Cervical and Thoracic Spinal Conditions Chapter 11
|
|
- Dale Kelley
- 6 years ago
- Views:
Transcription
1 Cervical and Thoracic Spinal Conditions Chapter 11
2 Anatomy Spinal column Vertebrae Cervical (7) convex anteriorly Thoracic (12) concave anteriorly Lumbar (5) convex anteriorly Sacral (5 fused) concave anteriorly Coccyx (4 fused)
3 Anatomy (cont.) Structure Rigid enough to support body and protect spinal cord Flexible enough to produce a variety of movements
4 Anatomy (cont.)
5 Anatomy (cont.)
6 Anatomy (cont.) Cervical 7 vertebrae form curve convex anteriorly Atlas 1st vertebra No body filled with odontoid process Function: support the head
7 Anatomy (cont.) Axis 2nd vertebra Odontoid process tooth-like Allows head to rotate Thoracic 12 vertebrae form curve concave anteriorly Extra facets for articulation with ribs
8 Anatomy (cont.)
9 Anatomy (cont.) Vertebral structure Body Vertebral arch Superior and inferior articular processes Facet joints Spinous process Transverse processes Progressive increase in vertebral size Change in angulation
10 Anatomy (cont.)
11 Anatomy (cont.) Motion segment Functional unit Any 2 adjacent vertebrae and soft tissues between them
12 Anatomy (cont.) Intervertebral discs Components Annulus fibrosus Thick fibrous ring Nucleus pulposus Gelatinous interior Function Shock absorption Allow spine to bend
13 Anatomy (cont.) Ligaments Anterior longitudinal Posterior longitudinal Ligamentum flavum Interspinous Supraspinous
14 Anatomy (cont.) Muscles of the neck: lateral view
15 Anatomy (cont.) Muscles of the neck: posterior view
16 Anatomy (cont.) Nerve plexus Cervical (C1 C4) Brachial (C5 T1)
17 Anatomy (cont.) Blood supply Common carotid Vertebral
18 Kinematics Movements involve a number of motion segments Flexion/extension/ hyperextension Lateral flexion Lateral rotation
19 Kinetics Effects of loading Primary load Cervical spine: weight of head Thoracic: weight of body above and any load in hands Effects of impact forces High speed and collision risk Cervical flexion (large bending moment) + axial compression load = danger
20 Kinetics (cont.)
21 Kinetics (cont.) Cervical spine compression deformation Angular deformation and buckling occurs as load continues and maximum compression deformation is reached Continued force results in an anterior compression fracture, subluxation, or dislocation
22 Anatomic Variations: Injury Potential Kyphosis Excessive curve of thoracic spine Congenital deficits in vertebral bodies Idiopathic Scheuermann s disease Secondary to osteoporosis
23 Anatomic Variations: Injury Potential (cont.) Scoliosis Lateral curvature of spine; C or S curve Structural Inflexible curve, persists with lateral bending Nonstructural Flexible, corrected with lateral bending Commonly idiopathic Symptoms vary with severity Mild 20 and moderate = Treated with exercise Severe
24 Anatomic Variations: Injury Potential (cont.)
25 Prevention of Spinal Injuries Protective equipment Neck roll Rib protectors Physical conditioning Strength and flexibility Proper technique Spearing Proper lifting Posture
26 Cervical Spine Conditions Cervical sprain Extreme motions or violent mechanism S&S Pain, stiffness, restricted ROM Pain can persist for several days Management: standard acute; cervical collar; consult physician No return to competition until pain free and ROM is normal
27 Cervical Spine Conditions (cont.) Cervical strain Usually, sternocleidomastoid or upper trapezius Same mechanism as sprain; injuries often simultaneous S&S Pain, stiffness, spasm, restricted ROM pain with active contraction or passive stretch of involved muscle Management: standard acute; cervical collar; consult physician No return to competition until pain free and ROM is normal
28 Cervical Spine Conditions (cont.) Cervical spinal stenosis Structural Torg ratio Functional Loss of CSF around the cord cord s ability to decompress Asymptomatic until external force to head
29 Cervical Spine Conditions (cont.) S&S On impact, may develop immediate quadriplegia with sensory changes or motor deficits in both arms, both legs, or all 4 extremities Transient with full recovery in minutes (or hrs) Management: activate EMS Continued participation
30 Cervical Spine Conditions (cont.) Spear tackler s spine Mechanism: cervical flexion + axial loading S&S Immediate pain with sensory changes and motor deficits distal to injury site Management: activate EMS Criteria to return to play controversial
31 Cervical Spine Conditions (cont.) Cervical disc injuries Soft disc herniation Nucleus pulposus herniates through posterior annulus Acute mechanism: uncontrolled lateral bending of neck Hard disc disease Chronic, degenerative Diminished disc height and formation of marginal osteophytes
32 Cervical Spine Conditions (cont.) S&S Varying degrees of neck or arm pain, may radiate Pain exacerbated by Valsalva maneuvers and neck movement + Spurling s maneuver + Babinski s sign Severe cases potential loss of motor function below injury level Management: rest, activity modification, NSAIDs
33 Cervical Spine Conditions (cont.) Cervical fracture/dislocation fracture MOI axial loading with violent flexion of neck Dislocation: add rotation S&S Pain over spinous process with or without deformity Constant neck pain Muscle spasm
34 Cervical Spine Conditions (cont.) Signs of neural damage Muscle weakness in extremities; inability to move Abnormal sensations in extremities Absent or weak reflexes Loss of bladder or bowel control Suspect injury with violent mechanism Management: activate EMS
35 Cervical Spine Conditions (cont.) Red flags indicating a possible cervical spine injury: refer to Box 11.1
36 Brachial Plexus Injuries Mechanism Tension (stretching) Violent lateral movement of head and neck Arm forced into excessive external rotation, abduction, and extension Compression Location where plexus is most superficial (Erb s point) Forced lateral flexion, causing increased pressure between shoulder pad and superior medial scapula
