Cervical Lab Interventions

Question 1

OA joint traction helps improve what motions

Answer 1

Flexion and extension

But u can use when all directions hurt and have nerve pain w flexion and extension

Question 2

How would u do a OA joint mob for a opening on the R side

Answer 2

put pt into CV flexion w L to R side slide

Question 3

How would u do a OA joint mob for a opening on the L side

Answer 3

put pt into CV flexion w R to L side glide

Question 4

How would u do a OA joint mob for a closing on the L side

Answer 4

Put pt into CV extension w L to R side glide

Question 5

How would u do a OA joint mob for a closing on the R side

Answer 5

Put pt into extension w R to L side glide

Question 6

What can u do for a AA joint rotation self mobilization

Answer 6

SNAG - do after having manual therapy or MET

Question 7

How would u perfomr a AA joint rotation self mob (SNAG) to increased L rotation at C 1-C2 rotation

Answer 7

Have towel wrapped across superior vertebral body of affected joint and tell pt to hold towel down toward chest on L side w R hand and then use L hand to hold towel straight away from face and tell them to pull towel up and to the L while rotating neck to the left … hold for 6 secs

Question 8

If a patient is restricted w rotation in the C spine what joint should they assess

Answer 8

AA joint (C1- C2)

Question 9

How would u increase R rotation while doing a AA joint MET

Answer 9

Have pt SB to L then rotate to the R and have pt look hard to the L for 6 secs then take to new end range

Question 10

What oscillatory grade would someone use for cerviogenic HA treatment

Answer 10

Grade 1 or 2 for like 10 seconds

Question 11

How is the pateints head position different for Cervicogenic HA treatment for C1 under occipital and C2 under C1 and for C2-C3

Answer 11

C1- head is in neutral (PA mob)

C2- head is rotated 30° to ipsilateral side of HA (PA mob)

C3- head in neutral

Question 12

How do u perfomr side glide (C2-T1) join mob for a opening restrictions to R side and L side

Answer 12

R side = flex neck up to segment being asses and side glides L to R.

L side= flex neck up to segment being assessed and side glides R to L

Question 13

How do u perfomr side glide (C2-T1) join mob for a closing restrictions to R side and L side

Answer 13

R side= Extend neck to segment being assessed and side glide R to L

L side= extend neck to segment being assessed and side glide L to R

Question 14

What are PRECUATIONS from manual therapy

Answer 14

• joint effusion or inflammation
• RA
• presence of neuro signs
• pregant
• dizzy
• steroid or anti coagulant therapy

Question 15

How can u progress CV flexion + cervical flexion

Answer 15

In supine have pt put hands being head and us hands to bend neck so that chin is on chest and use ur front neck mm to hold position and then u could ass eccentric control to lower head back down

Question 16

Contras for muscle performance training (MET)

Answer 16

• Unstable angina
• Uncontrolled HTN
• Uncontrolled dysrhythmias
• Hypertrophic
  cardiomyopathy
• Certain stages of
  retinopathy
• Pain
• Inflammation

Question 17

Precautions from mm performance training

Answer 17

• CHF
• Myocardial ischemia
• Poor L ventricle function
• Autonomic neuropathies

Question 18

What do u need to considered when doing mm performance training

Answer 18

• Appropriate level of intensity
• Sufficient time for warm up and cool
down to permit adequate physiological
adaptations

Question 19

What are indication for Cervical traction

Answer 19

• Neck pain w/ radiating pain
• Neck pain w/ referred pain
  into upper arm (suggests
  aggravated facet joint)
• Spinal stenosis
• Significant mm spams

Question 20

How many lbs or BW % do u do for mechanical traction for the c spine

Answer 20

10-40 lbs or 7% of BW

Question 21

How many lbs is needed for vertebral separation for the c spine for traction

Answer 21

20-30 lbs

Question 22

What do u wan to avoid when doing mechanical traction

Answer 22

Avoide rebound effect by ensuring some traction is still present for oof cycles

Question 23

For a herniated nucleus pulposus what is the Rx duration for traction

Answer 23

Static for 5-10 mons or intermittent for 15 mins

Question 24

What are contras from mechanical traction

Answer 24

• Impaired cognitive function
• RA
• Osteoporosis
• Evidence of instability
• Claustrophobia
• Spinal tumors
• Spinal infections
• Spondylolithesis
• Vascular compromise
• Very young or very old pts

Question 25

What is the position of the arm for a **ULTT 1** and what nerves is it hitting

Answer 25

Passive test into c spin neutral , shoulder depression , GH abduction , wrist/finger extension , forearm supination , GH ER , elbow extension , C spine contra SB Median

Question 26

What is the Rx for nerve glides

Answer 26

PT repeats test and stops just short of significant symptoms PT returns arm to starting and repeats 2-3 sects of 10-20 reps

Question 27

How long should they do a **self nerve glide**

Answer 27

Moving back and forth between positions for 2-3 sets of 10-20 reps

Question 28

What is the different between a nerve glide and stretch

Answer 28

Glide is there is an on and odd side and a stretch is on and on

Question 29

How long should pt hold **nerves stretch**

Answer 29

10-15 secs for 3-5 reps

Question 30

How would a pt perfomr a **self medical nerve glide**

Answer 30

Pt extends finger , wrist and elbow into sensitizing position (ON) while also SB head towards affected side (OFF) and then reverse

Question 31

Are nerves glides sustained or oscillatory

Answer 31

Oscillatory

Question 32

What movements are performed at the arm passively for ULTT 2 and what never is it targeting

Answer 32

C-spine neutral → shoulder depression → GH IR → wrist/finger flexion, forearm pronation → elbow extension → GH abduction —> C-spine contralateral side bending Radial n

Question 33

How would a pateint perform self radial n glides

Answer 33

Start in stnading o seating w c spine in neutral and shoulder help need side w elbow extended pt flexed fingers and wrist then abducts the shoulder into sensitizing position (ON) while also SB head toward affected side (OFF) then vise versa

Question 34

What position is the PT taking the arm for the **ULTT 3** and what n is it hitting

Answer 34

: C-spine neutral → shoulder depression → GH abduction → GH ER → forearm pronation, wrist/finger extension → elbow flexion → C-spine contralateral side bending Ulnar