Cervical Spine SD Dx & Tx With ME And ART

Question 1

Define spurling’s maneuver

Answer 1

Physician standing behind seated patient

3 stages:

1. Compression of the head in neutral
2. Compression of the head with extension
3. Sidebend away from he affected side then toward the affected side and add compression

Question 2

What does a positive Spurling’s Maneuver indicate

Answer 2

Positive test indicated by pain down the arm in distribution of the nerve root indicating nerve root compression

Question 3

For CS MET/ART regional restrictor, what is the patient instructed to do

Answer 3

Create an isometric contraction for 3 - 5 seconds and then stop and return to neutral

Question 4

Where should the physician’s arms be for CS bilateral forearm fulcrum forward bending

Answer 4

Under the patient’s head and crossed to allow for flexion and bending

Question 5

To determine an AA diagnosis, what must the physician do

Answer 5

Fully flex with CS, this locks C2 - 7 isolating rotation to the atlas

Question 6

Where should the physician contact the CS for performing a rotational diagnosis

Answer 6

The vertebral segment posteriorly on the articular pillar