37 Brachial Plexus Injuries (cont.)
38 Brachial Plexus Injuries (cont.) Classification of Burners Grade Injury Signs Prognosis I Neurapraxia injury Temporary loss of sensation or loss of motor function Recovery within days to a few weeks II Axonotmesis injury Significant motor and mild sensory deficits Deficits last at least 2 weeks Regrowth is slow, but full or normal function is usually restored III Neurotmesis injury Motor and sensory deficits persist for up to 1 year Poor prognosis Surgical intervention is often necessary
39 Brachial Plexus Injuries (cont.) Acute burners S&S Immediate, severe, burning pain and prickly paresthesia radiates into hand Pain transient; subsides in 5 10 minutes Weakness in abduction and external rotation Management: return to play full strength, ROM, & sensation; cryotherapy
40 Brachial Plexus Injuries (cont.) Chronic burner syndrome S&S Frequent acute episodes that may not produce areas of numbness Muscle weakness may develop hours or days after initial injury; dropped shoulder or visible atrophy in shoulder muscles Management: same parameters as acute; frequent re-examination
41 Brachial Plexus Injuries (cont.) Suprascapular nerve injury Innervates the supraspinatus, infraspinatus, and glenohumeral joint capsule Same mechanism S&S Muscles weak and atrophied Improper functioning of muscles other problems (e.g., rotator cuff tendinitis, impingement syndrome, bicipital tenosynovitis, or bursitis) Management: standard treatment; refer to physician
42 Thoracic Spine Conditions Sprains/strains MOI: overload; overstretch S&S Painful spasms of back muscles May develop as a sympathetic response to sprains Presence of spasms makes it difficult to determine sprain or strain Sprain dramatic improvement in hours; severe strains 3 4 weeks to heal Management: standard acute care
43 Thoracic Spine Conditions (cont.) Thoracic spinal fractures and apophysitis Wedge fracture Fracture of vertebral end plates
44 Thoracic Spine Conditions (cont d) Mechanism Large compressive loads or landing on the buttock area Compressive stress during small, repetitive loads S&S: standard fracture; pain and muscle guarding Management: physician referral
45 Thoracic Spine Conditions (cont.) Scheuermann s disease Leading cause of fractures among adolescents Osteochondrosis of the spine Abnormal epiphyseal plate behavior allows herniation of disc into vertebral body After physician referral, treatment: activity modification, stretching (shoulder, neck, and back muscles), and strengthening (abdominal and spinal extensor muscles)
46 Thoracic Spine Conditions (cont.) Apophysitis Repeated flexion extension of thoracic spine Progressive condition characterized by local pain and tenderness After physician referral, treatment: eliminate flexion extension stress; strengthening of abdominal and other trunk muscles
47 Assessment of Spinal Conditions Traumatic episode When in doubt, always assume a severe spinal injury and activate emergency care plan Do not move head, neck, or spine (or helmet)
48 Assessment of Spinal Conditions (cont.) Red flags warrant immobilization and immediate referral Severe pain, point tenderness, or deformity along vertebral column Loss or change in sensation anywhere in the body Paralysis or inability to move a body part Diminished or absent reflexes Muscle weakness in a myotome Pain radiating into the extremities Trunk or abdominal pain referred from visceral organs Any injury involving uncertainty about severity or nature
49 Spinal Assessment Conscious Individual History Important to ask questions about: Pain Location (i.e., localized or radiating) Type (i.e., dull, aching, sharp, burning) Sensory changes (i.e., numbness, tingling, or absence of sensation) Muscle weakness or paralysis Neck injury Determine both long- and short-term memory loss that may indicate an associated brain injury
50 Spinal Assessment Conscious Individual (cont.) Observation/inspection Postural assessment Scan exam Gait analysis Inspection of injury site Gross neuromuscular assessment
51 Spinal Assessment Conscious Individual (cont.) Palpation Seated, standing, supine, or prone position Relax the neck and spinal muscles lying position Posterior neck structures Patient supine Thoracic region Patient prone Pillow under the hip region to tilt the pelvis back and relax the lumbar curvature
52 Spinal Assessment Conscious Individual (cont.) Physical examination testing If, at anytime, movement leads to increased acute pain or change in sensation or the individual resists moving the spine, a significant injury should be assumed and EMS activated
53 Range of Motion (ROM) Active range of motion (AROM) Cervical flexion Cervical extension Lateral cervical flexion (left and right) Cervical rotation (left and right) Forward trunk flexion Trunk extension Lateral trunk flexion (left and right) Trunk rotation
