Typical Cervical HVLA

Question 1

rubbery barrier

Answer 1

no HVLA

Question 2

firm distinct barriers

Answer 2

use HVLA

Question 3

absolute CIs for HVLA

Answer 3

lack of consent
absent SD
rheumatoid arthritis**

Question 4

C2- C7 mechanics

Answer 4

rotation and sidebending to same side

due to BUM - backward, upward, medial orientation of superior facets

Question 5

C2-C7

Answer 5

typical cervical vertebrae

• have uncinate processes - allow more stability during movement
• small lips on superior surface of vertebral bodies

Question 6

HVLA on cervicals

Answer 6

vertebral artery - transverse processes of C1-6

don’t introduce shearing force**

Question 7

cervical quadrant test

Answer 7

assess integrity of vertebral arteries

bring head off table into extension

• introduce sidebending and rotation to same side - hold 30 seconds
• ask patient if have abnormal sensation or altered LOC
• do with both sides

if positive - due to vertebral artery compression occuring - do not HVLA**

Question 8

vertebral artery safest

Answer 8

in flexion of C-spine

Question 9

fryettes

Answer 9

to thoracic and lumbar spine

Question 10

typical cervical HVLA

Answer 10

MCP joint of index finger - over articular pillars of segment

rotate and sidebend toward barrier

final corrective force - quick thrust

read in manual**