final Flashcards
temple trigger point referral pattern comes from what mm’s
temporalis
splenius cervicis
semispinalis capitis
a common migraine is ….
a migraine w/o aura
a classic migraine is…
a migraine w aura
the frequency of migraines is…
barely greater then one per week
spasmodic torticollis
- localized dystonia
- idiopathic
- CNS lesions
these ones are diff then the other types
acute acquired torticollis
- apical / rapid breathing
- sudden onset
- may have tinnitus, nausea, tearing of eye
- pt woke up w it
- postural dysfunction
- activation of latent TRPs
- sublux of C1/C2
- facet joint irritation
- infection
- disc related pain
congenital torticollis
- tissue ischemia
- cranial bone or membrane dysfunction
- present from infancy
- condition continues throughout life unless corrected
- contracture of SCM
congential torticollis =
contracture
group of inherited disorders characterized by joint hypermobility , skin hyper-extensibility, increased bruising =
Ehlers Danlos Syndrome
inherited disorder w fragmentation of elastin, leading to joint hypermobility, elongated bones, aortal widening, mitral valve prolapse, changes in eye
Marfan’s Syndrome
special test for nerve root compression in C spine
Spurling’s
to differentiate vertigo or dizziness what test would you perform
Hauntant’s
other conditions that can lead to a pt presenting with TOS
- carpal tunnel
- tendonitits
- compression of ulnar nerve
- osteoarthritis
- Raynauds
- C spine spondylosis, radiculopathy, tumors
a localized sharp, posterior angulation from vertebral wedging =
Gibbus deformity
primary mm’s of inspiration
- diaphragm
- levator costorum
- external intercostals
- internal intercostals (anterior)
primary mm’s of expiration
- internal obliques
- external obliques
- rectus abdominus
- transverse abdominus
- transverse thoracic
- internal intercostals
ROM of T spine
flexion - 20-45
extension - 25-45
side flexion - 20-40
rotation - 35-70
costovertebral expansion - 3-7.5 cm
if a rib stops moving relative to the other ribs on exhalation =
elevated rib
if a rib stops moving relative to other ribs on inhalation =
depressed rib
what direction does the pump handle action of ribs 1-6 move the ribs most
superiorly-inferiorly
What direction does bucket handle action of ribs 7-10 move to increase the infrasternal angle
IUBM
upward, backward, medially
(opposite for decreasing angle)
to locate TVP of T9, what SP would be at the same level to landmark
T8
an increased thoracic kyphosis can cause
internally rotated GH
restricted rib mobility
TOS
inefficient breathing
where does nodding primarily occur
upper C spine C1-C2 at atlanto occipital joint
what is the most mobile joint of the spine
atlanto axial joint
rotation is primary movement at atlanto axial
true
atlanto occipital = principle motion is flexion and ext
what is the first palpable SP after the EOP
SP of C2
What are joints of Luschka
- The uncovertebral processes of the inferior vertebrae
- Pseudo joint formed by weakness in annulus fibrosus
Greatest stresses are placed on the vertebral artery
- Where it enters the TVP of C6
- Within the bony canals of the vertebral TVPs
- Between C1 and C2
- Between C1 and the occiput
TOS statements
- Main goal is to reduce the cause of compression
- When treating Subclavius, it is important to address Pec Major first
- When addressing anterior TVP for scalenes, SCM should be treated first
- When addressing pec minor, pec major should be treated first
- For all syndromes, address fascia of anterior neck, chest, shoulder
full peak acceleration occurs at what phase
phase II (vehicle and torso),
phase III (head, neck)
full deceleration occurs at what phase
phase IV
In shoulder/upper crossed syndrome, mms that are short and tight
pecs, upper traps, subocc, lev scap
in shoulder/upper crossed syndrome, mms that are long and taut =
rhombs
lower trap
serratus ant
deep neck flexors (longus colli, longus capitis, rectus capitis, longus cervicus
slump test
- pt seated
- pt flexes spine, and shoulders sag forward
- pt moves neck into flexion
- pt extends one knee
- pt dorsiflexes foot
w hyperkyphosis which mms are taut and weak
middle traps, rhom +
infrahyoids, suprahyoids
Place finger against the last upper molars and slide superiorly and posteriorly between the maxilla and coronoid process of mandible into the hollow at the roof of the cheek pouch
- mm is isolated again by resisting mandibular depression
how to locate lateral pterygoid internally
Place finger on last lower molar, slide around to medial surface of molar and inferiorly past the gum towards the floor of the mouth
how to locate medial pterygoids internally
What mms bilaterally depress and retract the mandible and unilaterally move the mandible to the same side -
lateral pterygoid and digastric
on mandibular depression
rotation occurs before gliding
what ligament restrains movement of the lower part of the jaw
temporomandibular ligament aka lateral ligament
what type of joint is the TMJ
synovial
condylar
modified ovoid
hinge
lateral flexion of spine towards concavity is …
increased
ribs on convex side are more….
posterior
and prominent - “rib humping”
SP’s are rotated towards….
concavity
paraspinals are lengthened on….
convex side
scoliosis is named for the ….
major curve on convex side
gliding happens in which cavity
(TMJ)
upper
rotation happens in lower
what ligament prevents protrusion of jaw
stylomandibular
