Cervical Spine Somatic Dysfunction Lecture Flashcards Preview

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Flashcards in Cervical Spine Somatic Dysfunction Lecture Deck (10)
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1
Q

Bone Anatomy

A

Cervical Spine has 7 vertebral segments:

1) C1 and C2 at ATYPICAL
- Atlas has no VERTEBRAL BODY

  • Vertebral body of C2 extends SUPERIORLY to FORM DENS (ODONTOID PROCESS)

2) Articulation between C2 and C3 and rest of Cervical joints is considered TYPICAL
- Facets are in plain that points towards the eye in the Uppers, and opposite shoulder for the Lower Segments

  • This is important for Manipulative Force Vectors
2
Q

Cervical Spine Passive and Active ROM

A
  • Start in a Neutral position
  • Palpate at C7 T1 Junction
  • Have patient perform ACTIVE MOTION firs until motion palpated at your monitoring finger
  • Repeat for PASSIVE MOTION
  • Assess degrees of Motion

**Flexion 45-90 Degrees!!!!!!!!

**Extension 45-90 Degrees!!!!!!

**Side Bend Left 45 Degrees!!!!

**Side Bend Right 45 Degrees!!!

**Rotation Right 70 - 90 Degrees!!!!

**Rotation Left 70 - 90 Degrees!!!!

3
Q

Biomechanics

Occipital Atlantal (OA) Joint:

A
  • Major motions are FLEXION and EXTENSION
  • Shape of the joint allows for more SAGITTAL PLANE motion
  • Minot motions are SB and Rotation
  • The OCCIPUT FLEX/ EXT + Rotates and SB to Opposite Sides

**MODIFIED TYPE I MECHANICS!!!!!!!!!!!!!!!!

4
Q

Cervical Spine OA Segmental Diagnosis

A
  • Contact the Posterior aspect of the Occiput with middle finger and the Lateral aspect with the Index Finger
  • Assess ROTATION RIGHT by LIFTING Anterior on the LEFT SIDE
  • Asses ROTATION LEFT by LIFTING Anterior on the RIGHT Side
  • TRANSLATE to the LEFT for RIGHT Side Bending
  • TRANSLATE to the RIGHT for LEFT Side Bending
  • Reassess each of these in FLEXION and EXTENSION to determine the SAGITTAL PLANE Component

*****MODIFIED TYPE I SPINAL MECHANICS!!!!!!!

**OA F RR SL**

5
Q

Biomechanics

Atlantoaxial (AA or C1-2) Joint

A
  • Primary motion is ROTATION
  • ATLAS rotates about the DENS
  • Almost no SB or Flexion/ Extension
6
Q

Cervical Spine AA Segmental Diagnosis

A
  • Cup the Occiput and place fingers on the AA joint
  • FULLY FLEX HEAD and NECK to take out ROTATION of Vertebra below AA
  • Rotate Right
  • Rotate Left

**Note ease of Motion and Restriction of Motion!!!

AA RR

7
Q

Biomechanics

Typical Cervical Segments (C2 through 7)

A
  • Rotation and SB to SAME SIDE!!!!!
  • Studies have noted Clinically, SB and Rotation to Opposite sides
  • Currently thought to be due to Compensatory patterns for Dysfunction from Lower parts of Spine

**TYPE II SPINAL MECHANICS!!!!!!!!

8
Q

Diagnostic Maneuvers

A

1) Rotational (ROTOSCOLIOSIS TESTING)
- Transverse Plane

  • Induce Force VENTRALLY on RIGHT LATERAL MASS = Rotate L
  • Induce Force VENTRALLY on LEFT LATERAL MASS = Rotate R

2) TRANSLATION (Moving Segment Laterally)
- CORONAL PLANE

  • Translation from Left to Right = SB L
  • Translation form Right to Left = SB R

3) Recheck motions in Flexion and Extension
- More restricted in Flexion = EXTENSION Dysfunction

  • When Segment is Flexed the Rotation or the Translation motions have a Harfer End feel at END RANGE
  • More restricted in Extension = FLEXION Dysfunction
  • When segment is Extended the Rotation or the Translation motions ahem a harder end feel at end Range
  • The change in the Sagittal plane component will allow you to determine the Segment is TYPE 2!!!!!!!!!!!!!
  • You can infer the Side Bending with ROTATIONAL TESTING or Rotation with Side Bending Testing
  • DOCUMENT THE DYSFUNCTION FOUND IN THE OBJECTIVE PORTION OF THE CHART!!!!!!
9
Q

Cervical Spine Typical Vertebra Segmental Diagnosis- Rotational

A
  • Contact the Vertebral Segment POSTERIORLY on the ARTICULAR PILLAR
  • Asses Tissue Texture Changes
  • Rotate Right
  • Rotate Left
  • Assess ease of Motion and Restriction of Motion
  • Reassess in FLEXION and EXTENSION
  • Determine Sagittal plane motion component
  • TYPE 2 SPINAL MECHANICS!!!!!!!!!!!!!!

**C4 E RL SL*****

10
Q

Cervical Spine Typical Vertebra Segmental Diagnosis- Translation

A
  • Contact the Vertebral Segment on the TIP of the TRANSVERSE PROCESS (MIDCORONAL LINE)
  • Assess Tissue texture changes
  • Translate Right
  • Translate Left
  • Asses EASE of MOTION and RESTRICTION of Motion
  • Reassess in FLEXION and EXTENSION
  • Determine Sagittal Plane Motion Component

**TYPE 2 SPINAL MECHANICS*****

C4 E RL SL*