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what are the interconnected subsystems of C spine stabilization
passive subsystem, neural subsystem, active subsystem
what makes up the passive subsystem of C spine stabilization
spinal column, non-contractile structures, control of teh elastic zone, flow of information from mechanoreceptors
what makes up the neural subsystem of C spine stabilization
CNS and PSN
what makes up the active subsystem of C spine stabilization
stability role and mobility role
stiffness of the spinal column is inherent in
the non-contractile anatomy
stabilization is maintained through
feedback loops
what is unique to C spine vertebrae
transverse foramen for the vertebral artery
C spine facet orinetation
generally 45 degrees which allows for greater flexion than lateral bending or rotation
the facet joint of the c spine resists
most the shear forces and approximately 16% of the compressive forces acting on the spine
what accounts for 50% of cervical rotation
C1 rotating on C2
as C1 rotates on C2 what happens
C2 slightly rises on the side of rotation
active stabilizers of the C spine are
generally deeper and cross fewer joint segments
function of active stabilizers
report movement, load, and position to the CNS, proprioception, make minor corrections, and help with motor recruitment
what is an example of an active stabilizer of the C spine
suboccipitals
what do prime movers of active stabilization do in the c spine
superficial and cross several joint segments, very few attachments to the C spine which can create shear, have large and gross motor function
small muscles stabilize to reduce
the potential for larger shear forces which come from larger prime mover muscle groups
anterior stabilization of the c spine is done by
longus capitis and longus coli which help control motion
with whiplash MOI
both the lower and upper c spine are at risk for injury. tissue damage does not always correlate with the pain presented
whiplash can lead to pain in
SCM and paraspinals which can lock up as a protective mechanism
in the C spine cervical fusions are done
anteriorly