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20 Cards in this Set
- Front
- Back
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What are the atypical cervical vertebrae
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C1 and C2
C1: NO spinous process C2: Dens art. w/ C1 |
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Where do the scalenes orginiate and attatch
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O: Posterior tubercule of the transverse process of the cervical vertebrea
A: Anterior and Middle : Rib 1 Posterior: Rib 2 |
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What motions do the scalenes help with?
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UNILATERAL: Sidebend neck:
Bilateral: FLEx |
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How do the scalenes aid in respiration?
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Anterior and MIDDLE: HELP ELEVATE the 1st RIb: FORCED INHALATION
Posterior will HELP ELEVATE 2nd rib: During forced INHALATIOn |
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What is the Origin and Insertion of the Sternocleidomastoid
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O: Mastoid proces/sup. nuchal line
I: Medial 1/3rd of clavicle and sternum |
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How does the Sternocliedomastoid function in UNILATERAL contraction
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SIDBENDS towards and Rotates AWAY
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How does Sternocleidomastoid
function Bilateral contraction. |
Flexes the neck.
(shortening the ScM=Tortocoilles) |
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What are the the roles of the alar and transverse ligaments?
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Alar lig: Dens 2 Foramen Magnum
Transvere lig: Of atlas attaches to lateral masses of C1: Holds dens in place RA or DOwn's can cause NEuro dammage |
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What are the Joints of Luschka?
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C3-C7 they are the superior uncinate processes w/ the superior adjacent veterbrae
Hypertrophy or degen changes can lead to foraminal stenosis or nerve root compression. |
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Where do the nerve roots C1-C7 exit
and C8 |
C1-C7: EXIT ABOVE their corresponding vertebrae
C8: C7 and T1 |
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What is the motion of the OA?
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OA: Motion of the occipital condyles on C1:
Primary motion: F/E 1/2 of F/E of cervical spine Rotation and SD: OPPOsite SxRy |
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What is the motion of AA
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IT the motion of C1 (ATLAS)
on C2 (Axis): THe primary motion is rotation 1/2 of rotation occurs here |
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What is the motion from C2-C7
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SIDEBENDING AND ROTATION are to the SAME side
1/2 F/E and 1/2 Rotation |
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What does RIght Translation tell you?
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Right translation:
GOING FROM LEFT TO RIGHT INDUCES LEFT sidebending |
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What does a Right deep sulcus indicate?
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LEft sidebending and RIght rotation
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How does AA motion testing occur?
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Contact lateral masses of ATLAS and flex neck to 45 deg.
flexin to 45 locks out rotation @ typical vertebrae |
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WHat would you treat first in suboccipital or paravertebral muscle spasms in the cervical area.
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ALWAYS TX THORACIC SPINE AND RIBS first
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How would you tx acute injury to the cervical spine?
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Indirect tech. or Counterstrain.
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What is Cervical Foraminal Stenosis?
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Degenerative changes within the JOINTS OF LEUSCKA, ostophyte formation, hypertophy of the intervertebral facet joints: MCC of cervical root compression symptoms
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What is the clinical signs if Cervical Foraminal Stenosis
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Neck pain 2 Upper extrmeity
Dull Ache shooting INC. pain with NECK extension and + SPurlings test, post ant. tenderpoints Radiology: Oblique view narrowin of intervertenral foramen Degen. Joint in AP and LAteral veiws TX: Optimal ROM @ spine: Articulatory, ME, Counterstrain, myofacial release |
