Chapter 9 - Cervical Spine

Question 1

Cervical rib

Answer 1

Bony extension of the C7 transverse process that is frequently attached to the first red with a fibrous tissue a.k.a. Pseudo rib

Question 2

Flexion main muscles

Answer 2

Scalenes, SCM

Question 3

Extension main muscles

Answer 3

Suboccipital’s, splenius capits, cervicis, upper traps, levator scap , cervical erectors

Question 4

Lateral flexion main muscles

Answer 4

suboccipital’s, upper traps, levator scap, scalenes

Question 5

Rotation main muscles

Answer 5

Same side: Splenius, levator scap

Opposite side: Traps, SCM

Question 6

Military neck a.k.a. cervical lordosis

Answer 6

Loss of natural cervical lordotic curve

Question 7

Military neck causes

Answer 7

Hereditary or poor pastoral habits. Surgeries such as fusion

Question 8

Forward head posture

Answer 8

Primarily results from chronic dysfunctional Postural patterns.

Posterior cervical extensor muscles have increased load to hold head upright.

Fatigue and teepees are a result

Upper crossed syndrome can develop

Hypertonic posterior cervical muscles

Will lead to distortions of the thoracic region resulting in exaggerated thoracic kyphosis

Question 9

Forward head posture treatment

Answer 9

Length shortened structures to restore alignment: Suboccipital’s, cervical flexors.

Postural correction. 1 to 2 sessions per week for six weeks, reevaluate

Question 10

Forward head posture ROM

Answer 10

AROM/ PROM: Neck extension is more limited than flexion

MRT: Possible trigger point pain, possible weakness and deep neck flexor’s

Question 11

Four stages of healing post whiplash

Answer 11

Stage one: acute injury, inflammation phase, up to 72 hours post accident

Stage two: subacute, Repair phase, 72 hours – 14 weeks

Stage III: Remodeling phase, 14 weeks - 12 months

Stage 4: Chronic, permanent

Question 12

Cervical facet syndrome TX

Answer 12

Reduce compression on facet joints, possible reeducation of posture. Reducing compression is also known as cervical distraction

Question 13

Whiplash - muscles most likely to be affected

Answer 13

Flexors

Question 14

Torticollis

Answer 14

Men’s twisted neck. Involuntary muscle contraction.

Question 15

Torticollis causes

Answer 15

Congenital: occurring during or shortly after birth no pain.

Acquired/acute: prolonged position/head or neck injury

Spasmodic: basal ganglia dysfunction, idiopathic (possible head trauma)