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Flashcards in lab: screening spinal/dx Deck (19):
1

components of brief screening exam

1. posture: assess major landmarks (shoulder heights, iliac crest heights, popliteal creases, arches, thoracic kyphosis, lumbar lordosis)
2. TART changes and vertebral SD
3. standing flexion test; if positive, check for pelvis SD
4. seated flexion test; is positive, check for sacrum SD

2

C1 landmarks

- no spinous process
- posterior to the angle of the mandible

3

C3 landmark

posterior to hyoid bone

4

C4 and C5 landmark

posterior to thyroid cartilage

5

C6 landmark

posterior to cricoid cartilage

6

motion of OA

1. flexion and extension (major motion)
2. rotating (minor motion)
3. sidebending (minor motion)

7

SD of OA

rotation and sidebending in opposite direction

8

motion of AA

1. rotation (major motion)
2. flexion and extension (minor motion)
3. sidebending (minor motion)

9

SD of AA

rotation only

10

how to dx OA (finger placement)

middle fingers posterior to occipital condyles to monitor motion and index fingers on articular pillars of C1 to stabilize and isolate motion to OA joint

11

how to dx AA (finger placement)

middle fingers over the articular pillars of the atlas to monitor motion and index fingers over the articular pillars of the axis to stabilize it and help isolate motion. flex lower C-spine to limit rotation of these joints

12

orientation of cervical superior facet

BUM:
1. backward
2. upward
3. medial

13

what does the bodies of typical vertebraes have?

uncinate process that allow for more stability during movement

14

SD of typical vertebraes

rotation and sidebending same side with flexion/extension

15

T2 spinous process landmark

level of superior angle of the scapula

16

T3 spinous process landmark

level of scapular spine

17

T7 spinous process landmark

level of inferior angle of scapula

18

L4 spinous process landmark

level of superior aspect of the iliac crests

19

rule of 3s

1. T1-3: spinous same level as transverse
2. T4-6: spinous 1/2 step below transverse
3. T7-9: spinous full step below transverse
4. T10-12: spinous full, 1/2, same level as transverse