Stabilization of the Cervical Spine Flashcards
80% of mechanical stability of the cervical spine comes from what?
neck musculature
20% of mechanical stability of the cervical spine comes from what?
osseoligamentous system
what is the osseoligamentous system?
the bones and ligaments surrounding bones
t/f: evidence suggests that pts with neck pain have reduced maximal isometric neck strength and endurance
true
t/f: jerky and irregular cervical movts and poor position sense acuity are found in pts with chronic neck pain
true
should we work on global or specific ms in the neck first?
specific then move to more global ms
if the active system is involved, what system is also involved?
the neuromuscular system
what ms control and strength is impaired with neck pain?
cervical flexor ms
what exercises are shown to reduce neck pain and HAs?
low load craniocervical flexion exercises
what do activation exercises do?
enhance the pattern of recruitment
what are the deep cervical flexors of the neck?
longus colli
longus capitus
deep cervical and upper thoracic extensors
t/f: deep cervical flexors of the neck are activated via neutral spine (axial extension with mild lordosis)
true
with craniocervical flexion there is ____ up top, and ____ below
flexion, extension
what are the steps for assessment and performance of craniocervical flexion?
kinesthetic awareness
activation
deep cervical flexors of the neck
watch for substitution
what must come first, kinesthetic awareness or stabilization?
kinesthetic awareness
when working on kinesthetic awareness, what positions should we utilize?
non or minimally painful positions
what range in motion is best to use in subacute or chronic conditions?
mid range
t/f: the best position will be dif with each pt and can change with healing, pain decreased, and flexibility increases
true
when there is a lot of flexion in the front and lots of tension in the posterior aspect, what can commonly occur?
HAs
t/f: activation of deep stabilizers is not affected by pain
false, activation is often delayed or absent when pain is present
learning to activate or contract deep stabilizers outside of _____ muscles is important for control
global
what are errors in deep cervical flexor activation?
recruitment of superficial, long movers (SCM primarily)
neck retraction vs fwd nodding
performed quickly and w/o control
too forceful (>30 mmHg)
teeth clenched
holding breath
too much movt (8.5 deg)
when doing deep neck flexor activation, we want to incrementally increase force by ___mmHg
2
what does a gentle head nod do for the neck?
stabilizes the neck
