Introduction to CO and CTO (Quiz 2) Flashcards
Cervical Spine Characteristics
compensatory lordotic curve to maintain level gaze
largest spinal canal opening
most horizontal facets ~45 deg
True or False
The cervical spine is the most mobile spinal region
True
Where does the most flexion/extension occur
Cervical and lumbar spine
Where does the most lateral bending occur
Cervical spine
Where does the most axial rotation occur
Cervical Spine (some in thoracic)
Where does most sagittal motion occur (“yes”)
Atlas C0-C1
Where does most axial rotation occur (“no”)
Axis C1-C2
CO Stiffness Classification
Soft collar
semi-rigid collar
rigid collar
True or False
Total Contact cervical motion control can only be in a custom made orthoses
True
What are clinical questions for MD?
1) is there neurological involvement or risk of progression
2) is this cervical spine considered clinically stable
3) what motions should be limited
4) is this patient likely to be compliant
What are typical conditions treated with CO
radiculopathy
whiplash
muscle strain
arthritis
degenerative joint disease
degenerative disk disease
postoperative protection
What are clinical questions for MD?
1) is there neurological involvement or risk of progression
2) is this cervical spine considered clinically stable
3) what motions should be limited
4) is this patient likely to be compliant
Soft Collar CO Characteristics
least restrictive
most readily accepted
easy to don and doff
very low risk for skin breakdown
usually for ambulatory patients
can be fitted “backwards” to hold head in extension
Semi-Rigid Collar Characteristics
moderately restrictive
usually well tolerated
not difficult to don and doff
usually for ambulatory patients but may be used in bed
wide range of sizes, heights, styles
most have integral tracheotomy openings
Philadelphia
Semi Rigid
multiple sizes and heights
interchangeable anterior/posterior sections
snap on thoracic extension
light weight
