neck pain Flashcards
C5
strength: deltoid & biceps
- biceps reflex
- sensation to lateral arm
C6
strength: biceps & wrist extensor
- brachioradialis reflex
- sensation to lateral forearm
C7
strength: triceps, wrist flexors, finger extension
- triceps reflex
- sensation to middle finger
C8
strength: finger flexors, thumb flexion/opposition
- sensation to medial forearm
T1
strength: finger abduct & adduct
- sensation to medial arm
OA joint
- convex occipital condyles
- concave superior articular facets of the atlas
- forward & backbending
AA joint
- rotation
C2-7 motion
- F & E main motions
- coupled SB & R to the same side
- joints of Luschka (protect from posterolateral disc herniation, helps in gliding movements)
Trapezius
upper trap = pain along posterolateral neck
mid trap = pain toward vertebrae & to intrascapular
lower trap = neck, suprascap & infrascapular regions
Levator Scapula
pain to angle of neck & along vertebral border of scapula
scalene
anteriorly = pectoral region
laterally = down the front & back of the arm
posteriorly = upper vertebral border of scapula
SCM
sternal or clavicular divisions
- occiput
digastric
posterior = along upper parts of SCM
anterior = pain to lower 4 incisor teeth
splenius cervicis
upper = to orbit
lower = occiput & down to shoulder girdle & angle of neck
occipitalis
pain to back of head, through cranium to back of orbit
splenius capitus
pain to vertex of head
semispinalis capitis
band like pattern projected above orbit
semispinalis cervicis
pain to occiput & posterior portion on head
suboccipitalis
deep head pain that radiates from occiput to orbit
transverse ligament
permit atlas to rotate around odontoid process
PLL
resists hyperflexion
ALL
resist hyperextension
ligamentum flavum
thickening can cause spinal stenosis
supraspinous ligament
C7 to sacrum, above C7 : ligamentum nuchae
