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Cervical Spine Injuries

Cervical Spine Injuries. Myotome and Dermatome Testing. Cervical Spine Injuries. Acute injuries t ypically occur in contact and collision sports or car accidents

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Cervical Spine Injuries

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  1. Cervical Spine Injuries

  2. Myotome and Dermatome Testing

  3. Cervical Spine Injuries • Acute injuries typically occur in contact and collision sports or car accidents • Chronic injuries develop from poor postural habits, faulty body mechanics, repetitive movements, decreased flexibility, and weak muscles • Usually involved multiple structures so identifying one source is not possible

  4. Cervical Strains Strain = injury to a muscle or tendon • MOI – • Muscles: • S&S –

  5. Acute Torticollis Commonly called stiffneck or wryneck • MOI– • S&S –

  6. Cervical Sprain Commonly called whiplash Sprain – injury to a ligament or non-contractile tissue • MOI – • S&S –

  7. Spinal Stenosis • Narrowing of the spinal canal or intervertebral foramen • Usually from degeneration associated with aging or can be congenital • S&S: • can be asymptomatic • Neurological pain • Increased leg pain with standing that resolves by sitting (increases available space in spinal canal) • Can be ipsilateral (foramen) or bilateral (canal)

  8. Cervical Disk Injuries Several types of disc injuries: Protrusion – Prolapse -

  9. Cervical Disk Injuries (cont.) Several types of disc injuries: Extrusion – Sequestrated -

  10. Cervical Disk Injuries (cont.) • MOI – • S&S –

  11. Degenerative Disc Disease • Called cervical spondylosis • MOI – • S&S –

  12. Facet Joint Dysfunction • Cervical instability • MOI - from acute trauma (whiplash) or repetitive motions • S&S – posterior neck pain in paraspinal region, pain with A and PROM during extension and rotation of the c-spine, clicking or catching; referred pain but no radicular pain

  13. Brachial Plexus / Neuropraxia Commonly called burners, stingers, pinched nerves MOI – S&S -

  14. Thoracic Outlet Syndrome • Caused by pressure on the trunks and medial cord of the brachial plexus, the subclavian artery, or subclavian vein (neurovascular bundle) • MOI – • S&S -

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