54 AROM Cervical Spine
55 AROM Thoracic Spine
56 ROM (cont.) Normal ranges Cervical flexion Cervical extension 70 Lateral cervical flexion (left and right) Cervical rotation (left and right) Forward trunk flexion Trunk extension Lateral trunk flexion (left and right) Trunk rotation 35 50
57 ROM (cont.) Passive ROM Cervical spine Do not perform if motor and sensory deficits are present Normal end feel tissue stretch Thoracic is seldom performed
58 ROM (cont.) Resisted ROM Cervical spine Stabilize the hip and trunk to avoid muscle substitution Patient seated; one hand stabilizes the shoulder or thorax while other hand applies manual overpressure Thoracic region Weight of the trunk will stabilize the hips
59 Stress and Functional Tests Cervical Spine Tests Brachial plexus traction
60 Cervical Spine Tests (cont.) Brachial plexus tension test
61 Cervical Spine Tests (cont.) Cervical compression Spurling s test
62 Cervical Spine Tests (cont.) Cervical distraction Shoulder abduction
63 Facet Joint Mobility Spring Test
64 Nerve Root Impingement Valsalva Test First thoracic nerve root stretch
65 Neurologic Tests Oppenheim Babinski Hoffman
66 Neurologic Tests (cont.) Myotomes Nerve Root Segment C1 C2 C3 C4 C5 C6 C7 C8 T1 Action Tested neck flexion* lateral neck flexion* shoulder elevation shoulder abduction elbow flexion and wrist extension elbow extension and wrist flexion thumb extension and ulnar deviation intrinsic muscles of the hand (finger & adduction) *These myotomes should not be performed in an individual with a suspected cervical fracture or dislocation, as they may cause serious damage or death.
67 Neurologic Tests (cont.) Reflexes Reflex Segmental Levels Biceps C5, C6 Brachioradialis C5, C6 Triceps C7, C8
68 Neurologic Tests (cont.) Cutaneous patterns
69 Neurologic Tests (cont.) Referred pain
70 Activity-Specific Functional Testing Normal parameters Pain free and unlimited movement
71 Rehabilitation Relief of Pain and Muscle Tension Restoration of motion Restoration of Proprioception and Balance Muscular strength and endurance Cardiovascular fitness
Chapter 20: The Spine The McGraw-Hill Companies, Inc. All rights reserved.
Chapter 20: The Spine Anatomy of the Spine Prevention of Injuries to the Spine Cervical Spine Muscle Strengthening Muscles of the neck resist hyperflexion, hyperextension and rotational forces Prior
More informationThe Spine.
The Spine www.fisiokinesiterapia.biz Characteristics of Vertebrae Cervical Spine 1 and 2 Sacrum and Coccyx Curves Lordotic in the Spine Kyphotic Lordotic Ligamentous Support Muscles of the Spine Spinal
More informationTHE VERTEBRAL COLUMN. Average adult length: In male: about 70 cms. In female: about 65 cms.
THE VERTEBRAL COLUMN Average adult length: In male: about 70 cms. In female: about 65 cms. 1 Vertebral Column (Regions and Curvatures) Curvatures of the vertebral column: A. Primary curvature: C-shaped;
More informationThe Biomechanics of the Human Spine. Basic Biomechanics, 6 th edition By Susan J. Hall, Ph.D.
Chapter 9 The Biomechanics of the Human Spine Structure of the Spine The spine is a curved stack of 33 vertebrae structurally divided into five regions: cervical region - 7 vertebrae thoracic region -
More information2. The vertebral arch is composed of pedicles (projecting from the body) and laminae (uniting arch posteriorly).
VERTEBRAL COLUMN 2018zillmusom I. VERTEBRAL COLUMN - functions to support weight of body and protect spinal cord while permitting movements of trunk and providing for muscle attachments. A. Typical vertebra
More informationNECK AND BACK PAIN AN INTRODUCTION TO
AN INTRODUCTION TO NECK AND BACK PAIN This booklet provides general information on neck and back pain. It is not meant to replace any personal conversations that you might wish to have with your physician
More informationVERTEBRAL COLUMN VERTEBRAL COLUMN
VERTEBRAL COLUMN FUNCTIONS: 1) Support weight - transmits weight to pelvis and lower limbs 2) Houses and protects spinal cord - spinal nerves leave cord between vertebrae 3) Permits movements - *clinical
More information1-Apley scratch test.
1-Apley scratch test. The patient attempts to touch the opposite scapula to test range of motion of the shoulder. 1-Testing abduction and external rotation( +ve sign touch the opposite scapula, -ve sign
More informationBony framework of the vertebral column Structure of the vertebral column
5.1: Vertebral column & back. Overview. Bones o vertebral column. o typical vertebra. o vertebral canal. o spinal nerves. Joints o Intervertebral disc. o Zygapophyseal (facet) joint. Muscles o 2 compartments:
More informationAnatomy of the Spine. Figure 1. (left) The spine has three natural curves that form an S-shape; strong muscles keep our spine in alignment.
