UCS Flashcards
C1 lateral mass
superior concave
inferior convex
ligaments axis to occiput
PLL becomes tectorial membrane
Ligaments atlas to occiput
ALL becomes AAO membran
Lig flavum becomes PAO membrane
ligaments atlas to axis
controls ant/post movement of AA joint
transverse ligament
axis to occiput
resist flex,contralat SB and contralat rot
Alar ligament
CS muscles have increased ______ and are important for proprioception of head position on neck
density of muscle spindles
flexion of OA joint
convex occipital condyles glide post on concave atlas
Flexion aa joint
C1 moves inferiorly on C2; C2 glides forward on C3
extension oa joint
convex occipital condyles glide anteriorly on concave atlas
extension aa joint
atlas moves superiorly; C2 moves backwards on C3
rotation oa joint
opsilateral condyle glide post
rotation aa joint
ipsilateral facet moves post; contralateral facet moves ant; atlas translates to the opposite side
SB oa joint
ipsilateral condyle glides ant
UCS coupled movements
SB and rot occurs int he opposite directions
vertebral artery causes
MVA
trauma
cervical instability and fx
manipulation or sudden neck movement
vertebral artery s and s
dizziness drop attack dysphagia dysarthria diplopia
movements that progressively occlude the contralateral VA
rot
rot and ext
rot and ext and traction
takes __ to heal damaged VA
6 weeks
snapping of the tip of the middle finger
hoffmann reflex
head and face pain may be arising from the cervical spine
headache
pounding headache associated with dizziness, visual distrubance, etc
vascular headache
intense nerve type pain headache
neurological
posture, position or activity related headache
musculoskeletal
history of neck pain
unilateral headache; associated pain in neck, shoulder or arm
variable pain, moderate intensity, non throbbing
Cervicogenic HA
cervicogenic HA agg
reproducible with neck movement, posture, position; changes with your treatment
cervicogenic HA ease
use of modalities, medications change in position/posture, lying down
Causes of headache
pressure on OA, AA, C2-3; hypo or hypermobility, muscle shortening, DJD, trauma, tension in joint capsule
headache PT interventions
Postural correction: fwd head posture
Restore glides and mobility: soft tissue work, traction
Therex movement impairment
acceleration-deceleration injury to neck; injury to soft tissues
whiplash
neck pain/neck stiffness; neck pain and headache
Car crash
result of vertical compression; results in massive suboccipital HA
fx of posterior arch of atlas
rupture of transverse ligament
watch for cord compression signs
AA dislocation
fx of ant and post arches of C1
break in four places
usually from blow to back of head
jefferson fracture
common in MVA
picked up on open mouth x-ray
dens fx
fx of the pedicles of C2 with dislocation of the body of C2 on C3
results in dens into brainstem
not always fatal
hangman’s fx
