Cervical summary Flashcards
(51 cards)
What motions are coupled in the cervical spine?
SF and ROT
what portion does more SF ?
mid
What drys up faster cervical or lumbar disc ?
Cervical
Where does the mid cervical refer to ?
medial boarder of scap
What is a major contra to cervical Rx
RA do not dot MOBS on RA pt’s
Do you need to scan everyone with neck pain?
Yes
What has a better prognosis immediate pain or insidious
immediate worse prof.
When can you do a passive test overpressure on the c spine
ONLY if painfree active ROM and no neuro or log or vascular damage
What is indicative of serious path in the neck?
Painful weakness of short neck flexors could mean instability or #
** Do NOT overpressure if 5d’s are there***
Pt presents with weakness of hand intrinsics what are your concerns?
T1 tumor
**NOT associated with disc issues **
What do PAVMs tell u?
if a jt is stiff/hyper/ and end feel
Contraindications for PA Pressure in the neck?
Local fracture local inflam active neo infection acute trauma local instability vascular patho of the carotid or vert arteries
PRECAUTIONS
Osteoporosis
Anti-coagulatns
what is the most common degenerative spot in teh c spine
c5/6
Where and what does the alar ligament do?
Runs from Dens on C2 to the tubercles on the medial occipital condyle
*“check ligament” checks side to side movements
What does the transverse lig of the atlas do?
It runs like a cruciate lig and keeps the dens held anterior in the arch of the axis
What are common outcome measures for the neck
Neck disability index (NDI) (50 pts or 100% is pt rated MAX disability
*CIChange is 5 pts
What do NDT’s test when is it ++?
nerve mobility - see if restriction b/w interfaces its passes (IVF, muscle, Facet jt.)
- if it reproduces sympt. or restriction in mobility its ++ Vs other side
- if ++ use 1-3 graded tech (watch irritability)
Pt presents and is very irritable and their condition is worsening what are these indications of and would you use NDT
- ## they are contra along with neuro SIGNS, undiag condition, spinal cord or CE compromise
What are the NDT tests?
ULNT 1= Median nerve bias (abduction) ULNT 2 = Median nerve (Depression) UNLT 3 = Radial nerve bias UNLT 4 = Ulnar nerve (know what directions increase/dec tension)
What is the normal response of the Median nerve bias?
stretch sensation in the antecubital fossa, tingling in thumb and first 3 fingers
What is the normal response for the Radial nerve.
stretch pain sensation in lateral forearm &/or stretch P in lateral upper arm
Ulnar nerve bias normal response?
stretch P hypothenar eminence and med 2 fingers or pins/needles same distribution
WHat is the standardized position for NDT?
supine legs straight opps . arm at side (pt could be on diagonal as well )
What are the known positions of vert artery compromise?
Ext, rotation, traction