1 2 Anatomy of the Spine Overview The spine is made of 33 individual bony vertebrae stacked one on top of the other. This spinal column provides the main support for your body, allowing you to stand upright,
More informationEVALUATION AND MANAGEMENT OF CERVICAL SPINE DISORDERS
CERVICAL SPINE EVALUATION AND MANAGEMENT OF CERVICAL SPINE DISORDERS Gregory M Yoshida MD Supports the skull Allows movement of the head Houses the spinal cord CERVICAL SPINE Unique anatomy Upper C spine
More informationLab Workbook. ANATOMY Manual Muscle Testing Lower Trapezius Patient: prone
ANATOMY Manual Muscle Testing Lower Trapezius Patient: prone Lab Workbook Fixation: place on hand below the scapula on the opposite side Test: adduction and depression of the scapula with lateral rotation
More informationPhysical Examination of the Shoulder
General setup Patient will be examined in both the seated and supine position so exam table needed 360 degree access to patient Expose neck and both shoulders (for comparison); female in gown or sports
More informationCopyright 2010 Pearson Education, Inc. Copyright 2010 Pearson Education, Inc. Figure Sectioned spinous process. Interspinous.
PowerPoint Lecture Slides prepared by Janice Meeking, Mount Royal College C H A P T E R 7 The Skeleton: Part B Vertebral Column Transmits weight of trunk to lower limbs Surrounds and protects spinal cord
More informationLigaments of the vertebral column:
In the last lecture we started talking about the joints in the vertebral column, and we said that there are two types of joints between adjacent vertebrae: 1. Between the bodies of the vertebrae; which
More informationCommon Thoraco- Lumbar Problems in the Mature Athlete
Common Thoraco- Lumbar Problems in the Mature Athlete Diana Heiman, MD Associate Professor, Family Medicine Residency Director East Tennessee State University Objectives Review the pathophysiology of the
More informationAXIAL SKELETON FORM THE VERTICAL AXIS OF THE BODY CONSISTS OF 80 BONES INCLUDES BONES OF HEAD, VERTEBRAL COLUMN, RIBS,STERNUM
AXIAL SKELETON FORM THE VERTICAL AXIS OF THE BODY CONSISTS OF 80 BONES INCLUDES BONES OF HEAD, VERTEBRAL COLUMN, RIBS,STERNUM APPENDICULAR SKELETON BONES OF THE FREE APPENDAGES & THEIR POINTS OF ATTACHMENTS
More informationFunctional Anatomy and Exam of the Lumbar Spine. Thomas Hunkele MPT, ATC, NASM-PES,CES Coordinator of Rehabilitation
Functional Anatomy and Exam of the Lumbar Spine Thomas Hunkele MPT, ATC, NASM-PES,CES Coordinator of Rehabilitation Disclosure Anatomical Review Quick Review of Bony and Ligamentous structures Discal anatomy
More informationTHE LUMBAR SPINE (BACK)
THE LUMBAR SPINE (BACK) At a glance Chronic back pain, especially in the area of the lumbar spine (lower back), is a widespread condition. It can be assumed that 75 % of all people have it sometimes or
More informationMain Menu. Trunk and Spinal Column click here. The Power is in Your Hands
1 The Trunk and Spinal Column click here Main Menu K.9 http://www.handsonlineeducation.com/classes/k9/k9entry.htm[3/27/18, 2:00:55 PM] The Trunk and Spinal Column Vertebral column complex 24 intricate
More informationAnatomy of the Musculoskeletal System
Anatomy of the Musculoskeletal System Kyle E. Rarey, Ph.D. Department of Anatomy & Cell Biology and Otolaryngology University of Florida College of Medicine Outline of Presentation Vertebral Column Upper
More informationThe vault bones Frontal Parietals Occiput Temporals Sphenoid Ethmoid
The Vertebral Column Head, Neck and Spine Bones of the head Some consider the bones of the head in terms of the vault bones and the facial bones hanging off the front of them The vault bones Frontal Parietals
More informationRegional Review of Musculoskeletal System: Head, Neck, and Cervical Spine Presented by Michael L. Fink, PT, DSc, SCS, OCS Pre- Chapter Case Study
Regional Review of Musculoskeletal System: Presented by Michael L. Fink, PT, DSc, SCS, OCS (20 minutes CEU Time) Subjective A 43-year-old male, reported a sudden onset of left-sided neck and upper extremity
More informationSHOULDER PAIN. A Real Pain in the Neck. Michael Wolk, MD Northeastern Rehabilitation Associates October 31, 2017
SHOULDER PAIN A Real Pain in the Neck Michael Wolk, MD Northeastern Rehabilitation Associates October 31, 2017 THE SHOULDER JOINT (S) 1. glenohumeral 2. suprahumeral 3. acromioclavicular 4. scapulocostal
More informationThe Upper Limb III. The Brachial Plexus. Anatomy RHS 241 Lecture 12 Dr. Einas Al-Eisa
The Upper Limb III The Brachial Plexus Anatomy RHS 241 Lecture 12 Dr. Einas Al-Eisa Brachial plexus Network of nerves supplying the upper limb Compression of the plexus results in motor & sensory changes
More informationThe Shoulder Complex. Anatomy. Articulations 12/11/2017. Oak Ridge High School Conroe, Texas. Clavicle Collar Bone Scapula Shoulder Blade Humerus
The Shoulder Complex Oak Ridge High School Conroe, Texas Anatomy Clavicle Collar Bone Scapula Shoulder Blade Humerus Articulations Sternoclavicular SC joint. Sternum and Clavicle. Acromioclavicular AC
More informationIt consist of two components: the outer, laminar fibrous container (or annulus), and the inner, semifluid mass (the nucleus pulposus).
