[LAB] Head pain, TMJ, Migraines [Chou]

Question 1

MFR Scalp and Cervical region

Answer 1

Hand placement: Vault Hold

Question 2

ST Supine Cervical Traction

Answer 2

Question 3

ST Seated Cervical Traction

Answer 3

Question 4

Counterstrain

PC1 Inion

Muscle focus?

Answer 4

Question 5

Counterstrain

PC1 Occiput

Muscle focus?

Answer 5

Question 6

Counterstrain

PC2 Occiput

Muscle focus?

Answer 6

Question 7

Counterstrain

PC2

Muscle focus?

Answer 7

Question 8

How to diagnose trigger points?

Answer 8

1. Listen to pt’s described pain pattern
2. Palpate suspected muscle for knot in muscular layer

May feel twitch response or reproduction of pain pattern (not typical of tender point)

Question 9

Where are the Head/Neck trigger points?

Answer 9

Semispinalis M.

Multifidi Ms.

Suboccipital Ms.

Scaleni Ms.

Levator scapulae M.

Upper Trapezius M.

Question 10

How to perform ischemic compression of trigger points

Answer 10

Question 11

What neurological testing might you perform when diagnosing cervical facets?

Answer 11

DTR: biceps, brachioradialis, triceps

Dermatomes

Muscle strength: C5, C6, C7

Question 12

What special tests might you perform for diagnosing cervical facets?

Answer 12

Spurling’s maneuver

Question 13

FPR for all cervical facets and hypertonic cervical musculature

Answer 13

Question 14

OA Cervical HVLA

Answer 14

Question 15

AA Cervical HVLA

Answer 15

Question 16

C2-C7 HVLA - Sidebending emphasis

Answer 16

Question 17

C2-C7 HVLA - Rotation emphasis

Answer 17

Question 18

ST Hypertonic Temporalis Muscle

Answer 18

Question 19

ST Mandible restricted to Lateral Translation

Answer 19

Question 20

ST Medial Pterygoid

Answer 20

Question 21

MET Restriction to Mandibular Depression

Answer 21

Question 22

Counterstrain

Medial Pterygoid

Answer 22

Question 23

Counterstrain

Masseter

Answer 23

Question 24

Counterstrain

TMJ

Answer 24