Cervical Spine Somatic Dysfunction Diagnosis

Question 1

Which vertebra in the C-spine are atypical

Answer 1

C1 (atlas), C2 (axis), and C7

Question 2

The N.’s in the cervical region exit where

Answer 2

Above the vertebral body

Question 3

Does the atlas have a vertebral body

Answer 3

No

Question 4

What L bonds the dens posteriorly

Answer 4

The transverse atlantal L.

Question 5

What are some indications for C-spine OMT

Answer 5

Chronic neck or head pain

Question 6

What are some emergent indications for C-spine OMT

Answer 6

Trauma, MVA

Question 7

Define a hangman’s fracture

Answer 7

Hyperextension of the neck, resulting in a spondylolisthesis of C2 and a fx of the vertebral arch of C2 and a tearing of the L. Between C2 and C3

Question 8

What are the two major motions allowed in the OA

Answer 8

Flexion and extension

Question 9

What are the two minor motions of OA and how do they occur

Answer 9

Sidebending and rotation

Occur in opposite directions

Question 10

What is the primary motion of the AA

Answer 10

Rotation

Question 11

C2 - C7 rotation and sidebending occur how

Answer 11

In the same direction due to the uncinate process

Question 12

In C-spine, translation from L to R causes what? What about translation from R to L?

Answer 12

L to R - SB L

R to L - SB R

Question 13

What are some contraindications for HVLA/ART

Answer 13

Advanced RA

Down syndrome

CAD

Klippel-feil syndrome

Chiari malformation

Dwarfism

Question 14

What are some contraindications for ST

Answer 14

Fx

Surgical sites

Infection

DVT

Question 15

What are some contraindications for MET or Still’s technique

Answer 15

Osteoporosis

Infection

RA

Fx

Dislocation

Question 16

RA and DS mnay be associated with what in the cervical area

Answer 16

Alar ligament instability