Midterm Flashcards
What are the 9 C1 muscles?
1) SCM
2) superior oblique (SO, obliquus capitis superior)
3) CAPs (splenius capitis and semispinalis capitis)
4) RCP minor
5) RCP major
6) Inferior oblique (IO, obliquus capitis inferior)
7) Splenius cervicis
8) Levator scapulae
9) Intertransversarii
What are the attachments for the SCM?
mastoid process and sternoclavicular junction
What are the indications of the SCM?
-C0 posterior rotation
-C1 anterior rotation
What are the attachments of the superior oblique (SO, obliquus capitis superior)?
occiput and C1 TP
What are the indications of the superior oblique (SO, obliquus capitis superior)?
C0 posterior rotation or C1 anterior rotation or C1 laterality on opposite side
What 2 muscles make up the CAPs?
splenius capitis and semispinalis capitis
What are the attachments for the splenius capitis?
occipital shelf and C4-C6 articulations, and T1-T8 TPs
What are the attachments for the semispinalis capitis?
occiput and C7-T4 SPs
What are the indications for the CAPs?
-C0 anterior rotation
-C1 posterior rotation
What are the attachments of the RCP minor?
occiput and C1 posterior tubercles
What are the indications of RCP minor?
C1 superiority or C0 PS
What are the attachments of RCP major?
occiput to C2 SP
What are the indications of RCP major?
-C0 anterior rotation
-C1 posterior rotation
-C2 SP rotation
What are the attachments for the inferior oblique (IO, obliquus capitis inferior)?
C1 TP to C2 SP
What are the indications of the inferior oblique (IO, obliquus capitis inferior)?
-C1 anterior rotation
-C2 SP rotation
What are the attachments for the splenius cervicis?
C1-C3 TPs to T3-T6 SPs
What are the indications of the splenius cervicis?
-C1 anterior rotation
-C2 body rotation (opposite side)
What are the attachments of the levator scapulae?
C1-C4 TPs to superior angle of scapulae
What are the indications of the levator scapulae?
-C1 laterality
-C2 body rotation (opposite side)
What are the attachments of the intertransversarii?
Attaches between all TPs, but we will only focus on C1-C2
What are the indications of the intertransversarii?
Ipsilateral laterality of C1
What muscles indicate superiority of C1?
RCP minor only
What muscles indicate laterality of C1?
-SO (on opposite side)
-Levator Scapulae
-Intertransversarii
What muscles indicate anterior rotation of C1?
-SCM
-SO
-IO
-Splenius cervicis
What muscles indicate posterior rotation of C1?
-CAPs
-RCP major
What are the C2 muscles?
1) RCP major
2) inferior oblique
3) splenius cervicis
4) scalene group (scalene medius)
What are the attachments of the scalene group (scalene medius)?
C2-C7 TPs to rib 1
What are the indications of the scalene group (scalene medius)?
Ipsilateral body rotation of C2-C7
What muscles indicate C2 SP rotation?
RCP major and IO
What muscles indicate C2 body rotation?
-Scalene
-Splenius cervicis (opposite side of body rotation)
-levator scapulae (opposite side)
What are the C3-C7 muscles?
Multifidi and scalene group (scalene medius)
What are the cervical attachments for the multifidi?
SPs to TPs of vertebrae below
What are the indications of the multifidi?
Contralateral SP rotation
If C1 is AS then occiput is =
PS
If C1 is L, then occiput is =
RS
If C1 is ASLP then occiput is =
PS- RS- RP
C2 pivot listings as comparing C2 to the __________
neural canal
What muscles are active for a BPSR?
L inferior oblique and L RCP major (both indicate spinous R)
What muscles are active for a CPBL?
-L RCP major
-L Inferior oblique
-L scalene
-R splenius cervicis
What muscles are active for SPBL?
R splenius cervicis and L scalene
What are the static findings for SPBR?
-SP stayed center of neural canal
-TP on R moves posterior and inferior
What muscles are active for a SPBR?
L splenius cervicis and R scalene
What muscles are active for CPBR?
-R scalene
-L splenius cervicis
-R inferior oblique
-R RCP major
What is a constant?
both C1 and C2 are subluxated in same axis of rotation
What is a variable?
C1 and C2 are subluxated in the opposite axis of rotation
Is this a constant or a variable- AIRP + CPBL?
variable
Is this a constant or a variable- AILA + CPBR?
constant
What muscles are active with a C4 PLS?
R multifidi and R scalene
What are the static findings for an ASLA atlas?
TP closer to mastoid on L, and slightly more anterior
What muscles are active with an ASLA?
-L SCM
-Bilateral superior oblique
-R CAPS
-RCP minor
-R RCP major
-L Inferior oblique
-L Splenius cervicis
-L Levator scapulae
-L Intertransversarii
What are the motion findings for an ASLA?
