OMT - cervical spine
Terms
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- Major motion of occipito-atlantal joint?
- Flexion and extension.
- Occiput sidebends and rotates to ____.
- Opposite sides.
- Atlas
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- C1.
- No vertebral body. - Atlas articulate w/ axis (C2) via ?
- odontoid process.
- Major motion of AA joint?
- Rotation
- C2 - C7 : sidebend and rotate to?
- Same side
- Sternocleidomastoid
- Ex: right SCM m. side bend the head to right and rotate the head to left.
- Internal carotid arteries supply?
- Anterior portion of cerebrum.
- Vertebral arteries arise from?
- Subclavian artery, ascend thru transverse forament of cervical vertebrae, and enter skull thru foramen magnum.
- Vertebral arteries supply blood to?
- Visual area of cerebrum (occipital lobe), brain stem, and cerebellum.
- Phrenic nerve arise from?
- C3-C5
- Cervical sympathetics ganglia are located at?
- Spinal levels T1-T4
- Inferior cervical ganglion lies?
-
On ventral surface of the head of the 1st rib.
Sends fibers to C7, C8, and T1. - Middle cervical ganglion lies?
-
C6.
Sends fibers to C5 and C6. - Superior cervical ganglion lies?
- Anterior to transverse processes C2, C3, C4.
- Occipito-Atlantal joint (OA)
- rotates opposite to direction of sidebending.
- Atlanto-Axial joint (AA)
-
Major motion = rotation.
Sidebend and rotation to the same direction. - C2 - C7 Sidebend and rotation?
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To the same side.
C2-C4: major motion is rotation.
C5-C7: major motion is sidebending. - Best treatment for whiplash.
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Indirect fascial technique or counterstrain first.
In acute injury like this, cervical muscles may be in spasm; direct techniques (HVLA) is contraindicated b/c sudden movement may cause further muscle strain. - Backward bending of c-spine closes ______?
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Intervetebral foramen.
If bending causes symptoms-- indicative of cervical foraminal stenosis. Use Spurling test.