Sill Cervical And First Rib

Question 1

contraindications for these procedures

Answer 1

Absolute

• unstable fractures
• manifestations of neurological symptoms brought on by treatment positioning
• exacerbation of potentially life-threatening symptomatology

Relative

• treatment cant be tolerated well
• comorbidities that place the patient at risk for fracture (osteoporosis/malignancy)
• moderate-severe to join instability
• spinal stenosis/nerve root impingement where positioning could exacerbate the condition

Question 2

Where is the OA tenderpoint located

Answer 2

this is how you assess for OA still procedure

Located at the junction of

• origin of rectus capitis posterior major
• lateral margin of the semispinalis capitis
• medial margin of the Splenius capitis

very closely related to the PC2-occiput CS tender point (approx 1cm from inion on both sides)

Question 3

How to diagnosis AA?

Answer 3

Patient seated or laying supine
- head and neck fully flexed to the cervicothoracic junction

Diagnosis/dysfunction= side of rotation where there is greatest freedom of motion

Question 4

Diagnosis of C2-C7

Answer 4

Patient seated in neutral position

Palpate bilaterally Laing the posterolateral articular pillars to find
- ANY TART

TART is usually found on the side ipsilaterally to the side the vertebrae is rotated and sidebent towards