Cervical Spine Dx

Question 1

What type of spinal mechanics does C3 have?

Answer 1

Modified type II

Rotate and sidebend in SAME direction

Question 2

What is the only motion found at AA joint?

Answer 2

Rotation

Question 3

What nerve roots are tested during DTR of the brachioradialis?

Answer 3

C6

Question 4

How would you demonstrate gross motion testing of the cervical spine on your patient?

Answer 4

Have pt actively flex, extend, sidebend and rotate

Then passively

Question 5

What would be a positive Spurling’s test and what does that indicate?

Answer 5

Positive test would be pain down the arm following a nerve root
Indicates compression

Question 6

Name five DTR location, their nerve roots and how you document a normal finding

Answer 6

Biceps C5
Brachioradialis C6
Triceps C7
Patellar L4
Achilles S1
Normal - +2/4 (location) B/L

Question 7

What should you do before assessing rotation of the AA joint?

Answer 7

Flex to block out rotation of C2-C7

Question 8

What does modified type 1 mechanics mean and which part of the cervical spine uses this?

Answer 8

F and E

OA joint

Question 9

If when laterally translating the OA joint in neutral, I have a restriction of translation to the right, what can I assume?

Answer 9

If the OA won’t laterally translate to the right, it means that the joint is side bent right and rotated left
Modified type I so know they are opposite