Cervical Thoracic Region - Class 2 Flashcards
cervical thoracic region location
from inferior angle of the scap to the occipital bone
laterally to the deltoids
this region has
areas w/ significant amount of tension, tenderness, trigger points
boney landmarks of the cervical and thoracic spine –> posteriorly
inferior, vertebral and lateral borders of the scap
spine of scap
spinous process of C7
nuchal line
transverse process of C1
posterior muscles of the cervical/thoracic spine –> deep
sub occipital
deep intrinsic muscles of spine
sub occipitals
rectus capitis posterior major & minor
obliquus capitus superior
obliquus capitus inferior
deep intrinsic muscles of spine
transversospinalis
transversospinalis
semispinallis
multifidii
rotatores
how do we treat deep muscles of the cervical/thoracic spine
friction & suboccipital release
when do we perform suboccipital release
at the end of tx
posterior muscles of the cervical/thoracic spine –> intermediate
erector spinae
splenic capitis and cervicis
erector spinae
spinalis
longissimus
iliocostalis
spinalis
capitis
cervicis
thoracis
longissimus
capitis
cervicis
thoracis
iliocostalis
cervicis
thoracis
splenius capitis and cervicis
forms a more superficial layer of the deeper back/neck muscles
how do we treat intermediate muscles of the C/T spine
frictions
petrissage
stripping
compressions
skin rolling
MFR
posterior muscles of the cervical/thoracic spine –> superficial
cervical
thoracic
cervical superficial muscles
levator scap
middle and upper traps
scalenes
SCM
thoracic superficial muscles
lower trap
rhomboids
latissimus dorsi
rotator cuff/deltoid
how do we treat superficial muscles of the C/T spine
frictions
petrissage
stripping
compressions
indications for C/T massage
FHP
stress
whiplash/trauma
torticollis
awkward positioning
headaches
TMJ/TMD dysfxns
disc herniations
compression syndromes
headaches –> indications
may be a cause or a result of this tension producing area
contraindications to cervical massage (1)
pt is ill or nauseous/fever
pt in severe, undiagnosed pain
unhealed fx
neck has been seriously injured recently (acute)
skin condition on treating area
malignant melanoma/lymphoma
contraindications to cervical massage (2)
active POTTS dz/active ankylosing spondylitis
swollen glands
bleeding tx area
acute inflammation
acute inflammation –> contraindications
acute RA or acute injury
chronic RA or down syndrome
chronic RA or down syndrome –> contraindications
may have weakened transverse ligament at C1,C2
precautions to cervical massage
decreased sensation
hyperesthesia
pt position in cervical massage
prone, supine or sitting
what do we have to make sure we do during cervical massage
drape pt appropriately
all supplies w/in arms reach
necessary stroke for cervical massage
superficial strokes –> effleurage
superficial strokes for cervical massage
clearing stroke
shingling
bilateral tree
three count stroke of traps
horizontal stroke
neuromuscular technique of cervical massage
broad and specific contact compressions
stripping
petrissage strokes
friction and circular friction –> cervical massage
along the suboccipital, cervical, thoracic, scapular posterior mm and between ribs
j stroke –> cervical massage
around scapulae
CT strokes
skin rolling
skin strokes
muscle strokes
skin rolling
skin glides
finger slides
muscle strokes
perpendicular
mm play
strumming
how should we end a cervical massage
superficial strokes
