TECH 2712 Week 7 - Cervical Spine Powerpoint Slides (Unabridged)

TECH 2712 Week 7 - Cervical Spine Powerpoint Slides (Unabridged)

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The Cervical Spine
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Cervical Analysis 1. Instrumentation Why might a cervical subluxation never show a break? 2. Static Palpation Where do we palpate for a “pit of edema” in the cervical spine? 3. Motion Palpation What plane of motion is greatest in the cervical spine?
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Cervical Motion 0 5 10 15 20 C2 C3 C4 C5 C6 C7 Flex/Ext Rot at ion Lat . Flex Motioning is difficult because Flexion/Extension is very different at each level.
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The Cervical Curve According to the Gonstead System, a “normal” cervical spine is when each vertebra contributes equally to the global cervical curve. Meeting at a “like point” The cervical curve is made up of the heights of the vertebral bodies and the heights of the disc.
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A BAD BONE One segment goes into extension and the ones above, being freely moveable loose their curve.
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Cervical Analysis 1. Scope the patient 2. Static Palpate the segment(s) with potential subluxations 3. Motion Palpate the segment(s) with potential subluxations 4. Analyze the lateral cervical x-ray for potential subluxations What if you can’t tell if it is moving? Take a Flexion Film
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Atlas Subluxation An Atlas subluxation is defined as a fixation between Atlas and C2. That fixation is from swelling of the joint capsule swelling of the joint capsule Open wedge between C1 and C2 is the side of laterality and should correspond to the fixated side. How much rotation does C1 have? 40-50 degrees EACH SIDE What motion is used to uncover an atlas fixation? Rotation
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Lateral Translation Any lateral translation of atlas should be considered pathological until ruled out. I s t h i A l a L e r y ? NO!
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Occiput Subluxation Laterality is defined as the side of the swollen joint capsule between occiput and atlas. The open wedge should correlate with the side of fixation. What motion do we use to uncover an occiput fixation? Flexion and Extension Flexion and Extension X-ray findings mean nothing if the criteria is not found on the patient!!
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The Vertebral Artery KINK AND STRETCH
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Vertebral Artery Dissection There is a segmental region of luminal irregularity along the vertebral artery associated with several intraluminal filling defects, consistent with recannalized thrombus at a site of arterial dissection.
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What test can help us determine if a patient is at risk of a stroke from cervical adjusting?
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The validity of the extension-rotation test as a clinical screening procedure before neck manipulation: a secondary analysis. Cote P, Kreitz BG, Cassidy JD, Thiel H. Department of Orthopaedics, Royal University Hospital, Saskatoon, Saskatchewan, Canada. J Manipulative Physiol Ther 1996 Mar-Apr;19(3):159-64 OBJECTIVE: To determine the validity of the neck extension-rotation test as a clinical screening procedure to detect decreased vertebrobasilar blood flow that might be associated with dizziness. DESIGN: Secondary analysis of a clinical screening test. METHODS:
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TECH 2712 Week 7 - Cervical Spine Powerpoint Slides (Unabridged)

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