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
C5/C6 facet joint pain refers to what area?
Left upper trap area
C6/C7 facet joint pain refers to what area?
right mid to low rhomboid area
If a patient who experiences shoulder pain demonstrates increased pain associated with repeated cervical spine movements, what should be considered dysfunctional?
the cervical spine
Cervical spondylosis is oftentimes confused with what pathologies?
RC tears, nerve compression in the shoulder area, or brachial neuritis.
External rotation lag sign assess which RC muscle?
infraspinatus
Shoulder lift off test assess which RC muscle?
subscapularis
What cervical mobilization has been proven to be beneficial in treating neck pain with radiating symptoms into the UE?
lateral glides
Is cervical traction beneficial for neck pain patients with radicular symptoms?
Yes, intermittent cervical traction
