Exam #3 - Spine Flashcards
Lumbar/Cervical/Thoracic spine close-packed position
Neutral or slight extension
Lumbar/Cervical/Thoracic spine open-packed position
Moderate flexion
Lumbar/Cervical/Thoracic Spine degrees of freedom
3 - sagittal, frontal & horizontal
Lumbar spine
Movement is described from ____ to ____ & the reference point is the ____ side of the more cranial vertebral segment
Movement is described from cranial-to-caudal & the reference point
of motion is the anterior side of the more cranial vertebral segment.
____ ____ of the spine is defined by the direction of movement of a point on the anterior side of the vertebral body
Axial rotation
Flexion & Extension
Plane:
Axis:
Plane: Sagittal
Axis: Medial-lateral
Lateral flexion to the right or left
Plane:
Axis:
Plane: Frontal
Axis: Anterior-posterior
Axial rotation to the right or left
Plane:
Axis:
Plane: Horizontal
Axis: Vertical
Forward & backward bending
Flexion & extension
Side bending to the right or left
Lateral flexion to the right or left
Axial rotation to the right or left
Rotation or torsion
Lumbar spine Flexion
Inferior facets of L2 slide ____ & ____ relative to the superior facets of L3
Inferior facets of L2 slide superiorly & anteriorly relative to the superior facets of L3
Lumbar spine Extension
Inferior articular facets of L2 slide ____ & slightly ____ relative to the superior facets of L3
Inferior articular facets of L2 slide inferiorly & slightly posterior relative to the superior facets of L3
Lumbar spine Axial Rotation to the right
Left inferior facet of L1 ____ against the left superior articular facet of L2
Right inferior facet of L1 ____ slightly from the right superior articular facet of L2
Left inferior facet of L1 approximates against the left superior articular facet of L2
Right inferior facet of L1 separates slightly from the right superior articular facet of L2
Lumbar spine Lateral Flexion to the right
Left inferior facet of L1 slides ____ in relation to the left superior articular facet of L2
Right inferior facet of L1 slides ____ in relation to the left superior articular facet of L2
Left inferior facet of L1 slides superiorly in relation to the left superior articular facet of L2
Right inferior facet of L1 slides inferiorly in relation to the left superior articular facet of L2
Movement descriptors of the apophyseal joints (3)
- Approximation
- Seperation
- Sliding
Thoracic Spine Flexion
Inferior articular facets of T5 slide ____ & ____ relative to the superior facets of T6
Inferior articular facets of T5 slide **superiorly & anteriorly **relative to the superior facets of T6
Thoracic Spine Extension
Inferior articular facets of T5 slide ____ & slightly ____ relative to the superior facets of T6
Inferior articular facets of T5 slide inferiorly & slightly posterior relative to the superior facets of T6
Approximation
Moves closer together
Global movement of Thoracic spine during flexion/extension
- Anterior approximation
- Posterior seperation
Local movement of ribs during flexion/extension
- Costovertebral joint:
- Costotransverse joint:
- Tips of ribs:
- Costovertebral joint: anterior rotation
- Costotransverse joint: superior slide
- Tips of ribs: downward rotation
Costovertebral joints
Head of the rib
an articulation between the articular costal tubercle of the rib and the costal facet of the transverse process of a thoracic vertebra
Costotransverse joint
Thoracic spine Lateral Flexion to the right
Left inferior facet of T6 slides ____ & ____ in relation to the left superior articular facet of of T7 (contralateral side)
Right inferior facet of T6 slides ____& ____ in relation to the left superior articular facet of of T7 (ipsilateral side)
Left inferior facet of T6 slides superior & ventral in relation to the left superior articular facet of of T7 (contralateral side)
Right inferior facet of T6 slides inferior & dorsal in relation to the left superior articular facet of of T7 (ipsilateral side)
Contralateral side
Opposite side
Ipsilateral side
same side
Global movement of Thoracic spine during Lateral Flexion
- Right approximation
- Left seperation
Local movement of ribs during Lateral flexion
Right anterior and downward rotation
Pump handle
Raising and lowering sternal end of T1-5 ribs
Bucket handle
Transverse increase in diameter of T6-12 due to movement of ribs during respiration
Cervical spine include what vertebraes
C1-C7
- Upper cervical (non-disc segments)
- Contralateral coupling (side bending)
C0C1 & C1C2
- Lower cervical (disc segments)
- Ipsilateral coupling
C2C3 - C6C7
Combined set of 3 articulations of the craniocervical region
- Atlantooccipital joint (C0-1)
- Atlantoaxial joint (C1-2)
- Intracervical apophyseal joints (C2-7)
Atlanto-occipital Function
Provides ____ movement of the cranium relative to the atlas
Provides independent movement of the cranium relative to the atlas
Congruent convex-concave Atlanto-occipital relationship proves ____ ____
Congruent convex-concave Atlanto-occipital relationship proves inherent stability
The Atlanto-occipital joint is formed by
- Convex condyles of the ____ ____
- Concave superior articular facets of the ____
- Convex condyles of the occipital bone
- Concave superior articular facets of the atlas
Atlanto-occipital joint degrees of freedom
2 - sagittal & frontal
Atlanto-occipital Flexion
Convex occipital condyles roll ____ & slides ____ relative to the concave facets of C1
Convex occipital condyles roll **anteriorly **& slides posteriorly relative to the concave facets of C1
Atlanto-occipital Extension
Convex occipital condyles roll ____ & slides ____ relative to the concave facets of C1
Convex occipital condyles roll posteriorly & slides anteriorly relative to the concave facets of C1
What rule applies to the Atlanto-occipital joint motion
Convex on concave
What motion is being performed?
