Cervical Syndromes

Question 1

Unilateral cervical syndrome

Whats the LOC?

Answer 1

1 leg short in extension, evens with head turned to either right or left
-tender nodule on side opposit of rotation
LOC: L-M, P-A, I-S

Question 2

Cervical syndrome atlas

LOC

Answer 2

1 leg short in extension, evens with head turned to 1 side only
-Palpation reveals NO tender nodule
-Toggle
LOC: P-A, L-M, I-S

Question 3

Double Cervical Lock

Answer 3

1 leg short in extension, balances with head rotation to BOTH sides
-Adjust the superior segment first, recheck and adjust inferior segment if needed

Question 4

Overcompensated cervical syndrome

What will pt. present with?

Answer 4

1 leg short in extension, balances with head rotation to 1 side
-Pt. presents with chronic C2 subluxation, tender nodules C2-C6, decreasing spinous laterality to C7, tight trapexius on opposite side of spinous rotation, 1st rib compensates for the neck, the SP laterality pulls the musculature attaching to the rib, often found with torticollis

Question 5

Overcompensated Cervical Syndrome

-State SCP, Stabilization, LOC

Answer 5

SCP: 1st rib opposite SP rotation (side of tight trap)
Stabilization: Zygomatic Arch
LOC: S-I, L-M (CH), I-S (SH) Scissor Action
-Rotate head away, laterally flex it over the scp, tuck knuckle into supra-clavicular fossa

Question 6

Xception Derifield Cervical Syndrome

Answer 6

Legs balanced in extension, head rotation has no affect. Short leg appears on flexion, then head rotation to one side balances.
-Same adjustment as unilateral Cervical Syndrome

Question 7

Bilateral Cervical syndrome

State the Palpation findings

Answer 7

Legs balanced in extension, Right rotation causes a right short leg and left rotation causes a left short leg.
-Palpatory C2 spinous pain due to ligament attachment.

Question 8

Bilateral Cervical Syndrome

-State SCP, CP, LOC

Answer 8

Indicates Occiput subluxation
SCP: inferior Nuchal line
SC: Bilateral thenars
LOC: A-P, I-S
*Deflect cervical piece 15 degrees, patient tucks chin. Adjustment is a scoop with a flip to the ceiling