Cervical Spine

Question 1

Divisions of Cervical Spine

Answer 1

Cervicoencephalic/cervicocranial/craniovertebral

atlanto-occipital (C0-C1)
Antlanto-axial (C1-C2)
Cervicobrachial (C3-C7)

Question 2

Majority of cervical rot. Occurs here

Answer 2

Cervicocephalic Region

Question 3

more ligaments found this area compared to cervicobrachial area

Answer 3

Cervicocephalic Region

Question 4

Cervicocephalic Region, Injury can lead to:
cognitive dysfunction :?
cranial nerve dysfunction : ?
sympathetic system dysfunction

Answer 4

Injury can lead to:
cognitive dysfunction : slower to response
cranial nerve dysfunction : brainstem
sympathetic system dysfunction

Question 4

Most mobile articulations of spine

Answer 4

Atlanto-axial

Question 5

Connects C2 to C0 (ligament)

Answer 5

Tectorial Membrane

Question 5

Hangman’s fracture may occur at what level of the cervical region?

Answer 5

C2

Question 5

Atlanto-axial, Principal motion:
Flex - Extend (?? deg) ;
side flexion (?? deg) ;
Rotation (?? deg) primary movement

Answer 5

Flex - Extend (10 deg) ;
side flexion (5 deg) ;
Rotation (50 deg) primary movement

Question 5

COMMON SITE OF ARTHRITIS in the cervical region

Answer 5

RA - C4 & C5
OA - C5 & C6

Question 5

jefferson’s fracture is located at what level of the cervical region?

Answer 5

C1

Question 6

T or F
C5 - C7 most mobile (Whole Cervical Region)

Answer 6

FALSE
C5 - C6 most mobile (Whole Cervical Region)

Question 7

Clay Shoveler’s fracture may occur at what level of the cervical region?

Answer 7

C7

Question 7

Tests the integrity of the tectorial membrane

Answer 7

Pettman’s Distraction Test

Question 8

make up 25% of cervical spine height
lordotic shape of cervical spine

Answer 8

Intervertebral discs

Question 8

CERVICOBRACHIAL REGION is C?-C?

Answer 8

CERVICOBRACHIAL REGION involved C3-C7

Question 8

Intervertebral discs
Inner portion = ??
Outer Portion = ???
*There is no disc between occiput and c1, even in c1 and c2

Answer 8

Inner portion = Nucleus Pulposus
Outer Portion = Annulus Fibrosus
There is no disc between occiput and c1, even in c1 and c2

Question 8

T or F
Disc = segment above
Nerve = Segment below

Answer 8

TRUE

Question 8

Spondylolysis is ?
Pain: Unilateral or Bilateral?

Answer 8

Spondylolysis is a stress fracture through the pars interarticularis of the lumbar vertebrae’
Pain: Unilateral

Question 9

Spondylosis occurs beacuse of?
Disc thins

Answer 9

Wear and tear, Age, occupational factors

Question 9

anterior slippage of the vertebrae is called?
narrowing of space - spinal cord and nerves are affected?

Answer 9

Spondylolisthesis - ant slippage of vertebral disc
Stenosis - spinal stenosis ; narrowing of space - spinal cord and nerves are affected (pain: uni or bilateral)

Question 9

Passes through transverse processes
supplies 20% of blood supply to brain
Can be compressed by osteophyte formation of injury to facet joint

Answer 9

VERTEBRAL ARTERY

Question 9

T or F
VERTEBRAL ARTERY can’t be stressed by rotation, extension, and lateral flexion and traction movement

Answer 9

FASLE
can be stressed by rotation, extension, and lateral flexion and traction movement

Question 10

What is the Resting position, Closed Packed, and Capsular pattern of the cervical region/spine??

Answer 10

Resting: Midway between flexion and extension
Closed packed: Full extension
Capsular pattern: Side flexion and rotation equally limited extension

Question 10

: one vertebra is slipped under the vertebra stenosis spinal cord

Answer 10

spondylolisthesis

Question 10

Normal posture of the Head and Neck?

Answer 10

normal posture : ear in line with shoulder and forehead vertical

Question 10

upper crossed syndrome muscle imbalance resulting from?

Answer 10

upper crossed syndrome muscle imbalance resulting from \ tight and weak muscles crossing the upper part of the body

Question 11

In the forward head posture what muscles are tight?

Answer 11

tight: capital extensors rectus capitis posterior rectus capitis obliquus cervical flexors: SCM, scalenes

Question 11

In forward head posture what muscles are weak?

Answer 11

WEAK: deep neck flexors rectus capitis ant. lateralis

Question 11

What position of the pt has the most ROM?>

Answer 11

Supine

Question 12

FUNCTIONALASSESSMENT

Answer 12

ADLs functional strength tests whiplash disability questionnaire (WDQ) bournemouth questionnaire neck disability index (NDI)

Question 12

OM’s = interpretation of scores ⬆️ score = ? progress ⬆️ score = ? disability

Answer 12

OM’s = interpretation of scores ⬆️ score = ⬆️ progress ⬆️ score = ⬆️ disability

Question 12

SPECIAL TESTS:

Answer 12

muscle strength neurological symptoms myelopathy vascular signs cervical instability cervical spine mobility first rib mobility

Question 12

in special test how many test do you perform for Rule in and Rule out?

Answer 12

2 rule in, 1 rule out

Question 12

What nerve is being tested? ULTT 1 = ULTT 2 = ULTT 3 = ULTT 4 =

Answer 12

ULTT 1 = median nerve, ant. interosseous nerve, c5, c6,c7 ULTT 2= median, axillary, and musculocutaneous nerve ULTT 3 = radial nerve ULTT 4 = ulnar

Question 12

important component of cervical spine assessment not proven to be conclusive affective in indicating stretching and occlusion of the vertebral artery or internal carotid artery

Answer 12

VASCULAR “CLEARING” TESTS

Question 13

do decrease risk of catastrophic complications when doing end-range mobilization or manipulation test patient in position in which treatment will be hiven

Answer 13

VASCULAR “CLEARING” TESTS

Question 13

ROM of Flexion/Extension of the Neck/cervical region?

Answer 13

0-45 deg

Question 13

Rom of Rotation of the Neck/Cervical area?

Answer 13

?? - 60 deg

Question 14

What region is the c3-c7 called?

Answer 14

Cervicobrachial

Question 15

How many facet joints are in the cervical spine?

Answer 15

14

Question 15

Uncinate Joint false type of joint d/t degradation of IV disc uncus gives saddle form to upper aspect of cervical vertebrae

Answer 15

Joints of Luschka

Question 15

Joints of Luschka limits what movement?

Answer 15

Flexion