Mackenzie cervical and thoracic Flashcards
Special considerations of cervical evaluation
- vertigo
- tinnitis
- instability
- holding head
- grip strength
- LE symptoms
postural syndrome
- sitting/standing assessment
- slouched/protruded
- assess effect of correction/overcorrection
- scapular position
- desk/car ergonomics
- sleeping postures/pillows
Dysfunction syndrome treatment
- 15 reps into restricted motion
- follow with retraction (15 reps) or extension (if not extension dysfunction)
- repeat every 2 hours
- must produce pain at end range but not remain worse for more than 15 minutes post exercise
- 4-6 weeks to improve
when treating a dysfunction syndrome in the cervical spine you must produce pain at end range but it should not last longer than?
15 minutes post exercise
which way do you treat a cervical dysfunction
-into the direction of the dysfunction
how to treat a dysfunction of ANR
-15 reps of lateral flexion away, with shoulder abduction to 90, arm ER , elbow wrist and fingers extended
-follow with 15 reps retraction or extension for prophylaxis
-repeat every 2 hours
4-6 wks
which has a slower progression? cervical or lumbar derangement syndrome?
-cervical
why is the cervical spine harder to become deranged than the lumbar spine?
-less water content in cervical discs
which is harder to correct? cervical or lumbar?
cervical
where can pain radiate?
UE
scapula
head
upper cervical derangements can produce:
headaches
lower cervical produces:
scapular/arm pain
force progression? (6)
- supine
- standing/sitting
- self overpressure
- PT overpressure
- mobilization
- manipulation
cervical extension principle:
- retraction (supine/sitting/standing)
- extension (supine/sitting/standing)
- retraction with extension under traction
- therapist retraction over pressure
- retraction with self overpressure
- extension with self overpressure (wobble)
- retraction mobilization
- extension mobilization/manipulation
Flexion cervical principle:
- protraction (prone/sit/supine)
- flexion (prone/sit/supine)
- flexion in self overpressure (sit)
- flexion with PT over pressure (sup)
- flexion mobilization (sup)
Lateral cervical principal
- lateral flexion (supine/seated)
- rotation (supine/seated)
- lateral flexion with self overpressure
- rotation with self overpressure
- lateral flexion with PT overpressure
- rotation with PT overpressure
- lateral flexion mobilization/manipulation
when is a lateral deformity relevant?
torticollis, related to current incident
must address first
use lateral principle, seated techniques
what do cervicogenic headaches respond best to?
tend to respond BEST to upper cervical flexion -others: retraction retraction overpressures/mobs flexion flexion overpressure/mobs mulligan headache snag
For t10 and below what do you follow?
lumbar progression
for T3-9 respond best to what?
seated repeated motions
Extension principle mid thoracic
prone/on elbows extension in laying seated thoracic extension seated thoracic with self overpressure extension mobilization/manip
flexion principle in throacic
hook lying quadruped flexion seated flexion seated flexion with self overpressure seated flexion with therapist overpressure
flexion principle in thoracic (T3-9)
hook lying quadruped flexion seated flexion seated flexion with self overpressure seated flexion with therapist overpressure
T3-9 lateral principle
- lateral flexion in supin, sit, stand
- rotation in supine, sit, stand
- rotation with self overpressure (whip)
- rotation with therapist overpressure
