Midterm OP - C/Spine

Question 1

Test & treatment for facet lock/joint irritation

Answer 1

Test: Spurling’s
Tx: unilateral midvertebral traction

Question 2

Test & treatment for impacted synovial meniscoid

Answer 2

Test: Spurling’s
Tx: Unilateral midvertebral traction

Question 3

Test & treatment for herniated disc

Answer 3

Test: valsalva, history
Tx: vertebral traction for upper/mid/or lower c/s & upper t/s

Question 4

Test & treatment for transverse ligament sprain/tear (chronic)

Answer 4

Test: Transverse ligament stress test
Tx: vertebral anterior translations

Question 5

Test & treatment for alar ligament sprain/tear

Answer 5

Test: lateral flexion OR rotational alar ligament stress test
Tx: AAJ direct rotation

Question 6

Test & treatment for HFP

Answer 6

Test: postural scan/palpation
Tx: posterior neck soft tissue stretch OR active extension mobilization OR suboccipital release

Question 7

Test & treatment for muscle strain/tear (chronic?)

Answer 7

Test: Spurling’s or MMT or scalene cramp test
Tx: Vertebral lateral translations
Traction
Posterior soft tissue neck stretches

Question 8

Test & treatment for cervical osteoarthritis

Answer 8

Test: History & aROM/pROM
Tx: vertebral traction for upper c/s
vertebral traction for middle c/s
vertebral traction for lower c/s and upper t/s

Question 9

Test & treatment for torticollis

Answer 9

Test: transverse ligament stress test OR Spurling’s OR MMT for SCM
Tx: depends on underlying issue - could use scalene stretch, unilateral vertebral traction, mid-cervical spine direct rotation

Question 10

Test & treatment for spinal stenosis

Answer 10

Test: distraction
Tx: Suboccipital Release

Question 11

Test & treatment for peripheral nerve (foraminal) stenosis

Answer 11

Test: Spurling’s or Maximum cervical compression
Tx: vertebral traction for appropriate level of spine

Question 12

Test & treatment for pectus carinatum

Answer 12

Test: palpation/postural scan/history
Tx: rotational respiratory stretching

Question 13

Test & treatment for pectus excavatum

Answer 13

Test: palpation, postural scan, history
Tx: rotational respiratory stretching

Question 14

Test & treatment for barrel chest

Answer 14

Test: respiratory measurement
Tx: general rib mobilization OR rotational contract-relax stretching OR rotational respiratory stretching

Question 15

Test & treatment for TOS

Answer 15

Test: provocative elevation OR Adson’s OR Halstead OR Wright’s hyperabduction
Tx: Anterior glide for SC joint OR MET Elevated Rib Dysfunction for Rib 1

Question 16

Test & treatment for scoliosis

Answer 16

Test: postural scan/skyline view
Tx: rotational respiratory stretching (lying on convex side) OR TVP Anterior glide/rotational joint play

Question 17

Test & treatment for spinal subluxations

Answer 17

Test: palpation to feel rotational displacement of TVPs
Tx: TVP Anterior Glide/Rotational Joint play

Question 18

Test & treatment for elevated rib 1

Answer 18

Test: palpation/joint play with assessment with breath
Tx: MET Elevated Rib Dysfunction for rib 1

Question 19

Test & treatment for elevated rib 2

Answer 19

Test: palpation/joint play assessment with the breath for rib 2
Tx: MET Elevated Rib Dysfunction for Rib 2