Segmental Joint Mobility and Cervical Radiculopathy

SP in line with spine of the scapula

T3

SP in line with inferior angle of spine

T7

SP in line with iliac crest

L4

what is included in a motion segment

superior and inferior vertebrae, IVD, soft tissues, facet joint

characteristics of cervical spine ROM

rotation at C1-C2, flexion in lower cervical spine

characteristics of thoracic spine ROM

limited but more rotation than flexion and SB due to ribs and sternum

where are motion segments more stiff

transition between cervical, thoracic and lumbar spine

what can mobs be used for other than to treat hypomobility

placebo, relaxation, neuromodulation in pain processing, reduce pain, soft tissue adhesions, relieve nerve compression

motion targeted by UPAs

rotation and side bending

how to assess segmental mobility

CPAs and UPAs

definition of cervical radiculopathy

lesion or disease of cervical nerve root

cluster of special tests for cervical radiculopathy

ULTTA, spurling’s a, supine distraction, cervical rotation less than 60

difference in cervical radiculopathy and myelopathy symptom presentation

radiculopathy is unilateral and myelopathy is bilateral

radiographic findings that suggest nerve compression

osteophytes and facet joint hypertrophy

how to confirm radiculopathy diagnosis with EMG

does the activity match the imaging and sxs in terms of what level deficits are shown

difference between carpal tunnel and cervical radiculopathy diagnostic info

positive tinel’s and phalens

EMG differences of carpal tunnel and cervical radiculopathy

carpal tunnel shows delayed nerve conduction and radiculopathy shows spontaneous activity

difference between cervical myelopathy and radiculopathy diagnostic info

positive clonus and hyperreflexia

difference between thoracic outlet syndrome and cervical radiculopathy

positive adson, roos, and wright tests

treatment package for cervical radiculopathy

thoracic manips, cervical lateral glides with ULTTA, deep neck flexor strengthening, scap strengthening, traction