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DPT 617 > Mobility Exam of the Cervical Spine > Flashcards

Mobility Exam of the Cervical Spine Flashcards

1
Q

What are the two regions of the cervical spine?

A

SO and MC

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2
Q

what planes are the midcervical facets in?

A

45 deg from the coronal and transverse plane

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3
Q

what is functional SB?

A

SB and rot occur in the same direction

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4
Q

what is non-functional SB?

A

SB and rot occur in opposite directions

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5
Q

where does the most amount of rotation and SB occur?

A

at the AA jt

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6
Q

what is the pt position for the cervical upglide PPIVM?

A

supine

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7
Q

what is the PT position for the cervical upglide PPIVM?

A

standing

one hand produces CL rot

other hand palpates at the articular pillar drawing the facet upward

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8
Q

what is the technique for the cervical upglide PPIVM?

A

create rotation

provide OP/CP

assessment mobility and/or reproduction of sx

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9
Q

how is CP force applied with the cervical upglide?

A

by applying a downgliding force with the palpating hand

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10
Q

how is OP force applied with the cervical upglide?

A

by applying an upgliding force with the palpating hand

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11
Q

if with the cervical upglide on the L C4, you note decreased motion, what segment may be restricted?

A

L C3/4

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12
Q

if a pt is of high reactivity, do we want to restrict the motion with our mob or push into the motion?

A

restrict the motion

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13
Q

if a pt is of low reactivity, do we want to restrict the motion with our mob or push into the motion?

A

push into the motion

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14
Q

what is the pt position for the cervical downglide PPIVM?

A

supine

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15
Q

what is the PT position for the cervical downglide PPIVM?

A

standing

2nd MCP contacts the articular pillar with one hand

other hand supports the occiput

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16
Q

what is the technique for the cervical downglide PPIVM?

A

produce ipsi SB through the articular pillar with one hand while the other hand supports the occiput

provide OP/CP

assess mobility and/or reproduction of sx

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17
Q

what is the pt position for the OA fwd/bwd nodding PPIVM?

A

supine

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18
Q

what is the PT position for the OA fwd/bwd nodding PPIVM?

A

standing

both hands holding the occiput with thumbs on the zygomatic arches

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19
Q

what is the technique for the OA fwd/bwd nodding PPIVM?

A

produce fwd and bwd nodding of the head on the neck

provide OP/CP

assess mobility and/or reproduction of sx

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20
Q

with OA fwd/bwd nodding, if we are seeing a deviation to the L, what may be restricted?

A

L motion

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21
Q

with OA fwd/bwd nodding, if we are seeing a deviation to the r, what may be restricted?

A

R motion

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22
Q

what is the technique for a quick AA screen?

A

have the pt tuck their chin to their chest then rotate their head both ways and observe the motion available (this isolates just AA rotation)

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23
Q

why do we use OP/CP with the PPIVMs?

A

so we have assess end feel and pain

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24
Q

what ms should we palpate with the OA fwd/bwd nodding PPIVM?

