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Flashcards in VERBALS CERVICAL SPINE Deck (12):
1

BONY PALPATION:  CERVICAL SPINE

ANTERIOR ASPECT:  

  1. Hyoid Bone
  2. Thyroid Cartilage
  3. First Cricoid Ring
  4. Mandible

POSTERIOR ASPECT:

  1. Occiput
  2. Inion (EOP)
  3. Superior Nuchal Line
  4. Mastoid Processes
  5. Spinous processes of Cervical Vertebrae
  6. Facet Joints

2

SOFT TISSUE PALPATION:  CERVICAL SPINE

  1. Sternocleidomastoid muscle
  2. Anterior lymph node chain
  3. Posterior lymph node chain
  4. Thyroid gland
  5. Carotid Pulse
  6. Supraclavicular Fossa
  7. Trapezius Muscle
  8. Greater Occipital Nerves
  9. Superior Nuchal Ligament

3

RANGE OF MOTION:  CERVICAL SPINE

ACTIVE AND PASSIVE

  • ​Flexion 50
  • Extension 60
  • Lateral Bending Left 45
  • Lateral Bending Right 45
  • Left Rotation 80
  • Right Rotation 80

4

FORAMINAL COMPRESSION 

POSITIVE:

  1. Exacerbation of localized cervical Pain
  2. Exacerbation of cervical pain with a radicular component

INDICATES:

  1. Foraminal Encroachment or facet pathology without nerve root compression
  2. Foraminal Encroachment or facet pathology with nerve root compression

5

CERVICAL DISTRACTION TEST

POSITIVE:

  1. Diminished or absence of local cervical pain
  2. Diminished or absence or radiating pain
  3. Increase of cervical pain

INDICATES:

  1. Foraminal encroachment without nerve root compression
  2. Foraminal encroachment with nerve root compression
  3. Muscular strain, ligamentous sprain, myospasm or facet capsulitis

6

SPINAL PERCUSSION TEST

POSITIVE:  

  1. Local Pain
  2. Radiating 

INDICATES:

  1. Possible fractured vertebrae, ligamentous involvment (spinous pain), and muscular involvment (muscular pain)
  2. Possible disc pathology

7

SHOULDER DEPRESSION TEST

POSITIVE:  

  1. Localized pain on the side being tested
  2. Radicular pain on either side

INDICATES:

  1. Localized Pain:  Dural sleeve adhesion, and muscular adhesion/contracture, or spasm, or ligamentous injury
  2. Radiating Pain:  On side being tested neurovascular bundle compression, dural sleeve adhesions, or Thoracic Outlet Syndrome.  On opposite side being tested foraminal encroachment with nerve root compression

8

VALSALVA MANEUVER

POSITIVE:  Radiating pain from site of lesion (usually recreating the complaint in cervical or lumbar area of the spine)

 

INDICATES:  Space occupying lesion (e.g. disc pathology)

9

SWALLOWING TEST

POSITIVE:  Difficulty in swallowing

 

INDICATES:  Space-Occupying lesion at anterior portion of cervical spine.  Possibly esophageal or pharyngeal injury, anterior disc defect, muscle spasm or osteophytes etc.

10

SOTO-HALL SIGN

POSITIVE:  Generalized pain in the cervical region, which may extend down to the level of T2

 

INDICATES:  Non-specific test for structural integrity of cervical region

11

KERNIG SIGN

POSITIVE:  Inability to fully extend the leg and/or pain (usually in the neck region)

 

INDICATES:  Meningeal irritation/meningitis

12

O' DONOGHUE MANEUVER

POSITIVE:  

  1. Pain during passive range of motion
  2. Pain during resisted range of motion

INDICATES:

  1. Ligamentous sprain.  (Passive ROM stresses ligaments)
  2. Muscle/tendon strain.  (Active ROM stresses muscles and tendons)