WVSOM -- opp1 Word Scramble
|
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
| Question | Answer |
| What is the function of cervical vertebrae (3)? | serve to stabilize and support the head. Permit motion of the head and neck. Provide protection and housing for the cervical spinal cord and nerve roots and vertebral artery. |
| What kind of symptoms occur with cervical spine dysfunction? | head, neck and upper extremity |
| What is the most common mechanism of injury for neck pain? | MVA |
| What does optimum pain management require for neck pain? | requires identification and appropriate treatment of somatic dysfunction |
| What kind of curve is the cervical spine? | lordotic curve |
| What do uncinate processes do and where are they? | C3-7. Add support to cervcial spine and helps prevent herination |
| What is the Occiptal antlantal segment? | C0-C1 |
| What is the antantal-axial segment? | c1-2 |
| What is the 2 functions of the cervical muscles? | stabilize spine and control effects of gravity. Integrate and C-Spine movement with thoracic rib, and upper extremity motions. |
| What are the two major muscular groups of the cervical spine? | Flexors and extensors |
| Where do the cervical nerves exit? | above corresponding cervical vertrae until C8 where the nerve exits below the 7th vertebrae. |
| What is the most common herniation in cervical spine? | C5-C6 disc (C6 root) |
| What is the Foramen transversaruim? | vertebral artery found in C1-7 |
| Where are bifid spinous processes found? | C2-C6 |
| What enables flexion and extension? | bilaterally muscle activity |
| What enables sidebendinga nd rotation? | muscles acting unilaterally |
| Do Fryette’s mechanics apply to the cervical spine? | no |
| What is the primary roation of the Antlantal Axial segment? | rotation |
| What is the primary movement of the Occipital-antlantal segment? | flexion and extension |
| What happens to rotation in the OA joint when it is sidebent? | rotation in the OPPOSITE direction |
| What is the degree of articulation of facets on the oblique plane? | 45degrees |
| How is rotation affected when it is sidebent for typical cercvical vertebrae? | same side |
| Where does most cervical sidebending occur? | lower cervical |
| What do facets do during typical flexion? | open |
| What do facets do during typical extension? | close |
| What kind of dysfunction is seen in AA joint? | entirely rotation |
| How much flexion and extension is at OA joint? | 50% |
| How much rotation is at AA joint? | 50% |
| How much rotation and flexion/extension is found in the typical cervical? | 50% |
| What are the 4 things done during examination of the neck? | 1. Posture and movement. 2. Rotation, lateral bending, flexion and extension. 3. Palpation. 4. Assess for radiculopathy |
| What is dorsokyphosis? | depression, upper-crossed postural abnormality. Seen with advanced age |
| What may sluggish movement indicate? | sfibromyalgia, OA, cervical strain |
| What is torticolis? | acute muscle spasm, possible HNP |
| What is normal rotation? | 80 degrees |
| What is normal sidebending? | greater than 45 degrees |
| What is normal flexion? | greater than 50 degrees |
| What is normal extension? | greater than 60 degrees |
| What is first movement to show defecit? | rotation |
| What is the most sensitive indicator to pathology intrinsic to the neck? | loss of rotation |
| What should you do if angle of rotation is less than 90 degrees? | neurological exam of upper extremities as well as x-rays. |
| What is tested with passive range of motion? | rotation, sidebending, flexion, and extension |
| What should you consider if countour is malaligned? | rotation, facet dislocation and fracture |
| Where is osteoarthritis usually seen? | C5-C6 |
| What may be seen if there is osteoarthritis? | tenderness, stiff and possibly enlarged. |
| What do you palpate with bone? | bony tenderness, spinous processes and facet joint |
| What do you palpate with muscle? | paraspinous muscle, trapezius muscle |
| What is the most commonly irritated neck muscle? | trapezius |
| What does the trapezius muscle do in respects to the neck? | attaches to all 7 spinous processes to distal acromion process |
| What is spurling maneuver? | tap or press on top of head in with extension and sidebending |
| What innervates the deltoid m.? | c5 |
| What innervates wrist extensors? | c6 |
| What innervates finger flexors? | c8 |
| What innervates interossei mm. | T1 |
| What innervates biceps? | c5 |
| What innervates brachioradialis? | c6 |
| What innervates triceps? | c7 |
| What is VAD? | vertbral artery dissection. Unpredictable, rare complication of neck thrusts. 1/20,000 |
| How do vertebral arteries angulate? | angulates 3 times at 90 degrees around the atlas as it ascends into the cranium thru the foramen magnum |
| What is Wallenberg’s Test? | patient is supine and flexion, extension, etension with rotation right and extension with rotation left are held for 10 seconds |
| What is a positive Wallenberg’s Test indicate? | nystagmus, dizziness, light headedness, visual disturbance |
| What is contraindicated with a positive wallenberg’s test? | HVLA |
| What does Wallenberg’s Test test? | vertebral aretery problems |
| What are the symptoms of cervical radiculopathy? | paracervical tenderness with abnormal upper extremity exam. Loss of full ROM especially in rotation with positive spurling sign. Vertical traction will provide relief. |
| 90% of radicular symptoms are due to ? | cervical OA |
| You evaluate a patient who has limited sidebending to left which is worse in extension at C5. What is the diagnosis? | FRS (r) |
| On physical examination you not mild noss of sensation in the region of the thumg, +1/+2 reflexes at brachioradialsi and 4/5 strentth in wrist extension. The affected nerve root exits the C-spine? | below C5 |
Created by:
tjamrose
Popular Osteopathic Principl sets