PT 528 Lecture Notes - Lecture 20: Scapula, Scalene Muscles, Rheumatoid Arthritis

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Upper cervical spine ligament stability testing: neck pain and difficulty rotating, paresthesia and numbness into face, headache or pain up into their head. Indications: history of trauma (whiplash injury) refer to csp rules, rheumatoid arthritis, hypermobility syndromes, congenital conditions (down syndrome, difficulty swallowing. Hold c2 stable between pointer finger and thumb. Place other hand on forehead, forearm parallel to the floor. Fingers under occiput over neural arch of c1. Use when symptoms are present: head feels heavy, unstable. Radial deviation of wrist (or tips of fingers) to glide. Myelopathic symptoms: lump in throat; nystagmus; pain or paresthesia into face or oral area. At head of bed supporting head in max cervical flexion. Thumb in front of the ears, hands splayed over back of pt"s head. R, then l while maintaining end range flexion. Indicated with unilateral headache arising from the joint felt in the same spot each time. Cervical rotation other direction with op, hold for.

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