Upper cervical extends & lower cervical flexion
Protraction
Atlanto-occipital Joint Lateral Flexion
Convex occipital condyles roll ____ & slides ____ relative to the concave facets of C1
Convex occipital condyles roll ipsilateral & slides contralateral relative to the concave facets of C1
Atlantoaxial Joint is classified as what type of joint
Pivot joint
What makes up the median joint?
- Dens of axis
- Osseous-ligamentous ring of the atlas & transverse ligaments
Atlantoaxial joint degrees of freedom
2 - horizontal & sagittal
Atlanto-axial joint function
Acts as a spacer between the ____ & ____
Acts as a spacer between the cranium & axis
Atlantoaxial joint Flexion
The ring-shaped atlas tilts ____ on the axis
The ring-shaped atlas tilts forward on the axis
Atlantoaxial joint Extension
The ring-shaped atlas tilts ____ on the axis
The ring-shaped atlas tilts posterior on the axis
Atlantoaxial joint Axial Rotation
The convex inferior facets of the atlas ____ in a curved path across the convex superior articular facets of the axis
* Ipsilateral side slides ____
* Contralateral side slides ____
The convex inferior facets of the atlas slides in a curved path across the convex superior articular facets of the axis
* Ipsilateral side slides posterior
* Contralateral side slides anterior
Zygapophyseal joint degrees of freedom
3 - sagittal, frontal & horizontal
Facet surfaces of the Zygapophyseal joints are oriented halfway between the ____ & ____ plane (45°). This orientation ____ freedom of movement in all planes.
Facet surfaces of the Zygapophyseal joints are oriented halfway between the frontal & horizontal plane (45°). This orientation enhances freedom of movement in all planes.
Zygapophyseal Joint Flexion
The inferior articular facets of the superior vertebrae slide ____ & ____ relative to the superior articular facets of the inferior vertebrae
The inferior articular facets of the superior vertebrae slide **superiorly **& anteriorly relative to the superior articular facets of the inferior vertebrae
Zygapophyseal Joint Extension
The inferior articular facets of the superior vertebrae slide ____ & ____ relative to the superior articular facets of the inferior vertebrae
The inferior articular facets of the superior vertebrae slide inferior & posterior relative to the superior articular facets of the inferior vertebrae
Zygapophyseal Joint Lateral Flexion
Ipsilateral side: The inferior facets of the superior vertebrae slide ____ & ____ relative to the superior facets of the inferior vertebrae
Contralateral side: The inferior articular facets of the superior vertebrae slide ____ & ____ relative to the superior articular facets of the inferior vertebrae
Ipsilateral side: The inferior facets of the superior vertebrae slide inferiorly & posteriorly relative to the superior facets of the inferior vertebrae
Contralateral side: The inferior articular facets of the superior vertebrae slide superiorly & anteriorly relative to the superior articular facets of the inferior vertebrae
Atlanto-occipital Joint Right Lateral Flexion
CV occipital condyles roll ____ & slide ____ relative to CC facet of C1
CV occipital condyles roll right & slide left
Zygapophyseal Joint Axial Rotation
Ipsilateral side: The inferior facets of the superior vertebrae slide ____ & ____ relative to the superior facets of the inferior vertebrae
Contralateral side: The inferior facets of the superior vertebrae slide ____ & ____ relative to the superior facets of the inferior vertebrae
Ipsilateral side: The inferior facets of the superior vertebrae slide posteriorly & inferiorly relative to the superior facets of the inferior vertebrae
Contralateral side: The inferior facets of the superior vertebrae slide anteriorly & superiorly relative to the superior facets of the inferior vertebrae