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Conservative Management of Cervical Spine Syndromes by Donald R. Murphy

By Donald R. Murphy

This clinically orientated textual content will give you a complete reference of cervical backbone functionality, disorder, scientific syndromes, evaluate and administration. You get directions on tips to process particular medical syndromes on the topic of the cervical backbone from the viewpoint of symptoms and syndromes, differential prognosis, remedy, rehabilitation, referral and residential care.

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Sample text

One may examine sagittal movements of C6 on C7 by palpation of spinous processes). The posterior aspects of the partes interarticu­ lares of cervical vertebrae from C2 to C7 can be palpated through several layers of muscle; they are less anatomically variable than the cervical spinous processes and less tender than the transverse processes. When palpating the neck anteriorly, the carotid tubercle on C6 is often more promi­ nent than the anterior tubercles of the other cervical ver­ tebrae. The skilled palpator will acquire some information about the position or movements of the posterior tubercle of C1 by palpation of the interspace between the spinous process of C2 and the occiput.

The clavicular and sternal parts have dif­ ferent actions on the shoulder girdle: the former elevates the clavicle directly, while the latter elevates the entire rib cage and thereby elevates both the right and left shoulder girdles without directly influencing the angle of the clavi­ cle. In far contralateral head rotations, the mastoid process passes medial to the clavicular attachment of cleidomas­ toideus and the muscle loses its rotating action. The orien­ tations of the zygapophyseal and uncovertebral joints in the human cervical spine produce coupling of lateral flex­ ion and rotation;35-37 the lateral flexion action of all parts of SCM opposes the coupled movement pattern.

The greater occipital nerve-the major branch of the dorsal ramus of C2-curves around the inferior border of the muscle before it pierces the semi­ spinalis capitis muscle on its way to the scalp. The obliquus capitis inferior is round in cross-section and sometimes sur­ prisingly thick. Since its only action is ipsilateral rotation at the atlanto-axial joint, it is likely to play a role in com­ pensating for postural alterations of the lower cervical spine. I have not succeeded in collecting EMG data from obliquus capitis inferior.

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