Cervical spine SD diagnosis

Question 1

Where do the cervical nerves exit in relation to the vertebrae?

Answer 1

above the vertebral bodies

Question 2

Which vertebrae is pictured?

Answer 2

Atlas

Question 3

Which vertebrae is pictured?

Answer 3

Axis

Question 4

The ______ ______ is the true connection between the rectus capitis posterior major and the dura mater. Contains a neural component and may do more than just anchor the muscle

Answer 4

Myodural bridge

Question 5

What is pictured?

Answer 5

Hangman’s fracture; resulting from hyperextension

Question 6

What is pictured here?

Answer 6

Unilateral facet joint dislocation

Question 7

What are the atypical articulations in the cervical spine?

Answer 7

OA and AA

Question 8

Describe the mechanics for the C2-C7 certebrae

Answer 8

Rotation and sidebending are in the same direction, forming a unicate process

***can have somatic dysfuncitons in flexion, extension, or neutral

Question 9

A 42 y/o female comes to your clinic with right neck pain after waking up with a kink in her neck 3 days ago. On physical exam, you note restriction to cervical extension and rotation to the right. After doing ST/MFR, you find C4 is rotated left, restricted to extension, and prefers left to right translation. Which of the following is the correct named somatic dysfunction?

a. C4ERlSl
b. C4 F RlSl
c. C4ERrSl
d. C4ERrSl
e. C4 F RlSr

Answer 9

b.

Question 10

Flexion and extension are the major movements of the _____ joint; which allows for more motion in the sagittal plane

Answer 10

OA joint

Question 11

What are the minor motions of the OA joint?

Answer 11

sidebending

rotation

Question 12

Due to the shape of the OA joint, sidebending and rotation occur in (THE SAME/OPPOSITE) directions

Answer 12

OPPOSITE

Question 13

A 19 y/o female presents to your clinic complaining of headaches. She states that she has been having these headaches since she was 17 y/o after a car accident whiplash injury and finds they are worsened by stress. OSE findings includes an OA preference to right rotation and restriction from R to L translation. These findings worsen in extension. How would you name this patient’s somatic dysfunction?

Answer 13

OA F RrSl

Question 14

The primary motion of the ______ joint is rotation

Answer 14

AA joint; the atlas rotates about the dens; no sidebending or flexion/extension

Question 15

How is AA rotation achieved?

Answer 15

Obliquus capitis inferior muscles

Question 16

A 27 y/o male football player presents with a subtle headache and neck pain after being thrown to the ground due to an excessive end zone celebration on Sunday. He denies numbness or tingling. On physical exam, he has no signs of nerve impingement or concussion symptoms. OSE reveals restriction of rotation to the right at the AA. Which of the following is the correct direction for the patient’s activating force during muscle energy treatment?

A. Rotating right
B. Rotatingleft
C. Side bending right

D. Side bending left

Answer 16

B. rotating left

Question 17

What are the cervical ROM values for

1. flexion
2. extension
3. sidebending
4. rotation

Answer 17

1. 45-90
2. 45-90
3. 45
4. 70-90

Question 18

The _____ side is the side towards which youre inducing the sidebending

Answer 18

fulcrum

***the concave side

Question 19

What are contraindications for soft tissue treatment of the cervical spine?

Answer 19

Fractures

Open wounds

Infection

DVT

Coagulopathy

Neoplasm

Question 20

What are the contraindications of muscle energy in the cervical spine?

Answer 20

Undiagnosed joint swelling

severe osteoporosis

neoplasm

infection

hematoma

rheumatoid arthrtis

fracture

dislocation

Question 21

What are the contraindications of HVLA to the cervical area?

Answer 21

Advanced rheumatoid arthritis and Down syndrome

Vertebral artery disease

Advanced carotid disease

Question 22

What are some of the indications to perform a cervical soft tissue technique

Answer 22

Cervical SD with significant ST component

Question 23

What are the indications of using HVLA and ART treatments?

Answer 23

Cervical SD with identified ROM restriction attributable to a SD in the cervical facet joint, AA, or OA

Question 24

What are indications of MET and Stills technique treatment?

Answer 24

Cervical SD