Lumbar Spine The lumbar vertebrae are the last five vertebrae of the vertebral column. They are particularly large and heavy when compared with the vertebrae of the cervical or thoracicc spine. Their bodies
More informationStructure and Function of the Vertebral Column
Structure and Function of the Vertebral Column Posture Vertebral Alignment Does it really matter? Yes it does! Postural Curves The vertebral column has a series of counterbalancing curves posterior anterior
More informationWork Related Musculoskeletal Disorders
Work Related Musculoskeletal Disorders Upper Extremity Disorders Carpel tunnel syndrome Cubital tunnel syndrome Thoracic outlet syndrome Raynaud s syndrome (white finger) Rotator cuff syndrome DeQuervain
More informationHIGH LEVEL - Science
Learning Outcomes HIGH LEVEL - Science Describe the structure and function of the back and spine (8a) Outline the functional anatomy and physiology of the spinal cord and peripheral nerves (8a) Describe
More informationPOSTERIOR CERVICAL FUSION
AN INTRODUCTION TO PCF POSTERIOR CERVICAL FUSION This booklet provides general information on the Posterior Cervical Fusion (PCF) surgical procedure for you to discuss with your physician. It is not meant
More informationCervical Spine Exercise and Manual Therapy for the Autonomous Practitioner
Cervical Spine Exercise and Manual Therapy for the Autonomous Practitioner Eric Chaconas PT, PhD, DPT, FAAOMPT Assistant Professor and Assistant Program Director Doctor of Physical Therapy Program Eric
More informationDiagnostic and Treatment Approach to the Active Patient with Complex Spine Pathology
Physical Therapy Diagnostic and Treatment Approach to the Active Patient with Complex Spine Pathology Scott Behjani, DPT, OCS Introduction Prevalence 1-year incidence of first-episode LBP ranges from
More informationYoga Anatomy & Physiology
Yoga Anatomy & Physiology Anatomy & Physiology Anatomy- One of the basic essential sciences of medicine that studies the structure of an organism. Physiology- The biological study of the functions of living
More informationOutline. Introduction / Epidemiology. Anatomy / Pain generators. Diagnosis. Treatment. Most Important lecture!!
Acute Low Back Pain Outline Introduction / Epidemiology. Most Important lecture!! Anatomy / Pain generators Diagnosis Treatment Course Objectives Know the RED FLAGS in history taking. Know the Pain Generators
More informationREVIEW QUESTIONS ON VERTEBRAE, SPINAL CORD, SPINAL NERVES
REVIEW QUESTIONS ON VERTEBRAE, SPINAL CORD, SPINAL NERVES 1. A 28-year-old-women presented to the hospital emergency room with intense lower back spasms in the context of coughing during an upper respiratory
More informationClarification of Terms
Clarification of Terms The Spine, Spinal Column, and Vertebral Column are synonymous terms referring to the bony components housing the spinal cord Spinal Cord = made of nervous tissue Facet = a small,
More informationSpine Conditions and Treatments. Your Guide to Common
Your Guide to Common Spine Conditions and Treatments The spine is made up of your neck and backbone. It allows your body to bend and move freely. As you get older, it is normal to have aches and pains.
More informationClarification of Terms
Clarification of Terms The Spine, Spinal Column, and Vertebral Column are synonymous terms referring to the bony components housing the spinal cord Spinal Cord = made of nervous tissue Facet = a small,
More informationClarification of Terms
Clarification of Terms The Spine, Spinal Column, and Vertebral Column are synonymous terms referring to the bony components housing the spinal cord Spinal Cord = made of nervous tissue Facet = a small,
More informationCommon Low Back Injuries in Dancers
Common Low Back Injuries in Dancers Bones Anatomy of the Spine Ligaments & Discs Muscles Quadratus Lumborum (QL) Muscle Strain or Trigger Point The QL originates from the posterior iliac crest and inserts
More informationThe Back. Anatomy RHS 241 Lecture 9 Dr. Einas Al-Eisa
The Back Anatomy RHS 241 Lecture 9 Dr. Einas Al-Eisa The spine has to meet 2 functions Strength Mobility Stability of the vertebral column is provided by: Deep intrinsic muscles of the back Ligaments
More informationAnatomy of the Spine
Anatomy of the Spine Functional Anatomy of the Spine Movements of the spine include flexion, extension, right and left lateral flexion and right and left lateral rotation Minimal movement w/in
More informationFUNCTIONAL ANATOMY OF SHOULDER JOINT
FUNCTIONAL ANATOMY OF SHOULDER JOINT ARTICULATION Articulation is between: The rounded head of the Glenoid cavity humerus and The shallow, pear-shaped glenoid cavity of the scapula. 2 The articular surfaces
More informationRiver North Pain Management Consultants, S.C., Axel Vargas, M.D., Regional Anesthesiology and Interventional Pain Management.
