Cervical Thoracic Region - Class 2 Flashcards

1
Q

cervical thoracic region location

A

from inferior angle of the scap to the occipital bone

laterally to the deltoids

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2
Q

this region has

A

areas w/ significant amount of tension, tenderness, trigger points

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3
Q

boney landmarks of the cervical and thoracic spine –> posteriorly

A

inferior, vertebral and lateral borders of the scap

spine of scap

spinous process of C7

nuchal line

transverse process of C1

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4
Q

posterior muscles of the cervical/thoracic spine –> deep

A

sub occipital

deep intrinsic muscles of spine

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5
Q

sub occipitals

A

rectus capitis posterior major & minor

obliquus capitus superior

obliquus capitus inferior

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6
Q

deep intrinsic muscles of spine

A

transversospinalis

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7
Q

transversospinalis

A

semispinallis

multifidii

rotatores

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8
Q

how do we treat deep muscles of the cervical/thoracic spine

A

friction & suboccipital release

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9
Q

when do we perform suboccipital release

A

at the end of tx

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10
Q

posterior muscles of the cervical/thoracic spine –> intermediate

A

erector spinae

splenic capitis and cervicis

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11
Q

erector spinae

A

spinalis

longissimus

iliocostalis

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12
Q

spinalis

A

capitis

cervicis

thoracis

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13
Q

longissimus

A

capitis

cervicis

thoracis

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14
Q

iliocostalis

A

cervicis

thoracis

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15
Q

splenius capitis and cervicis

A

forms a more superficial layer of the deeper back/neck muscles

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16
Q

how do we treat intermediate muscles of the C/T spine

A

frictions

petrissage

stripping

compressions

skin rolling

MFR

17
Q

posterior muscles of the cervical/thoracic spine –> superficial

A

cervical

thoracic

18
Q

cervical superficial muscles

A

levator scap

middle and upper traps

scalenes

SCM

19
Q

thoracic superficial muscles

A

lower trap

rhomboids

latissimus dorsi

rotator cuff/deltoid

20
Q

how do we treat superficial muscles of the C/T spine

A

frictions

petrissage

stripping

compressions

21
Q

indications for C/T massage

A

FHP

stress

whiplash/trauma

torticollis

awkward positioning

headaches

TMJ/TMD dysfxns

disc herniations

compression syndromes

22
Q

headaches –> indications

A

may be a cause or a result of this tension producing area

23
Q

contraindications to cervical massage (1)

A

pt is ill or nauseous/fever

pt in severe, undiagnosed pain

unhealed fx

neck has been seriously injured recently (acute)

skin condition on treating area

malignant melanoma/lymphoma

24
Q

contraindications to cervical massage (2)

A

active POTTS dz/active ankylosing spondylitis

swollen glands

bleeding tx area

acute inflammation

25
Q

acute inflammation –> contraindications

A

acute RA or acute injury

chronic RA or down syndrome

26
Q

chronic RA or down syndrome –> contraindications

A

may have weakened transverse ligament at C1,C2

27
Q

precautions to cervical massage

A

decreased sensation

hyperesthesia

28
Q

pt position in cervical massage

A

prone, supine or sitting

29
Q

what do we have to make sure we do during cervical massage

A

drape pt appropriately

all supplies w/in arms reach

30
Q

necessary stroke for cervical massage

A

superficial strokes –> effleurage

31
Q

superficial strokes for cervical massage

A

clearing stroke

shingling

bilateral tree

three count stroke of traps

horizontal stroke

32
Q

neuromuscular technique of cervical massage

A

broad and specific contact compressions

stripping

petrissage strokes

33
Q

friction and circular friction –> cervical massage

A

along the suboccipital, cervical, thoracic, scapular posterior mm and between ribs

34
Q

j stroke –> cervical massage

A

around scapulae

35
Q

CT strokes

A

skin rolling

skin strokes

muscle strokes

36
Q

skin rolling

A

skin glides

finger slides

37
Q

muscle strokes

A

perpendicular

mm play

strumming

38
Q

how should we end a cervical massage

A

superficial strokes