Mackenzie cervical and thoracic

Question 1

Special considerations of cervical evaluation

Answer 1

• vertigo
• tinnitis
• instability
• holding head
• grip strength
• LE symptoms

Question 2

postural syndrome

Answer 2

• sitting/standing assessment
• slouched/protruded
• assess effect of correction/overcorrection
• scapular position
• desk/car ergonomics
• sleeping postures/pillows

Question 3

Dysfunction syndrome treatment

Answer 3

• 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

Question 4

when treating a dysfunction syndrome in the cervical spine you must produce pain at end range but it should not last longer than?

Answer 4

15 minutes post exercise

Question 5

which way do you treat a cervical dysfunction

Answer 5

-into the direction of the dysfunction

Question 6

how to treat a dysfunction of ANR

Answer 6

-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

Question 7

which has a slower progression? cervical or lumbar derangement syndrome?

Answer 7

-cervical

Question 8

why is the cervical spine harder to become deranged than the lumbar spine?

Answer 8

-less water content in cervical discs

Question 9

which is harder to correct? cervical or lumbar?

Answer 9

cervical

Question 10

where can pain radiate?

Answer 10

UE
scapula
head

Question 11

upper cervical derangements can produce:

Answer 11

headaches

Question 12

lower cervical produces:

Answer 12

scapular/arm pain

Question 13

force progression? (6)

Answer 13

1. supine
2. standing/sitting
3. self overpressure
4. PT overpressure
5. mobilization
6. manipulation

Question 14

cervical extension principle:

Answer 14

1. retraction (supine/sitting/standing)
2. extension (supine/sitting/standing)
3. retraction with extension under traction
4. therapist retraction over pressure
5. retraction with self overpressure
6. extension with self overpressure (wobble)
7. retraction mobilization
8. extension mobilization/manipulation

Question 15

Flexion cervical principle:

Answer 15

1. protraction (prone/sit/supine)
2. flexion (prone/sit/supine)
3. flexion in self overpressure (sit)
4. flexion with PT over pressure (sup)
5. flexion mobilization (sup)

Question 16

Lateral cervical principal

Answer 16

1. lateral flexion (supine/seated)
2. rotation (supine/seated)
3. lateral flexion with self overpressure
4. rotation with self overpressure
5. lateral flexion with PT overpressure
6. rotation with PT overpressure
7. lateral flexion mobilization/manipulation

Question 17

when is a lateral deformity relevant?

Answer 17

torticollis, related to current incident
must address first
use lateral principle, seated techniques

Question 18

what do cervicogenic headaches respond best to?

Answer 18

tend to respond BEST to upper cervical flexion
-others:
retraction
retraction overpressures/mobs
flexion
flexion overpressure/mobs
mulligan headache snag

Question 19

For t10 and below what do you follow?

Answer 19

lumbar progression

Question 20

for T3-9 respond best to what?

Answer 20

seated repeated motions

Question 21

Extension principle mid thoracic

Answer 21

prone/on elbows
extension in laying
seated thoracic extension
seated thoracic with self overpressure
extension mobilization/manip

Question 22

flexion principle in throacic

Answer 22

hook lying
quadruped flexion
seated flexion
seated flexion with self overpressure
seated flexion with therapist overpressure

Question 23

flexion principle in thoracic (T3-9)

Answer 23

hook lying
quadruped flexion
seated flexion
seated flexion with self overpressure
seated flexion with therapist overpressure

Question 24

T3-9 lateral principle

Answer 24

• lateral flexion in supin, sit, stand
• rotation in supine, sit, stand
• rotation with self overpressure (whip)
• rotation with therapist overpressure