River North Pain Management Consultants, S.C., Axel Vargas, M.D., Regional Anesthesiology and Interventional Pain Management. Chicago, Illinois, 60611 Phone: (888) 951-6471 Fax: (888) 961-6471 Clinical
More informationBrachial Plexopathy in a Division I Football Player
www.fisiokinesiterapia.biz Brachial Plexopathy in a Division I Football Player Brachial Plexus Injuries in Sport Typically a transient neurapraxia - 70% of injured players said they did not always report
More informationNumb bum means cauda equina Per rectal examination is indicated to assess anal tone
SPINE Age and occupation Pain: Where: Low back or leg Which is worse? Where about in the leg? Describe the radiation How long? More than 6 wks need warrant evaluation How the pain is now compared to the
More informationRN(EC) ENC(C) GNC(C) MN ACNP *** MECHANISM OF INJURY.. MOST IMPORTANT ***
HISTORY *** MECHANISM OF INJURY.. MOST IMPORTANT *** Age - Certain conditions are more prevalent in particular age groups (i.e. Full rotator cuff tears are more common over the age of 45, traumatic injuries
More informationACE s Essentials of Exercise Science for Fitness Professionals TRUNK
ACE s Essentials of Exercise Science for Fitness Professionals TRUNK Posture and Balance Posture refers to the biomechanical alignment of the individual body parts and the orientation of the body to the
More informationRestraints to Movement... 4 Restraints to flexion... 4 Primary restraint into Extension... 4
CERVICAL SPINE... 4 Neck Pain Categories... 4 Kinematics... Error! Bookmark not defined. Ranges of Motion C2-7... 4 Coupled Movements... 4 Ranges of Motion C0-2... 4 Coupled Movements... 4 Restraints to
More informationthe back book Your Guide to a Healthy Back
the back book Your Guide to a Healthy Back anatomy Your spine s job is to: Support your upper body and neck Increase flexibility of your spine Protect your spinal cord There are 6 primary components of
More informationCervical Spine: Pearls and Pitfalls
Cervical Spine: Pearls and Pitfalls Presenters Dr. Rob Donkin Functional Anatomy Current research Cervical Radiculopathy Dr. Gert Ferreira Red flags Case Study Kinesio Taping Chris Neethling Gonstead adjusting
More informationBACK PAIN. Disclaimer. Integrated web marketing. Multimedia Health Education
BACK PAIN Disclaimer This movie is an educational resource only and should not be used to make a decision on. All decisions about surgery must be made in conjunction with your surgeon or a licensed healthcare
More information3/10/17 Spinal a Injury 1
Spinal Injury 1 'Paralysed' Watmough vows he'll have the backbone for Game Two after treatment for neck injury Watmough will have cortisone injected into his spine this morning to speed up the recovery
More informationChapter 9 Articulations Articulations joints where two bones interconnect. Two classification methods are used to categorize joints:
Chapter 9 Articulations Articulations joints where two bones interconnect Two classification methods are used to categorize joints: Functional classification Structural classification Functional classification
More informationChapter 7 Part B The Skeleton
Chapter 7 Part B The Skeleton 7.2 The Vertebral Column General Characteristics Extends from skull to pelvis Also called spine or spinal column Functions to transmit weight of trunk to lower limbs, surround
More informationVERTEBRAL COLUMN ANATOMY IN CNS COURSE
VERTEBRAL COLUMN ANATOMY IN CNS COURSE Vertebral body Sections of the spine Atlas (C1) Axis (C2) What type of joint is formed between atlas and axis? Pivot joint What name is given to a fracture of both
More information8/4/2012. Causes and Cures. Nucleus pulposus. Annulus fibrosis. Vertebral end plate % water. Deforms under pressure
Causes and Cures Intervertebral discs Facet (zygopophyseal) joints Inter body joints Spinal nerve roots Nerve compression Pathological conditions Video Causes of back pain Nucleus pulposus Annulus fibrosis
More information3 Movements of the Trunk. Flexion Rotation Extension
3 Movements of the Trunk Flexion Rotation Extension 1 TRUNK FLEXION 2 TRUNK FLEXION: Rectus Abdominalis O: Crest of Pubis & ligaments covering front of symphysis pubis. I: By «3 portions into cartilages
More informationImproving Posture in a Client with Kyphosis
Improving Posture in a Client with Kyphosis Name: Nicollette Van den Bergh Date: 5 November 2018 Course date: 10 Aug-25 Nov 2018 Course Location: Physio Pilates, Khyber Pass, Auckland, NZ Faculty Member:
More informationRADICULOPATHY AN INTRODUCTION TO
AN INTRODUCTION TO RADICULOPATHY This booklet provides general information on radiculopathy. It is not meant to replace any personal conversations that you might wish to have with your physician or other
More informationUPPER EXTREMITY INJURIES. Recognizing common injuries to the upper extremity
UPPER EXTREMITY INJURIES Recognizing common injuries to the upper extremity ANATOMY BONES Clavicle Scapula Spine of the scapula Acromion process Glenoid fossa/cavity Humerus Epicondyles ANATOMY BONES Ulna
More informationShoulder Joint Examination. Shoulder Joint Examination. Inspection. Inspection Palpation Movement. Look Feel Move
Shoulder Joint Examination History Cuff Examination Instability Examination AC Joint Examination Biceps Tendon Examination Superior Labrum Examination Shoulder Joint Examination Inspection Palpation Movement
More informationCervical Radiculopathy: My 32 Year-Old Cyclist is Nervous What do I do on the initial visit?