-P-A glide restriction of occiput
-L L-M glide restriction of atlas
-L A-P glide restriction of atlas
What is the atlas listing for these findings?
-R SCM
-R SO
-L CAPs
-L RCP major
-L levator
-R IO
-Restricted A to P glide of occiput
-R SCM = anterior rotation of atlas on R
-R SO = anterior rotation of atlas on R OR laterality on left
-L CAPs = L posterior rotation of atlas
-L RCP major = L posterior rotation of atlas
-L levator = L laterality of atlas
-R IO = R anterior rotation of atlas
-Restricted A to P glide of occiput = AO joint restriction, atlas is inferior
atlas listing= AILP
What is the atlas listing for these findings?
-RCP minor
-Bilateral SO
-R levator
-R intertransversarii
-L CAPs
-R splenius cervicis
-R SCM
-RCP minor= atlas is superior
-Bilateral SO= anterior atlas on L and R laterality OR R atlas anterior rotation and L laterality
-R levator= R lateral atlas
-R intertransversarii= R lateral atlas
-L CAPs= L posterior atlas
-R splenius cervicis= R anterior rotation of atlas
-R SCM= R anterior rotation of atlas
Atlas listing= ASRA
If we have an ASRA, what is the occiput listing?
PS-LS-LA
What is the atlas listing with these findings?
-L SO
-L IO
-R levator
-R CAPs
-A to P glide restriction of C0
-L SO
-L IO
-R levator = R
-R CAPs= posterior atlas
-A to P glide restriction of C0= inferiority
Atlas listing= AIRP
What is the atlas listing with these findings?
-R intertransversarii
-R splenius cervicis
-Bilateral SO
-RCP minor
-L RCP major
-R intertransversarii= R
-R splenius cervicis= A
-Bilateral SO
-RCP minor= S
-L RCP major= L posterior rotation
Atlas listing= ASRA
Which muscle is extra active if C1/C2 is subluxated in opposite axis of rotation and are variable?
IO is extra active
Is this a constant or a variable- CPBL + ASRA?
constant
Is this constant or variable- ASLP + CPBL?
constant
Is this constant or variable- ASRA + CPBR?
Variable
Is this a constant or variable- ASRP+ CPBL?
Variable
What is the atlas listing with these findings?
-L splenius cervicis
-R RCP major
-RCP minor
-L levator
-L IO
ASLA
Is this a constant or variable- AIRA + CPBL
Constant
What is the atlas AND occipital listing of these findings?
-L RCP major
-R SO
-L levator
-R splenius cervicis
-L CAPs
-A to P glide restriction of C0
-L RCP major = P
-R SO
-L levator = L
-R splenius cervicis
-L CAPs = P
-A to P glide restriction of C0
Atlas listing= AILP
Occiput listing= AS-RS-RP
What are the muscle findings for an AILP?
-R SCM
-R SO
-L CAPs
-L RCP major
-R IO
-R splenius cervicis
-L levator
-L intertransversarii
What are the motion findings for an AILP?
-L P-A glide restriction of atlas
-L L-M glide restriction of atlas
-A-P glide restriction of occiput
-R L-M glide restriction of occiput
What are the static findings for a CPBR?
-SP moved to L
-R LPJ moved posteriorly
What are the motion findings for a CPBR?
-Flexion and extension restriction
-L rotation restriction
What does the Post Major CAPs mnemonic mean?
RCP major and CAPs are posterior indicators
What does the Lateral SOIL mnemonic mean?
-SO (opposite)
-Intertransversarii
-Levator scapula
are laterality indicators
What does the Anterior SISS mnemonic mean?
-SCM
-IO
-Splenius cervicis
-SO
are anterior indicators
What are the muscle findings for an AILA?
-L SCM
-Bilateral SO
-R CAPs
-R RCP major
-L IO
-L splenius cervicis
-L levator
-L intertransversarii
What are the muscle findings for an ASRA?
-R SCM
-Bilateral SO
-L CAPs
-RCP minor
-L RCP major
-R IO
-R splenius cervicis
-R levator
-R intertransversarii
What are the motion findings for an ASRA?
-P-A glide restriction of C0
R L-M glide restriction of C1
R A-P glide restriction of C1
What are the muscle findings for an AILP?
-R SCM
-R SO
-L CAPs
-L RCP major
-R IO
-R splenius cervicis
-L levator
-L intertransversarii
An active L splenius cervicis indicates what to C1?
L anterior rotation
Active R RCP major indicates ________ of C2
L SP rotation
L splenius cervicis and L IO would indicate an ____________ of C1
Anterior rotation
RCP minor, R levator, R IO, L CAPs, R SCM indicate an
ASRA
An A-P glide restriction of occiput indicates either an ________ occiput or a ________ atlas
AS, inferior
An extension, R rotation, and L LF MP is a ______ gonstead listing
PLI
An ASLA atlas would be a __________ occiput
PS-RS-RA