C-Spine SD Diagnosis

Question 1

Where do nerves exit for C, T, L?

Answer 1

C: nerve about vertebral body
T: nerve below vertebral body
L: nerve below vertebral body

Question 2

ST

• Initial Setup
• Ergonomics
• Monitoring
• Activating Forces
• Therapeutic timing/Reps

Answer 2

• Initial Setup: fingers directly on TTA for inhibition
• Ergonomics: table at right height, comfortable
• Monitoring: treating hand monitors response
• Activating Forces: stretch force repetitive 2 sec towards and 1 sec away
• Therapeutic timing/Reps: 30 sec–> 10-15 reps

Question 3

HVLA

• Initial Setup
• Ergonomics
• Monitoring
• Activating Forces
• Therapeutic timing/Reps

Answer 3

• Initial Setup: depends, planned force emphasized, coupled motion away
• Ergonomics: stand at head of table but moves to side of directed force
• Monitoring: at articular pillar
• Activating Forces: SB or rotation through RB with thrusting force
• Therapeutic timing/Reps: 1 rep

Question 4

MET

• Initial Setup
• Ergonomics
• Monitoring
• Activating Forces
• Therapeutic timing/Reps

Answer 4

• Initial Setup: engage RB in 3 planes
• Ergonomics: seated at head of table
• Monitoring: articular processes
• Activating Forces: 3-5 sec pt directed away from RB
• Therapeutic timing/Reps: 3-5 reps

Question 5

ART

• Initial Setup
• Ergonomics
• Monitoring
• Activating Forces
• Therapeutic timing/Reps

Answer 5

• Initial Setup: engage RB in 3 planes
• Ergonomics: head of table
• Monitoring: articular processes
• Activating Forces: gentle reps
• Therapeutic timing/Reps: 10-30 rep

Question 6

Stills

• Initial Setup
• Ergonomics
• Monitoring
• Activating Forces
• Therapeutic timing/Reps

Answer 6

• Initial Setup: start indirect, go direct
• Ergonomics: head of table
• Monitoring: articular processes
• Activating Forces: through RB with smooth motion
• Therapeutic timing/Reps: usually 1 rep

Question 7

Soft Tissue Contraindications

Answer 7

• fractures
• open wounds
• infection
• DVT
• Coagulopathy
• Neoplasm

Question 8

Muscle Energy Contraindications

Answer 8

• undiagnosed joint swelling
• severe osteoporosis
• neoplasm
• infection
• hematoma
• RA
• fracture
• dislocation

Question 9

HVLA Contraindications

Answer 9

• RA
• Down Syndrome
• VA Disease
• Advanced Carotid Disease
• malignancy
• chairi formation
• dwarfism
• osteogenesis imperfecta
• actue radiculopathy