Cervical Radiculopathy: My 32 Year-Old Cyclist is Nervous What do I do on the initial visit? Scott D Boden, MD The Emory Spine Center Atlanta, Georgia History of Trauma? 2 History of Trauma? 3 Sometimes
More informationChiropractic Glossary
Chiropractic Glossary Anatomy Articulation: A joint formed where two or more bones in the body meet. Your foot bone, for example, forms an articulation with your leg bone. You call that articulation an
More informationOrthopadic cors. Topic : -Cervical spondylitis. -Development disorders(spondylolysis and Spodylolsithesis)
Orthopadic cors Topic : -Cervical spondylitis. -Development disorders(spondylolysis and Spodylolsithesis) Cervical spondylitis. Definition : - a painful condition of the cervical spine resulting from the
More informationReview shoulder anatomy Review the physical exam of the shoulder Discuss some common causes of acute shoulder pain Discuss some common causes of
Review shoulder anatomy Review the physical exam of the shoulder Discuss some common causes of acute shoulder pain Discuss some common causes of chronic shoulder pain Review with some case questions Bones:
More informationPosture. Kinesiology RHS 341 Lecture 10 Dr. Einas Al-Eisa
Posture Kinesiology RHS 341 Lecture 10 Dr. Einas Al-Eisa Posture = body alignment = the relative arrangement of parts of the body Changes with the positions and movements of the body throughout the day
More informationSkeletal System. Axial Division
Skeletal System Axial Division The Axial Skeleton You will see that each bone has special features (overviewed in section I below) that provide Sites of Attachment (for muscles, ligaments, tendons, etc.)
More informationPARADIGM SPINE. Patient Information. Treatment of a Narrow Lumbar Spinal Canal
PARADIGM SPINE Patient Information Treatment of a Narrow Lumbar Spinal Canal Dear Patient, This brochure is intended to inform you of a possible treatment option for narrowing of the spinal canal, often
More informationLecture 1 Thoracic Spine
Lecture 1 Thoracic Spine Functional Overview Protects organs e.g. Heart and lungs Limited motion: relatively rigid structure Soft tissue injuries related to: o Sports e.g. Golf, tennis, rowing and cricket
More informationCervical Spine in Baseball
Cervical Spine in Baseball Robert G Watkins, IV, MD Co-Director, Marina Spine Center Marina del Rey, CA Vice Chief of Staff Cedars-Marina del Rey Hospital Disclosures n Pioneer / RTI Consulting, Royalties
More informationOfficial Definition. Carpal tunnel syndrome, the most common focal peripheral neuropathy, results from compression of the median nerve at the wrist.
Mod 2 MMT Course Official Definition Carpal tunnel syndrome, the most common focal peripheral neuropathy, results from compression of the median nerve at the wrist. epidemiology Affects an estimated 3
More information10/8/2015. FACTORS IN BACK PAIN introduction 27% Framing the Discussion from a Clinical and Anatomical Perspective
FACTORS IN BACK PAIN Framing the Discussion from a Clinical and Anatomical Perspective A B M P B a ck Pa i n S u m m i t With Clint Chandler FACTORS IN BACK PAIN introduction Back pain affects 8 out of
More informationCervical Spine Orthopedics DX 611
Cervical Spine Orthopedics DX 611 Cervical Spine Anatomy University of Bridgeport College of Chiropractic Orthopedic Examination of the Cervical Spine Chief Complaint Interview Involves the taking of a
More informationA Patient s Guide to Burners and Stingers
A Patient s Guide to Burners and Stingers 264 Pleasant Street Concord, NH 03301 Phone: 6032243368 Fax: 6032287268 marketing.copa@concordortho.com DISCLAIMER: The information in this booklet is compiled
More informationThe Positive Findings In Neck Injuries. American Journal of Orthopedics. August-September, 1964, pp
The Positive Findings In Neck Injuries 1 American Journal of Orthopedics August-September, 1964, pp. 178-187 Ruth Jackson, MD This author analyzed 5,000 patients with disorders and found the following:
More informationThe Trunk and Spinal Column Kinesiology Cuneyt Mirzanli Istanbul Gelisim University
The Trunk and Spinal Column Kinesiology Cuneyt Mirzanli Istanbul Gelisim University The Trunk and Spinal Column Vertebral column 24 articulating vertebrae 31 pairs of spinal nerves Abdominal muscles some
More informationPain Assessment Patient Interview (location/nature of symptoms), Body Diagram. Observation and Examination: Tests and Measures
Examination of Upper Quarter Neurogenic Pain Jane Fedorczyk, PT, PhD, CHT Thomas Jefferson University, Philadelphia, PA Center of Excellence for Hand and Upper Limb Rehabilitation I. History Mechanism
More informationGary Rea MD PhD Medical Director OSU Comprehensive Spine Center
Gary Rea MD PhD Medical Director OSU Comprehensive Spine Center 1. The less specific the patient is about symptoms and pain, the less likely a specific diagnosis will be made and the less likely the patient
More informationMD Bones & Joints of the Back. A/Prof Chris Briggs Department of Anatomy & Neuroscience
MD 2017 Bones & Joints of the Back A/Prof Chris Briggs Department of Anatomy & Neuroscience WARNING This material has been provided to you pursuant to section 49 of the Copyright Act 1968 (the Act) for
More informationSir William Asher ANATOMY
SPINAL CORD INJURY BASICS RELATED TO LIFE CARE PLANNING Lesson 1 Sir William Asher Picture the pathetic patient lying long abed, the urine leaking from his distended bladder, the lime draining from his
More informationHuman Anatomy - Problem Drill 06: The Skeletal System Axial Skeleton & Articualtions
Human Anatomy - Problem Drill 06: The Skeletal System Axial Skeleton & Articualtions Question No. 1 of 10 Instructions: (1) Read the problem and answer choices carefully, (2) Work the problems on paper
More informationMusculoskeletal Examination Benchmarks
Musculoskeletal Examination Benchmarks _ The approach to examining the musculoskeletal system is the same no matter what joint or limb is being examined. The affected and contralateral region should both
More informationPhysical Exam. Jared Van Der Beek. Basics To Remember. Know the anatomy and how the muscles function.
