Cervical spine SD diagnosis Flashcards
Where do the cervical nerves exit in relation to the vertebrae?
above the vertebral bodies
Which vertebrae is pictured?
Atlas
Which vertebrae is pictured?
Axis
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
Myodural bridge
What is pictured?
Hangman’s fracture; resulting from hyperextension
What is pictured here?
Unilateral facet joint dislocation
What are the atypical articulations in the cervical spine?
OA and AA
Describe the mechanics for the C2-C7 certebrae
Rotation and sidebending are in the same direction, forming a unicate process
***can have somatic dysfuncitons in flexion, extension, or neutral
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
b.
Flexion and extension are the major movements of the _____ joint; which allows for more motion in the sagittal plane
OA joint
What are the minor motions of the OA joint?
sidebending
rotation
Due to the shape of the OA joint, sidebending and rotation occur in (THE SAME/OPPOSITE) directions
OPPOSITE
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?
OA F RrSl
The primary motion of the ______ joint is rotation
AA joint; the atlas rotates about the dens; no sidebending or flexion/extension
How is AA rotation achieved?
Obliquus capitis inferior muscles
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
B. rotating left
What are the cervical ROM values for
- flexion
- extension
- sidebending
- rotation
- 45-90
- 45-90
- 45
- 70-90
The _____ side is the side towards which youre inducing the sidebending
fulcrum
***the concave side
What are contraindications for soft tissue treatment of the cervical spine?
Fractures
Open wounds
Infection
DVT
Coagulopathy
Neoplasm
What are the contraindications of muscle energy in the cervical spine?
Undiagnosed joint swelling
severe osteoporosis
neoplasm
infection
hematoma
rheumatoid arthrtis
fracture
dislocation
What are the contraindications of HVLA to the cervical area?
Advanced rheumatoid arthritis and Down syndrome
Vertebral artery disease
Advanced carotid disease
What are some of the indications to perform a cervical soft tissue technique
Cervical SD with significant ST component
What are the indications of using HVLA and ART treatments?
Cervical SD with identified ROM restriction attributable to a SD in the cervical facet joint, AA, or OA
What are indications of MET and Stills technique treatment?
Cervical SD
