Cervical Spine Evaluation Module

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Cervical Spine Module

Subjective/History

Determine 6: activity, MOI, location of pain or neurologic symptoms, reports of weakness, type of pain, severity of pain, onset of pain, unusual sounds/sensations, actions that increase & decrease pain, S/S, change in S/S over time, prior injury/surgery, prior treatment, family history & general medical health

Objective

Inspection 1,6:

General: swelling, discoloration, deformity, muscle symmetry/atrophy

Skin: blisters, discoloration, open wounds, scars & skin infections

Anterior View: posture including: shoulder height, muscle symetry, muscle tone

Posterior View: posture including: shoulder height, muscle symetry, muscle tone

Lateral View: posture including: head position, shoulder position, cervical curve, thoracic curve, muscle tone

Low Back Palpation Rollover: using internet explorer rollover the images to trace some anatomy of the low back

Bony Palpation & Soft Tissue Palpation 1: hyoid, thyroid cartilage, first cricoid ring, carotid tubercle, occiput, inion, superior nuchal line, mastoid process, cervical spinous processes, facet joints, sternocleicomastoid, lymph chain, thyroid gland, carotid pulse, parotid gland, supraclavicular fossa, trapezius, lymph nodes, greater occipital nerves & superior nuchal ligament

Range of Motion 1,5:

AROM: flexion, extension, lateral flexion, rotation

PROM: flexion, extension, lateral flexion, rotation

RROM: flexion, extension, lateral flexion, rotation

Manual Muscle Testing  2:

Gluteus Maximus, Gluteus Medius, Gluteus Minimus, Hip Adductors (Pectineus, Adductor magnus, Gracilis, Adductor brevis, Adductor longus), Hip Internal Rotators (Tensor fasciae latae, Gluteus minimus, and Gluteus medium), Iliopsoas, Biceps Femoris, Semitendinosus, Semimembranosus, Quadriceps, Sartorius, Tensor Fascia Latae, Sternocleidomastoid, Cervical Extensors, Upper Trapezius

Neurovascular Exam

Special Tests  3,7:

Weber–Barstow Maneuver, Supine to Long–Sit, Supine ("True") Leg Length Discrepancy Measurement, Supine "Apparent" Leg Length Discrepancy Test, Clinical Discrimination Between Femoral & Tibial Leg Length Discrepancy, Craig's, Gaenslen's, Fulcrum, Nelaton's Line, Hip Scouring, Torque, Gillet's, Sacroiliac Compression, Sacroiliac Distraction, Piriformis Tightness, 90–90 Straight Leg Raising, Ely's, Thomas's, Patrick's, Trendelenburg's, Brachial Plexus Traction/Compression, Nerve Root Compression/Spurlings, Valsalva, Vertebral Artery Syndrome, Tap/Bump

Assessment

Identifies examiner's impression of injury & potientally complicating factors based on subjective & objective information

Plan

Explains examiner's goals as well as how the examiner intends on meeting these goals through initial managent, treatment, rehabilitation