Physical Exam Jared Van Der Beek Jared@physio-puncture.com 1 Basics To Remember Know the anatomy and how the muscles function. Know what the special tests are looking for and understand why they are positive.
More informationFractures of the thoracic and lumbar spine and thoracolumbar transition
Most spinal column injuries occur in the thoracolumbar transition, the area between the lower thoracic spine and the upper lumbar spine; over half of all vertebral fractures involve the 12 th thoracic
More informationSTRUCTURAL BASIS OF MEDICAL PRACTICE EXAMINATION 5. September 30, 2011
STRUCTURAL BASIS OF MEDICAL PRACTICE EXAMINATION 5 September 30, 2011 PART l. Answer in the space provided. (12 pts) 1. Identify the structures. (2 pts) EXAM NUMBER A. Suprascapular nerve B. Axillary nerve
More informationINDEPENDENT LEARNING: DISC HERNIATION IN THE NATIONAL FOOTBALL LEAGUE: ANATOMICAL FACTORS TO CONSIDER IN REVIEW
INDEPENDENT LEARNING: DISC HERNIATION IN THE NATIONAL FOOTBALL LEAGUE: ANATOMICAL FACTORS TO CONSIDER IN REVIEW CDC REPORT - CAUSES OF DISABILITY, 2005 REVIEW QUESTIONS ABOUT DISC HERNIATION IN THE NATIONAL
More informationDEGENERATIVE SPONDYLOLISTHESIS
AN INTRODUCTION TO DEGENERATIVE SPONDYLOLISTHESIS This booklet is designed to inform you about lumbar degenerative spondylolisthesis. It is not meant to replace any personal conversations that you might
More informationCopyright 2010 Pearson Education, Inc.
E. VERTEBRAL COLUMN 1. The vertebral column extends from the skull to the pelvis and forms the vertical axis of the skeleton. 2. The vertebral column is composed of vertebrae that are separated by intervertebral
More informationModule: #15 Lumbar Spine Fusion. Author(s): Jenni Buckley, PhD. Date Created: March 27 th, Last Updated:
Module: #15 Lumbar Spine Fusion Author(s): Jenni Buckley, PhD Date Created: March 27 th, 2011 Last Updated: Summary: Students will perform a single level lumbar spine fusion to treat lumbar spinal stenosis.
More informationElbow. Chapter 2 LISTEN. Mechanism of Injury (If Applicable) Pain
Chapter 2 Elbow LISTEN Mechanism of Injury (If Applicable) Patient usually remembers their position at the time of injury Certain mechanisms of injury result in characteristic patterns Fall on outstretched
More informationSpinal Cord Injuries: The Basics. Kadre Sneddon POS Rounds October 1, 2003
Spinal Cord Injuries: The Basics Kadre Sneddon POS Rounds October 1, 2003 Anatomy Dorsal columntouch, vibration Corticospinal tract- UMN Anterior horn-lmn Spinothalamic tractpain, temperature (contralateral)
More informationShoulder: Clinical Anatomy, Kinematics & Biomechanics
Shoulder: Clinical Anatomy, Kinematics & Biomechanics Dr. Alex K C Poon Department of Orthopaedics & Traumatology Pamela Youde Nethersole Eastern Hospital Clinical Anatomy the application of anatomy to
More informationManual Muscle Testing. Yasser Moh. Aneis, PhD, MSc., PT. Lecturer of Physical Therapy Basic Sciences Department
Manual Muscle Testing Yasser Moh. Aneis, PhD, MSc., PT. Lecturer of Physical Therapy Basic Sciences Department Manual Muscle Testing Evaluation of the function and strength of individual muscles and muscles
More informationDr Ajit Singh Moderator Dr P S Chandra Dr Rajender Kumar
BIOMECHANICS OF SPINE Dr Ajit Singh Moderator Dr P S Chandra Dr Rajender Kumar What is biomechanics? Biomechanics is the study of the consequences of application of external force on the spine Primary
More informationA Patient s Guide to Artificial Cervical Disc Replacement
A Patient s Guide to Artificial Cervical Disc Replacement Each year, hundreds of thousands of adults are diagnosed with Cervical Disc Degeneration, an upper spine condition that can cause pain and numbness
More informationComprehension of the common spine disorder.
Objectives Comprehension of the common spine disorder. Disc degeneration/hernia. Spinal stenosis. Common spinal deformity (Spondylolisthesis, Scoliosis). Osteoporotic fracture. Anatomy Anatomy Anatomy
More information