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Cata 439 final > Cervical Spine Rehab > Flashcards

Cervical Spine Rehab Flashcards

1
Q

what can lead to forward head posture

A

continuous imbalances between deep and superficial muscles

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2
Q

FHP is the most common …

A

postural dysfunction causing chronic neck and shoulder pain

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3
Q

increased lordosis =

A

increased degeneration of joints

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4
Q

cervical spine requires

A

a lot of mobility
important for our senses

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5
Q

C0-C1 problems

A

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

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6
Q

C0-C2 problems

A

most likely issue with fascial connections

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7
Q

muscle impairment with chronic neck pain

A

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

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8
Q

common injuries of the C/S

A

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

**Whiplash, concussions

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9
Q

rehab of C/S

A

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

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10
Q

what happens when superficial muscle become overactive

A

excessive shear and compression

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11
Q

training the cervical core

A

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

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12
Q

example of progression for cervical core training

A

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

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13
Q

intervention to manage disc lesion - early phase

A

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

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14
Q

passive cervical nods

A

nod the pt head for them

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15
Q

traction

A

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

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16
Q

management of disc lesions - subacute/controlled phase

A

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

17
Q

subacute phase

A

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

18
Q

proprioception ex.

A

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

19
Q

cervical extensors

A

tend to be tonic and tight
compensatory m.

20
Q

forward head posture because

A

neck and shoulders have to carry head with isometric contr.

21
Q

FHP leads to

A

tension in TMJ
H/A

22
Q

people with uncorrected FHP can potentially suffer

A

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

23
Q

cervicogenic (tension) H/A

A

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

24
Q

tension H/A chain of events

A

bad posture, stress, fatigue

tightened muscles or misaligned vertebrae

irritated nerves

25
Q

Tx for tension H/A

A

ROM for mobility
stretches
deep neck flexors activation

26
Q

indications for spinal traction

A

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

27
Q

contraindication of spinal traction

A

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

28
Q

manual therapy is often used…

A

for pt with neck pain or without radicular symptoms

29
Q

when to do neuromeningeal mobs

A

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

30
Q

contraindications of neuromeningeal mobs

A

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

31
Q

relaxation techniques for cervical and upper thoracic regions

A
32
Q

game plan

A

local intervention
global intervention

33
Q

game plan - local intervention

A

deep cervical activation
suboccipital mobility

34
Q

game plan - global intervention

A

posture
T/S
shoulder girdle (scap)
core stability

35
Q

see exercises in ppt

A

:)

Cata 439 final (8 decks)

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