Cervical & Thoracic Spine Flashcards Preview

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Flashcards in Cervical & Thoracic Spine Deck (55)
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1

What sections of the spine are mobile?

Cervical
Lumbar

2

Where are pain fibers located?

Annulus fibrosis
Joint: uncovertebral, facet
Ligaments
Periosteum
Muscle/Fascia

3

Radicular Pain

Nerve root mediated
Dermatomal pain, numbness, paresthesia
Associated with weakness, hyporeflexia

4

Reasons for Radicular Pain

Compression
Chemical
Inflammatory

5

Define Referred Pain

Axial or external pain localized to a site remote from location of nocioceptors

6

Describe Referred Pain

Dull, achy, non-dermatomal pain
Associated with axial pain

7

How do intervertebral discs get their nutrition?

Childhood: annular arteries
Adolescence: diffusion

8

Normal Aging of Discs

Occurs at different rates
Disc dehydration, narrowing
Increase strain on annulus: diffuse bulging, annular tears, focal disc herniation
Stress transfers to uncovertebral & facet joints

9

Causes of Axial Pain

Facet, uncovertebral joint arthritis
Loss of lordosis (muscular)
Instability

10

Define Radiculopathy

Pressure related nerve root dysfunction

11

Causes of Radiculopathy

Disc herniation
Uncovertebral, facet joint spurs

12

Define Myelopathy

Pressure related spinal cord dysfunction

13

Causes of Myelopathy

Large disc herniation
Spurs
Congenitally narrow canal

14

Describe Structural Axial Pain

Dull
Achy
Paraspinal

15

Describe Referred Axial Pain

Sharp
Stabbing
Intrascapular

16

Describe Radicular Extremity Pain

Dermatomal
Sharp
Temperature
Wet/dry

17

Describe Appendicular Extremity Pain

Non-dermatomal
Joint/bone/muscle localized

18

Muscles to Check for C5

Deltoid
External rotators

19

Muscles to Check for C6

Wrist extension
Pronator teres
Biceps

20

Muscles to Check for C7

Triceps

21

Muscles to Check for C8

Finger flexors

22

How to Test for Sensory

Light touch
Pin prick
Temperature

23

DTR for C5

Biceps

24

DTR for C6

Brachioradialis

25

DTR for C7

Triceps

26

Reason for Hyporeflexia

Radiculopathy

27

Reason for Hyperreflexia

Myelopathy

28

C5 Motor, Reflex, Sensation

M: deltoid, biceps
R: biceps
S: Lateral upper arm

29

C6 Motor, Reflex, Sensation

M: wrist extensors, pronator teres
R: brachioradialis
S: lateral forearm, digit 1 & 2

30

C7 Motor, Reflex, Sensation

M: triceps, finger extensors, wrist flexors
R: triceps
S: middle finger, back of upper arm