Cervical Spine Tx Flashcards
Stills technique: basic
Put in position of ease while monitoring segment,
add compression,
rotate to neutral,
and then to RB
Start out at given dx–> neutral–> end up at exact opposite dx
Still
Direct or indirect
Indirect–>direct
Still
OA SD (REMEMBER OA–> TYPE 1 like; not exactly bc usually has a flexion/extension component)
Dxs: OA F SLRR
- [Position of ease: + compression WHILE MONITORING SEGMENT ENTIRE TIME]–> move through neutral–> [Go into restrictive barrier]
- Pinch grab the occupit with R and and rotate/compress the head with the other.
Still
AA SD
Dxs: AA RL
- Cup occiput
- Flex the head, like regular
- Rotate L, add a compressive force–> go through neutral –> into RB –> now you are RR
- neutral
- go reassess by lifting up AA to lock out lower segments
Still
Cervical SD
Dxs: C4 E RR Sr (remember cervical are typically TTOSS)
- Monitor segment with one hand
- Pinch grab the TP of C4, extend head, RR, SB R
- Then; add a compressive force
- Go through neutral–> RB (Flexion, RL, SL)
- back to neural
- reasess
BLT
Basic steps
- Shift all structures in shifted neutral position
- Use an activating force (BREATINING)
- Conduct 1-3 times until balance is stored; this feeling may be palpable
- reasess
BLT
Start position–>
End position–>
indirect
indirect
BLT
OA SD
OA E SLRR
- Pincher grap area with one hand and grab head with othre
- Put into extension, SB L, RR until in BLT
- Take a deep breath in and out
- hold breath in whichever position she likes until let go.
- Repeat 1-3 times until balance is restored.
BLT
C3-C7 (usually type 2)
- Put into position of ease
- Test respiratory
- Ask them to hold whichever you feel tension loosen: “hold as long as youre comfortable”
- Repeat 1-4 times until balance is restored
- REASSESS
FPR basic steps
- Diagnose segment
- Neutralize the sagittal plane
- Add a facilitating force (compression)
- Indirect
- Hold 3-5 seconds
- Reevaulat
FPR
Start and end position
Start–> neutral
End–> indirect
Plane of the cervical spine
Lordosis
In FPR, what do we do to the cervical spine to take out lordosis?
Flex it
FPR Hypertonic Suboccipital M
SD: Right hypertonic suboccipital muscles
- Assess the suboccipital mucles
- Flex the head to neutralize the lordosis
- Compress the head
- WHILE COMPRESSING THE HEAD; [extend] the head and go to the side of the hypertonic muscles
Ex. R hypertonic m–> SB R and R R
Ex.: L hypertonic m–> SB L and LL
- Hold 3-5 seconds, wait for tissue to relax
- go to neutral
- release compression
- REASESS
FPR : Cervical Segmental Dysfunction
C2 F RrSr
- Pincher grab segment
- Flex the head to neutralize the lordosis
- Compress the head
- F, RR, SR
- Hold for 3-5 seconds, until tissue relaxes
- Go back to neutral
- Reass