A

SCMs to make sure they’re not contracting

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25
what is the pt position for the OA side nodding PPIVM?
supine
26
what is the PT position for the OA side nodding PPIVM?
standing both hands holding the occiput
27
what is the technique for the OA side nodding PPIVM?
produce side nodding of the head on the neck through the sagittal plane axis provide OP/CP assess mobility and/or reproduction of sx
28
what is the pt position for the OA lateral glide?
supine
29
what is the PT position for the OA lateral glide PPIVM?
standing one hand supports the occiput other hand palpates the lateral mass of C1
30
what is the technique for the OA lateral glide PPIVM?
both hands produce CL rot assess mobility and/or reproduction of sx
31
what is the pt position for the AA rotation PPIVM?
supine
32
what is the PT position for the AA rotation PPIVM?
standing both hands supporting the occiput
33
what is the technique for the AA rotation PPIVM?
cervical spine is maximally flexed and both hands rotate the head on the neck BL about 45 deg assess mobility and/or reproduction of sx
34
what is the pt position for the PPIVM overpressure/counterpressure?
performing active rotation in sitting
35
what is the PT position for the PPIVM overpressure/counterpressure?
standing to the side thumb on CL then ispi TP arm wrapped around top of pt's head with their head almost in your armpit
36
what is the technique for the PPIVM overpressure/counterpressure?
while guiding motion, provide OP, then CP assess mobility and/or reproduction of sx thumb on CL side starts high and pushes into upgliding then block motion on the ipsi side with stabilizing pressure, not gliding pressure
37
what is the pt position for the central and unilateral anterior glide PAIVMs?
prone with forearm support (can use cervical pillow instead)
38
what is the PT position for the central and unilateral anterior glide PAIVMs?
standing thumbs placed at adjacent regions or thumb over thumb on the SP (central) or TP (unilateral)
39
what is the technique for the central anterior glide PAIVM?
both thumbs on the TP/SP of the same vertebra applying anterior force assess mobility and/or reproduction of sx
40
what is the technique for the unilateral anterior glide PAIVM?
thumb over thumb at the TP assess mobility and/or reproduction of sx
41
what side is being upglided with the unilateral anterior glide PAIVM?
the side you are pushing on
42
what is the pt position with the OA and AA anterior glides?
prone with forearm support
43
what is the PT position with the OA and AA anterior glides?
standing, thumb over thumb contact
44
what is the technique for the OA anterior glide PAIVM?
thumb over thumb placed at lateral mass of C1 applying an ant force towards the ipsi eye
45
how can we find the lateral mass of C1?
find the SP of C2 then move sup and lat
46
what is the technique for the AA anterior glides PAIVM?
thumb over thumb of TP of C2, force twd mouth with head rot 30 deg
47
when the head is rot L, what direction are C1 and the occiput moving?
R
48
when the head is rot R, what direction are C1 and the occiput moving?
L
49
if FN produces sx, what should we test?
AA PPIVM
50
if FN doesn't produce sx, what should we test?
BN
51
if the FN AA PPIVM in L rot produces sx, what may be going on?
right AA problem
52
if the FN AA PPIVM in R rot produces sx, what may be going on?
left AA problem
53
does FN and L rot at the AA produce more R or L AA excursion?
R AA
54
does FN and R rot at the AA produce more R or L AA excursion?
L AA
55
if the FN AA PPIVM is negative, what should we move to?
OA PPIVM
56
if the FN OA PPIVM with SN to the R is (+), what may be going on?
R OA problem
57
if the FN OA PPIVM with SN to the L is (+), what may be going on?
L OA problem
58
does OA FN with SN to the R engage the R or L OA more?
R OA
59
does OA FN with SN to the L engage the R or L OA more?
L OA
60
if FN testing is all neg, what do we move to?
BN testing with AA and OA PPIVMs
61
if the BN AA PPIVM is neg, what do we move to?
OA PPIVM
62
if the BN AA PPIVM with rot L is (+), what may be going on?
L AA problem
63
if the BN AA PPIVM with rot R is (+), what may be going on?
R AA problem
64
if the BN OA PPIVM with SN L is (+), what may be going on?
L OA problem
65
if the BN OA PPIVM with SN R is (+), what may be going on?
R OA problem
66
what is the pt position for the thoracic PPIVM?
sitting with hands clasped behind the neck or across the chest
67
what is the PT position for the thoracic PPIVM?
one hand controls movt, other hand palpates at interosseous space
68
what is the technique for the thoracic PPIVM?
produce thoracic motion while other hand palpates the deg of segmental motion provide OP and CP
69
what is the pt position for the thoracic PAIVM?
prone with pillow support
70
what is the PT position for the thoracic unilateral PAIVM?
standing to side thumb contact over TP
71
what is the PT position for the thoracic central PAVIM?
standing to side hand contact over SP
72
what is the technique for the uni and central thoracic PAIVM?
apply anterior glide and assess for barrier
73
what is the pt position for the costal cage respiratory testing?
sitting
74
what is the PT position for the costal cage respiratory testing?
standing behind pt w/hands over upper ribs or over lat aspect of lower ribs BL
75
what is the technique for the costal cage respiratory testing?
follow ribs as they move during quiet and forced respiration noting any asymmetry
76
what is the pt position for the costal cage transverse plane mobility testing?
pt performs active ROT in sitting
77
what is the PT position for the costal cage transverse plane mobility testing?
standing to side, contact on CL ant ribs then post ribs
78
what is the technique for the costal cage transverse plane mobility testing?
while guiding motion, provide OP then CP through contact at the ribs
79
what is the pt position for the costal cage frontal plane mobility testing?
pt performs active SB in sitting
80
what is the PT position for the costal cage frontal plane mobility testing?
standing to side, contact on ipsi angle of ribs
81
what is the technique for the costal cage frontal plane mobility testing?
move into ipsi SB and apply force downward or CL SB and apply force upward
82
what is the pt position for the costotransverse/costovertebral accessory mobility testing?
prone with pillow support
83
what is the PT position for the costotransverse/costovertebral accessory mobility testing?
standing to side with thumb contact over the TP, other thumb contacts rib just lateral to the tubercle
84
what is the technique for the costotransverse/costovertebral accessory mobility testing?
apply sup/inf glide of rib while blocking at TP

DPT 617 (15 decks)

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