3. Cervical Spine Somatic Dysfunction Diagnosis Flashcards Preview

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Flashcards in 3. Cervical Spine Somatic Dysfunction Diagnosis Deck (18)
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1

Name the red, brown, green, and blue lines on the picture below.
(C-Spine Lateral View)

Red: anterior vertebral line
Brown: posterior vertebral line
Green: spinal laminar line
Blue: posterior spinous process line

2

If we see a significant misalignment of the spinous processes in an AP radiograph, what diagnosis might we expect?

Unilateral facet joint dislocation

3

If we see a significant widening of the spinous processes on an AP radiograph, what diagnosis might we expect?

Anterior cervical dislocation

4

How could an open mouth radiograph assist us in visualizing the spine?

It gives us a unique view of C1/C2

5

If the lateral masses of C1 overhang the lateral masses of C2, what diagnosis might we expect?

Jefferson burst fracture

6

Which foramina is visible in a right posterior oblique (45°) view?

The left foramina
(posterior oblique views show the other foramina)

7

What are the major motions of the OA joint?

What are the minor motions?

Major motions: flexion and extension

Minor motions: side bending and rotation

8

Which way do side bending and rotation occur for the OA joint?

 

Which way do side bending and rotation occur for C3/C7?

OA: opposite directions


C3/C7: same directions

9

What two muscles are in charge of rotation of the AA joint?

Obliquus Capitis Inferior

10

Theoretically, why does the rotation of C2-C7 occur in the same direction?

There uncinate processes

11

What are the indications for soft tissue cervical treatment?

Cervical somatic dysfunction with significant soft tissue component

12

What are the contraindications for soft tissue cervical treatment?

Fractures, open wounds, surgical sites, infection (bony or soft tissue), DVT, coagulopathy, neoplasm

13

What are the indications for HVLA, and ART?

Cervical somatic dysfunction with identified range of motion restriction attributable to a somatic dysfunction in the cervical facet joint, a joint

14

What are the contraindications for HVLA and ART?

Advanced RA

Down's Syndrome

Vertebral / Carotid Artery Disease

Inflammatory arthritis

Malignancy

Acute radiculopathy

Klippel-Feil syndrome

Chiari malformation

Achondroplastic dwarfism

15

What are the indications for Still's Technique or MET?

Cervical SD

16

What are the contraindications for MET or Still's?

Undiagnosed joint swelling, severe osteoporosis, neoplasm, infection, hematoma, RA, fracture, dislocation

17

What are the three stages of Spurling's Maneuver?

1. Compression of the head in neutral

2. Compression of the head in extension

3. Sidebend away from the affected side, then toward the affected side and add compression 

18

What does a positive Spurling's test indicate?

Nerve root compression