Cervical Thoracic Region - Class 2

Question 1

cervical thoracic region location

Answer 1

from inferior angle of the scap to the occipital bone

laterally to the deltoids

Question 2

this region has

Answer 2

areas w/ significant amount of tension, tenderness, trigger points

Question 3

boney landmarks of the cervical and thoracic spine –> posteriorly

Answer 3

inferior, vertebral and lateral borders of the scap

spine of scap

spinous process of C7

nuchal line

transverse process of C1

Question 4

posterior muscles of the cervical/thoracic spine –> deep

Answer 4

sub occipital

deep intrinsic muscles of spine

Question 5

sub occipitals

Answer 5

rectus capitis posterior major & minor

obliquus capitus superior

obliquus capitus inferior

Question 6

deep intrinsic muscles of spine

Answer 6

transversospinalis

Question 7

transversospinalis

Answer 7

semispinallis

multifidii

rotatores

Question 8

how do we treat deep muscles of the cervical/thoracic spine

Answer 8

friction & suboccipital release

Question 9

when do we perform suboccipital release

Answer 9

at the end of tx

Question 10

posterior muscles of the cervical/thoracic spine –> intermediate

Answer 10

erector spinae

splenic capitis and cervicis

Question 11

erector spinae

Answer 11

spinalis

longissimus

iliocostalis

Question 12

spinalis

Answer 12

capitis

cervicis

thoracis

Question 13

longissimus

Answer 13

capitis

cervicis

thoracis

Question 14

iliocostalis

Answer 14

cervicis

thoracis

Question 15

splenius capitis and cervicis

Answer 15

forms a more superficial layer of the deeper back/neck muscles

Question 16

how do we treat intermediate muscles of the C/T spine

Answer 16

frictions

petrissage

stripping

compressions

skin rolling

MFR

Question 17

posterior muscles of the cervical/thoracic spine –> superficial

Answer 17

cervical

thoracic

Question 18

cervical superficial muscles

Answer 18

levator scap

middle and upper traps

scalenes

SCM

Question 19

thoracic superficial muscles

Answer 19

lower trap

rhomboids

latissimus dorsi

rotator cuff/deltoid

Question 20

how do we treat superficial muscles of the C/T spine

Answer 20

frictions

petrissage

stripping

compressions

Question 21

indications for C/T massage

Answer 21

FHP

stress

whiplash/trauma

torticollis

awkward positioning

headaches

TMJ/TMD dysfxns

disc herniations

compression syndromes

Question 22

headaches –> indications

Answer 22

may be a cause or a result of this tension producing area

Question 23

contraindications to cervical massage (1)

Answer 23

pt is ill or nauseous/fever

pt in severe, undiagnosed pain

unhealed fx

neck has been seriously injured recently (acute)

skin condition on treating area

malignant melanoma/lymphoma

Question 24

contraindications to cervical massage (2)

Answer 24

active POTTS dz/active ankylosing spondylitis

swollen glands

bleeding tx area

acute inflammation

Question 25

acute inflammation --> contraindications

Answer 25

acute RA or acute injury chronic RA or down syndrome

Question 26

chronic RA or down syndrome --> contraindications

Answer 26

may have weakened transverse ligament at C1,C2

Question 27

precautions to cervical massage

Answer 27

decreased sensation hyperesthesia

Question 28

pt position in cervical massage

Answer 28

prone, supine or sitting

Question 29

what do we have to make sure we do during cervical massage

Answer 29

drape pt appropriately all supplies w/in arms reach

Question 30

necessary stroke for cervical massage

Answer 30

superficial strokes --> effleurage

Question 31

superficial strokes for cervical massage

Answer 31

clearing stroke shingling bilateral tree three count stroke of traps horizontal stroke

Question 32

neuromuscular technique of cervical massage

Answer 32

broad and specific contact compressions stripping petrissage strokes

Question 33

friction and circular friction --> cervical massage

Answer 33

along the suboccipital, cervical, thoracic, scapular posterior mm and between ribs

Question 34

j stroke --> cervical massage

Answer 34

around scapulae

Question 35

CT strokes

Answer 35

skin rolling skin strokes muscle strokes

Question 36

skin rolling

Answer 36

skin glides finger slides

Question 37

muscle strokes

Answer 37

perpendicular mm play strumming

Question 38

how should we end a cervical massage

Answer 38

superficial strokes