6

most likely issue with fascial connections

Question 7

muscle impairment with chronic neck pain

Answer 7

delayed cervical neck muscle contraction with upper body mvt
increased use of superficial cervical neck flexors during functional activities
increased fatigability of cervical neck flexors in pain pt

Question 8

common injuries of the C/S

Answer 8

DDD
post disc herniation
spinal stenosis
upper cross syndrome
facet jnt irritation
strains of trap, SCM, etc.
sprains

**Whiplash, concussions

Question 9

rehab of C/S

Answer 9

stability and strengthening
flexibility
postural awareness
traction
direction specific ex.
soft tissue mob
jnt mob
use all together for effective treatment

Question 10

what happens when superficial muscle become overactive

Answer 10

excessive shear and compression

Question 11

training the cervical core

Answer 11

reactivation of deep cervical m.
relaxation of scalenes and SCM
seated or gravity lessened position

Question 12

example of progression for cervical core training

Answer 12

seated
laying down
chin tuck with combined mvt
4 point against gravity
standing with ball behind head
PNF patterning
proper positioning with functional mvt

Question 13

intervention to manage disc lesion - early phase

Answer 13

decrease acute symptoms
teach awareness of neck position and mvt
passive cervical nods
traction

Question 14

passive cervical nods

Answer 14

nod the pt head for them

Question 15

traction

Answer 15

10 min
intermittent 15 min
15 lbs of force causes seperation
recommended for pt w/ neck pain
relieve pressure of neural structures

Question 16

management of disc lesions - subacute/controlled phase

Answer 16

inc mobility in restricted m., jnt, fascia, n.
head nods
mvt of the head with proper awareness
add UE mvt

Question 17

subacute phase

Answer 17

done when S/S of inflammatory process are under control and pain is no longer constant

Question 18

proprioception ex.

Answer 18

laser pointer
moving eyes only
moving head with eyes fixated
tracing/drawing objects with cervical mvt
balancing objects on head while walking

Question 19

cervical extensors

Answer 19

tend to be tonic and tight
compensatory m.

Question 20

forward head posture because

Answer 20

neck and shoulders have to carry head with isometric contr.

Question 21

FHP leads to

Answer 21

tension in TMJ
H/A

Question 22

people with uncorrected FHP can potentially suffer

Answer 22

chronic conditions :
pinched n. and bv
TOS
muslce and tissue pain
fybromyalgia
strains
early degeneration
arthritis

Question 23

cervicogenic (tension) H/A

Answer 23

referred pain to head of face from first 3-4 CN

Question 24

tension H/A chain of events

Answer 24

bad posture, stress, fatigue

tightened muscles or misaligned vertebrae

irritated nerves

Question 25

Tx for tension H/A

Answer 25

ROM for mobility stretches deep neck flexors activation

Question 26

indications for spinal traction

Answer 26

nerve root impingement disc herniation spondylolisthesis narrowing within the intervertebral foramen osteophyte formation degenerative joint disease subacute pain joint hypomobility discogenic pain muscle spasm or guarding muscle strain spinal ligament or capsular contractures improvement in arterial, venous, and lymphatic flow

Question 27

contraindication of spinal traction

Answer 27

acute sprains or strains acute inflammation fractures vertebral joint instability any condition which mvt exacerbates existing problem bone disease osteoporosis infections in bones of joints vascular conditions cardiac or pulmonary problems

Question 28

manual therapy is often used...

Answer 28

for pt with neck pain or without radicular symptoms

Question 29

when to do neuromeningeal mobs

Answer 29

once symptoms have centralized +ve slump +ve ULTTs positioning to point of tension

Question 30

contraindications of neuromeningeal mobs

Answer 30

acute or unstable neuro signs S/C injury or symptoms neoplasm and infections *watch for vascular compromise

Question 31

relaxation techniques for cervical and upper thoracic regions

Answer 31

Question 32

game plan

Answer 32

local intervention global intervention

Question 33

game plan - local intervention

Answer 33

deep cervical activation suboccipital mobility

Question 34

game plan - global intervention

Answer 34

posture T/S shoulder girdle (scap) core stability

Question 35

see exercises in ppt

Answer 35

:)