Cervical 2A Flashcards

(48 cards)

1
Q

Closing restrictions in the cervical spine are restrictions of what movement primarily?

A

Extension

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2
Q

Opening restrictions of the c spine have what movement involved

A

Flexion

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3
Q

Rotation and sidebending are coupled how in the upper c spine?

A

Contralateral

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4
Q

Rotation and sidebending are coupled how in the lower c spine?

A

Ipsilateral

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5
Q

Where is the vertebral artery most vulnerable to compression and stretching

A

C1-C2

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6
Q

What cervical nerves refer up to the head and neck?

Which go down to the arms and shoulders?

A

C1-C3

C4-C8

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7
Q

The C4 disk is between what 2 vertebrae?

A

C4 and c5

(discs are names for the vertebrae above them)

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8
Q

The TP of the cervical spine is found at the _____ level compared to the SP

A

Same

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9
Q

How does the upper cervical spine move in relation to the lower cervical spine?

A

Opposite

Ex: lower c spine flexion is paired with upper c spine extension

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10
Q

The dorsal ramus of c2 is commonly compressed with what movement

A

C spine ext

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11
Q

What structures are implicated as the primary cause of cervicogenic headaches

A

OA joint, AA joint, C2 spinal nerve

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12
Q

The transverse ligament does what?

A

It’s a part of the cruciform ligament and it controls C1 and C2 head nodding

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13
Q

The alar ligament is at what joint

A

C0 and C1

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14
Q

The transverse ligament passes along the ____ surface of the axis (C2)‘s dens/odontoid process

A

Posterior surface

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15
Q

Horizontal articular surfaces favor what kind of motion ?

A

Axial rotation

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16
Q

Vertical Articular surfaces block what kind of motion ?

A

Axial Rotation

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17
Q

The IVD resists forces ?

A

Axial Compression
Shearing
Bending
Twisting
Combined motions

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18
Q

What are the parts that make up the vertebral discs?

A

Nucleus Pulposus
Annulus Fibrosis
End plate

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18
Q

What vertebral level is the atlas

A

C1

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19
Q

The Atlas, Axis and Head make up what joint ?

20
Q

What vertebral level is the Axis

21
Q

What is the only vertebral level where convex condyles move on concave facet of atlas

A

Occipito-atlantal joint

22
Q

True or False Atlas does not have a SP?

A

True, it allows for more cervical extension

23
Q

What is the main function of the AA joint ?

24
If one happens to have Alar Ligament laxity what increases?
OA instability
24
What is another name for the odontoid process and why is it so important
Dens TRANSVERSE ligament passes along the posterior surface
25
The Dens is part of what vertebral level ?
C2
25
What are the names of the cranio vertebral ligaments ?
Anterior OA Membrane Posterior OA Membrane Tectorial Membrane
26
What muscles make up the posterior suboccipital group?
Rectus capitis posterior major/minor Obliquus Capitis Inferior/Superior
27
What is the number one cause of cervicogenic Headaches?
OA, AA and C2 spinal nerve
28
What nerve ganglion is easily compressed during upper cervical extension?
Posterior dorsal ramus of C2
29
What 2 articulations permit pure axial rotation?
AA joint TL junction
30
Upper Cervical Spine is responsible for _____ % of ROM
50%
31
What is the main movement that occurs at the OA joint ?
Flexion and extension
32
Because of the biconcave nature of the AA joint what occurs during lower cervical spine Flexion ??
Upper C spine Ext
33
What is normal rotational ROM for the AA joint ?
35-50 degrees
34
How many joints make up the cervical spine ?
37
35
what is the orientation of the facet joints of the cervical spine ?
45 degrees from the frontal plane
36
At what age and above do most ppl have evidence of disc degeneration ?
40s
37
What are the names of the cervical ligaments ?
Anterior Longitudinal Posterior Longitudinal Ligamentum Nuchae Interspinous Ligaments Ligamentum Flavum
38
What are the superficial muscles that can affect the cervical spine ?
Traps SCM Levator Scapulae Rhomboids Scalenes
39
What are the intermediate layer of muscles that can affect the C spine?
Splenius capitis/Cervicis Semispinalis capitis/cervicis Erector Spinae
40
What is the deepest layer or muscles that can affect the C spine ?
Longus Capitis/Longus Colli Rectus Capitis Anterior/Lateralis
41
What ways does the facet move during Lower C spine flexion
Move up and forward
42
What ways do the facet joints of the Lower C spine move during Extension ?
Move down and back
43
What ways do the facet joints of the Lower C spine move during R sidebending ?
R facet moves down and back L facet moves up and forward
44
What ways do the facet joints of the Lower C spine move during R Rotation ?
R facet moves down and back L facet moves up and forward
45
What two motions are coupled in the C spine ?
Rotation and SB