Cervicobrachial Region Flashcards
What type of pain patterns are typical of cervicogenic pain?
sclerotome, myotome, and/or dermatomal patterns
What symptoms are present in patients with cervicogenic pain?
- paresthesia
- numbness
- weakness
What imaging findings are often present in patient with cervicogenic pain?
Spondylosis or disc pathology
What are the four signs present in patients with cervical radiculopathy?
- positive Spurling’s test
- positive limb tension tests
- limited cervical rotation (<60 degrees)
- positive distraction test
Does neck pain cause shoulder pain?
Does shoulder pain cause neck pain?
YES
YES
Upper crossed syndrome involves adaptive shortening of which muscles?
- levator scapulae
- upper trapezius
- pectoralis major and minor
- suboccipitals
- sternocleidomastoid
Upper crossed syndrome involves weakness of which muscles?
- deep neck flexors
- rhomboid major and minor
- serratus anterior
- lower and middle trapezius
What are the characteristics of upper crossed syndrome?
- elevation and protraction of the shoulder
- rotation and abduction of the scapula
- scapular winging
- forward head
- decreased stability of the GH joint
- increased muscle activity of the levator scapulae and trapezius
Where is DJD/DDD often seen?
in the mid cervical spine
What muscle does C4 innervate?
the upper trap
What muscle does C5 innervate?
shoulder/deltoid
What muscle does C6 innervate?
biceps
C2/C3 facet joint pain refers to what area?
right mastoid/occipital area
C3/C4 facet joint pain refers to what area?
Left lateral neck area
C4/C5 facet joint pain refers to what area?
Right lower occipital/upper trap area