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Musculoskeletal II > 4- Cervical Spine > Flashcards

4- Cervical Spine Flashcards

(64 cards)

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1
Q

Red or Yellow Flag?: Hoarseness

A

Red

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1
Q

Reflex testing

A

C5-6: Brachioradialis C6: Biceps C7: Triceps

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2
Q

Explain the osteokinematics associated with cervical spine rotation

A

rotation about a vertical axis coupled with ipsilateral sidebending

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3
Q

If 3 of which 4 tests are positive… it is 65% CPR of cervical radiculopathy

A
  • Spurlings
  • Rotation< 60 degrees
  • Distraction Test
  • ULNT
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3
Q

Whats general ROM for cervical flexion?

A

40 degrees

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3
Q

Whats general ROM for cervical sidebending?

A

45 degrees

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4
Q

Red or Yellow Flag?: Segmental or multisegmental hyporeflexia or areflexia

A

Yellow

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5
Q

What is superoanterior glide of superior facets and facet joints during flexion restricted by?

A

Joint capsule

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5
Q

Red or Yellow Flag?: Tinnitus

A

Yellow

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5
Q

Red or Yellow Flag?: History of LOC

A

Yellow

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6
Q

Explain the biomechanics of cervical spine flexion

A

-Anterior osteokinematic roll of superior vertebra -Superoanterior glide of superior facets and facet joints -Anterior translation slide of superior vertebra on the ICD

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6
Q

Red or Yellow Flag?: Severe movement loss

A

Yellow

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6
Q

How do you test cardinal plane movements?

A

AROM then PROM

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7
Q

Red or Yellow Flag?: Visual disturbances

A

Red

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8
Q

What should you watch for when testing cardinal plane movements?

A
  • Quality of motion - Symptom provacation - Willingness to move - Presence of specific patterns of restriction
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9
Q

Red or Yellow Flag?: Spasm with PROM

A

Red

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10
Q

Red or Yellow Flag?: Arm pain (Pt <35 or greater than 6 months duration)

A

Red

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12
Q

What does the alar ligament test test for?

A

Frontal plane stability

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13
Q

What does it mean when spurlings, rotation <60 deg, distraction test, and ULNT are all positive?

A

90% predictive of cervical radiculopathy

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15
Q

What is anterior roll of superior vertebra during flexion restricted by?

A

Extensor muscles and posterior ligaments

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17
Q

Red or Yellow Flag?: Painful and weak resistive testing

A

Red

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17
Q

Red or Yellow Flag?: Difficulties problem solving

A

Yellow

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19
Q

What is the safest order of objective examination?

A
  1. Structural examination 2. Craniovertebral (UCS) Scan 3. Stabilitiy Testing, NBI Testing 4. Neurological examination 5. Cardinal plane movements 6. Special Testing 7. Segmental mobility testing
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20
Q

Red or Yellow Flag?: Irritability

A

Yellow

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20
Red or Yellow Flag?: Anxiety or depression
Yellow
22
What does flexion do to the IVD?
anterior compression and posterior distraction
23
Red or Yellow Flag?: Horner's Syndrome (SNS deficiency, ptosis, miosis)
Red
24
Red or Yellow Flag?: Compromise to multiple spinal nerve roots
Red
25
Red or Yellow Flag?: Insomnia
Yellow
26
Red or Yellow Flag?: Constant or continuous pain
Yellow
28
What is uncovertebral and facet arthrokinematic motion limited by during sidebending?
joint capsule
29
Whats general ROM for cervical rotation?
80-90 degrees
31
Red or Yellow Flag?: Acute capsular pattern
Yellow
32
Red or Yellow Flag?: Unexplained weight loss
Red
34
Whats general ROM for cervical extension?
70-80 degrees
35
Explain the osteokinematics associated with cervical spine sidebending
-Ipsilateral osteokinematic roll -Superoanterior glide of the contralateral superior facet -Posteroinferior glide of the ipsilateral facet -Inferomedial glide of the ipsilateral uncovertebral joint -Superolateral glide of the contralateral uncovertebral joint -conttalateral translation of the vertebra on the disk
36
Red or Yellow Flag?: Moderate to severe radiating pain
Yellow
37
Red or Yellow Flag?: Paresthesia
Yellow
38
What is the posterior roll during extension restricted by?
anterior prevertebral muscles and the ALL
39
Red or Yellow Flag?: Recent trauma
Yellow
40
Red or Yellow Flag?: UMN signs and symptoms
Yellow
41
What is anterior translation slide of the superior vertebra on the IVD during flexion restrained by?
IVD and nuchal ligament
42
Red or Yellow Flag?: Limited scapular elevation
Red
43
Red or Yellow Flag?: Regional expansion of pain
Red
44
Red or Yellow Flag?: T1 palsy (weakness of hand intrinsics)
Red
45
Explain the biomechanics of cervical spine extension
-Posterior roll -Inferoposterior glide -Posterior translation of the vertebra on the disk
46
Red or Yellow Flag?: Moderate to severe headaches
Yellow
47
Red or Yellow Flag?: Gradual increase in pain over time
Red
48
Red or Yellow Flag?: Strong spasms
Yellow
49
What is translation of the disk during sidebending limited by?
IVD
49
What is the transverse ligament test test for?
Sagittal plane stability
50
What does the Jefferson fracture test test for?
Transverse plane stability
50
Myotome Testing
c1- cervical flexion c2-cervical extension c3-cervical sidebending c4-scapular elevation c5-shoulder abduction and external rotation c6- elbow flexion and wrist extensions and shoulder IR c7- elbow extension and wrist flexion c8-thumb extension t1-hand intrinsics and interossei
52
Red or Yellow Flag?: Segmental paresis
Yellow
53
What is the inferoposterior glide during extenion restrained by?
facet joint capsule
55
What is ipsilateral roll during sidebending limited by?
contralateral scalenes and intertransverse ligaments
56
What does the Sharp-Purser Test test for?
Translational stability
57
Red or Yellow Flag?: Memory loss or forgetfulness
Yellow
58
Red or Yellow Flag?: Reduced motivation
Yellow
59
What does the Vertebral artery test test for?
Vascular stability
61
What is the posterior translation of the vertebra on the disk during extension restrained by?
IVD
62
What does the distraction test test for?
Longitudinal plane stability
63
What are the components of a cervical scan?
- Neck rotation - UC sidebending - UC flexion - UC extension - Compression - Distraction
64
What is Lhermitte's Phenomenon?
a shock-like sensation that radiates down the spinal column to the UEs or LEs with neck flexion (myelopathy, neck trauma, radiculopathy)

Musculoskeletal II (11 decks)

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