Term
C1 - atlas ...major movement?
Traverse processes modified to? |
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Definition
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Term
| Somatic dysfunction is always named with respect to? |
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Definition
| the vertebra below it. Ex. C2 with respect to C3 |
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Term
| C2-Axis; Respeonsible for what C-spine movement? |
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Definition
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Term
C3-7
Transverse processes termed?
Uncinate joints function?
Type of mechanics for C2/C3 - C7/T1?
Are there neutral dysfunctions in the cervical spine? |
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Definition
Articullar pillars
Lushka = helps prevents herniation and promotes stability
Type II somatic dysfunction...same side sidebending and rotation
No neutral cervical dysfunctions |
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Term
| Examine for what dysfunction before cervical? Why? |
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Definition
| Upper thoracic dysfunction because of sympathetic influence and muscular connection |
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Term
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Definition
Paper turned left sideways
P=platysma
T=Trapezius
L=levator scapulae
S=Sternocleidomastoid |
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Term
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Definition
Love long round lollipops
L=Longus Colli
L=Longus Capitus
R=Rectus capitus anterior
L=Lateralis |
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Term
Scalenes (from where to where?)
Longus Colli (from where to where?)
Erector spinae is also a muscle that affects C-Spine |
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Definition
scalenes = lateral portions of C-spine to first and second ribs
Longus Colli = C1-C6 down to T2/T3 affectin T3 and T4 |
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Term
What ligaments support the dens?
Posterior longitudinal ligament (from where to where?)...and why falls on butt produce neck pain? |
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Definition
cruciform and alar
Posterior longitudinal: runs from the occiput to the sacrum and attaches to C2 to L5, and then to sacrum and is also continuous with the tentorium membrane superiorly |
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Term
| Lymphatics of the cervical spine |
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Definition
| Superficial cervical lymphatics; brain has no lymph drainage |
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Term
| Nerves/vessels of C-Spine |
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Definition
Sympathetic cervical ganglia; cervical and brachial plexuses
Vertebral artery passes through transverse foramen in the articullar pillars |
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Term
Cervical Ranges (angles) of
Flexion/extension
Rotation
Sidebending |
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Definition
130 degrees total
90 degrees rotation each way
35degrees each side |
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Term
Typical mechanics segments in C-spine
C-Spine exceptions |
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Definition
Typical = C2-7
Atypical = C0/C1 mainly ext./flexion
=C1/C2 rotation only |
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Term
| Five Somatic Dysfunctions of C-Spine |
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Definition
1. TART
2. Single segments
3. Group restriction
4. Soft tissue disfunction = myofascial strain, reflex sympathetic dystonia
5. Viscerosomatic dysfunction = gsatroesophageal reflux may cause inflammation of esophagus which may cause segmental viscero somatic reflux in C-spine; esophagus to C2/C3 vagus division affects parasymphathetic control of heart and upper bronchial tree. If viscera become diseased then segmental facilitation and reflex arc formation. |
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Term
Somatic dysfunction treatments:
A.specific joint motion restriction
B. Soft tissue restriction
C. Further diagnostic work |
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Definition
A. Muscle energy, HVLA, counterstrain, cranial
B. cranial, indirect, myofascial release, soft tissue
C. X-ray, CT scan, MRI, EKG |
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Term
| Clinical reasons for examining the cervical region (diseases) |
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Definition
| cervicocephaglia, cerivcobrachial; muscle cephaglia (tension headache), ear pain, TMJ, swallowing dysfunction |
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Term
| Muscles that do extension and lateral bending. |
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Definition
| Splenius capitus, longissimus capitus, superior oblique |
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Term
Action of trapezius on head
action of rectus posteriors vs rectus anterior vs rectus bending |
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Definition
traps only extend head
for rectus muscles, just look at the position; rectus capitius also rotates |
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Term
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Definition
| LAteral bending and flexion through the anterior fibers |
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Term
| Longus capitis, suprahyoid and infra hyoid muscles |
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Definition
| all involved in head flexion |
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Term
| Rotators of the head (ipsilateral) |
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Definition
| splenius capitis, longissimus capitis, inferior oblique, rectus capitis posterior |
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Term
| Contralateral rotators of the head? |
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Definition
| sternocliedomastoid, and semispinalis capitis |
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Term
| Occipitoatlantal joint...direction of roation and sidebending? |
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Definition
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Term
| Diagnosis of somatic dysfunction based on |
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Definition
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Term
| inferior thyroid artery supplies? |
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Definition
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Term
Articullar pillars
Lateral mass of the vertebrae
Massa lateralis atlantis |
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Definition
column like structures
pedicle of the vertebral arch, connect lamina to body
lateral mass of atlas |
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Term
| Evaluating cervical region steps (five total) |
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Definition
1. Get history of trauma
2. Observe posture
3. Neurovascular evaluation
4. Orthopedic eval.
5. Osteopathic evaluation |
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Term
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Definition
1. Gross (seated for active, supine for passive)
2. Regional (translate neck left or right)
3. Segmental motion (many steps) |
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Term
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Definition
1. occipitoatlantal
2. atlantoaxial
3. C2-C7...type II mechanics
4. Sidebending/translation test
5. Rotation
6. Flexion extension
7. Diagnosis O/A
8. Diagnosis A/A |
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Term
| Somatic dysfunction gets gets BETTER in both flexion and extension is called? |
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Definition
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Term
naming O/A...flexed, side bent left and rotated right
What can be inferred about O/A? ex. lets say we translate to right easier |
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Definition
O/A FRrSl
Rotation can be inferred...ex. sidebent left and rotated right |
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Term
Naming A/A...rotated left
-how is the barrier for this dysfunction engaged? |
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Definition
A/A Rl
-by rotating to right |
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