Cervical Dx

Question 1

What is neck flexion and extension

Question 2

Dx OA

SB and rotation are in ______ directions

Answer 2

Oppsosite

OA Diagnosis–> Rotation and SB occur in opposite directions with N or F/E component. Main motion is flexion and extension

1. To check rotation
   
   1. Push up under OA in neutral position
      
      1. If he likes to go to the right–> Rotated R .
   2. Repeat in flexion and ectension
      
      1. If it feels better in flexionà flexion dysfunction
      2. If it feels better in extensionà extension dysfunction
2. To check SB
   
   1. Cup head with both hands more lateral this time to press against the processes)
   2. Translate to the L and R (translate to L–> SB R,) with head in neutal (TIP: rotate the chair youre sitting on)
      
      1. If translated well to left–> SB R
      2. If translates well to R–> SB L
   3. Do this in flexion (barely dent chin down) and extension (pick chin up to ceiling)
      
      1. If it gets better in extension–> OA E
      2. If it gets better in flexionà OA F

EVEN THOUGH YOU CHECK FLEXION AND EXTENSION: THEY DO NOT OFTEN HAVE FLEXION OR EXTENSION SD

Question 3

AA diagnosis–> asses for _______ only.

Answer 3

ROTATION

—do not test flexion and extension—-

1. Hug occipiput with hands and contact lateral mass
2. Fully flex
3. Rotate head (actually)
4. Dsyfunction is named for whatever the patient likes to do
   
   1. Rotates better to the R–> rotated R.

Question 4

C2-C7

SB and rotation occur in _______ direction and only ____ segments

Answer 4

SAME; 1 segment (TTOSS)

Do it the same way (contact the articular pillars)

-Rotation: Push anteriorly with head in neutral.

• Name the dysfunction for where the head likes to rotate.
• Check flexion and extension

-SB: translate head from L to R.

Translated better left–> SB R

Translated better R–> SB L

–Has to have a F/E component—-

Question 5

Dx: Extended, SB L, R R

OA - MET

—subtle motions—

Answer 5

• 1. Put L hand under occipit and R hand on chin,*
     
     2. Put patient into barrier (opposite of diagnosis)
     3. Have patient try to go back to midline
     4. Hold 3-5 seconds
     5. Relax for a couple of seconds
     6. Go to new barrier and repeat 3-5 times

Question 6

Dx: Extended, SB L, R R

OA - ART

—subltle motions—

Answer 6

1. Put L hand under occipit and R hand on chin,
2. Put patient into barrier (opposite of diagnosis)
3. Rhythmically rotate L for 1-2 seconds
4. Relax for a couple of seconds
5. Go through the restrictive barrier shortly

Question 7

DX: AA RL

AA- MET

Answer 7

1. Put fingers on TP of AA

2. FULLY FLEX THROUGHOUT WHOLE TREATMENT

2. Put patient in restrictive barrier (rotate L)
3. Have pt go to midline against your thumb.
4. Hold 3-5 seconds
5. Relax for 1-2 seconds
6. Go to new barrier (repeat 3-5 times)

Question 8

DX: AA RL

AA- ART

Answer 8

1. Put hands on AA
2. FULLY FLEX THE PATIENT THROUGHOUT THE ENTIRE THING
3. Put patient into barrier (opposite of diagnosis)
4. Rhythmically rotate R for 1-2 seconds
5. Relax for a couple of seconds
6. Go through the restrictive barrier shortly

Question 9

C3 FSrRr

Typical Cervical vertabra MET

Answer 9

• 1. Find articular pillars of 1 segment
• 2. Go into barrier; extend, SB head to the L, Rotate to the left
• 3. Have pt go to midline against your thumb.
• 4. Hold 3-5 seconds
• 5. Relax for 1-2 seconds
• 6. Go to new barrier (repeat 3-5 times)

Question 10

C3 FSrRr

Typical Cervical vertabra ART

Answer 10

1. Put your fingers at the articular process that you want to work on.
2. Put the patient in opposite of diagnosis: Extended, SB L, R L
3. Rhythmally move them into barrier for 1-2 seconds
4. Relax
5. Go into the barrier; continue until no new barrier is reached

Question 11

—paraspinal muscles—

bilateral forearm fulcum bending: ST/MFR

Answer 11

ST–> apply a longitudinal stretch at a low force for a set time ,increase amplitude and repreat 2-3 minuntes until feel a relief of tension

Question 12

-paraspinal muscles—

bilateral forearm fulcum bending: MET

______ SD

Answer 12

bilateral forearm fulcum bending: MET

EXTENSION SD

-doc pushes up,

pt applies an opposing force down

hold 3-5 seconds

• relax 1-2 secs
• repeat 3 -5 times until no new barrier is reached

—-reassess paraspinal muscles—-

Question 13

-paraspinal muscles—

bilateral forearm fulcum bending: ART

______ SD

Answer 13

EXTENSION SD

-take to barrier

-perform rhythmically for 1-2 seconds (around 10 reps) and continue until new RB is done

-reassess

Question 14

IT IS IMPORTANT TO DO WHAT AFTER EVERYTHING

Answer 14

REASSESS!!!!