Cervical Spine Diagnoses

Question 1

• The OA joint enables which motions?
• Is it Type I or Type II like?

Answer 1

• Rotation and sidebending
• Type I
• BUT Can have worse in flexion or extension

Question 2

• Which type of movement does the AA joint permit?
• Is it type I or type II like?

Answer 2

• ONLY ROTATION
• Type II

Question 3

• Are Typical Cervical Vertebrae more Type I or Type II like?

Answer 3

• Type II

Question 4

• What do you need to do before assessing or treating the AA of the cervical spine?

Answer 4

• Flex the C spine to lock out rotation of the typical cervical vertebra
• This isolated the AA joint

Question 5

• OA MET
• How do you perform this technique?

Answer 5

• Doc has one hand under the occiput and other hand’s index and middle finger are placed on the patient’s chin beneath the lower lip
• Flex or extend the patient thru the occiput
• Rotate the head to the barrier through the occuput
• Have patient activate against your resistance
• Relax and engage next restrictive barrier
• Repeat
• Reasses

Question 6

• How do you perform Bilateral Forearm fulcrum ST MFR of the C Spine?

Answer 6

Question 7

• How do you perform ART of the cervical spine using a bilateral fulcrum?

Answer 7

Question 8

• How do you perform ST/MFR of the cervical spine using a bilateral fulcrum?

Answer 8

Question 9

• When is the use of the oculocephalogyric reflex appropriate?
• When is it not appropriate?

Answer 9

• Very severe, acute cervical and upper body conditions when other techniques are impossible d/t severity of pain, muscle spasm, or strain
• Contraindications:
  
  • ​Fracture
  • Dislocation
  • Severe joint instability @ treatment site

Question 10

• How do you perform DIRECT MET OCULOCEPHALOGYRIC REFLEX?

Answer 10

• Patient is supine
• Doc sit or stand at head of table
• Engage restrictive barrier with eye motion, while doc holds the area of SD and monitors
• Patient relaxes by closing their eyes
• Doc further engages restrictive barrier using head and neck
• Continue until no new barriers are met
• Reasses

Question 11

• How do you perform a compression test?
• What is a + test indicative of?

Answer 11

• Axial compression of head in neutral
• Positive test when patient has pain down the arm in the nerve root distribution
• Indicative of nerve root compression (cervical radiculopathy)

Question 12

• How do you perform a Spurling’s maneuver?
• What is a positive test indicative of?

Answer 12

• 3 stages:
  
  • Compress head in neutral
  • Compress of head in extension
  • Sidebend away from the affected side then toward the affected side and add compression
  • Positive test is indicative of nerve root compression (cervical radiculopathy)