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"Bend your left ear down towards your left shoulder and then your right ear down towards your right shoulder" to test for pain free cervical spine lateral flexion. Now test for stiffness or pain flexing or extending the cervical spine: "bend your neck forwards to try to touch your chin against your chest." "bend your neck back to lift your chin."
They allow for flexion and extension and limit lateral flexion in the cervical spine. Pathological processes that can occur in these joints include degenerative changes or hypertrophic arthritis, resulting in foraminal stenosis and nerve compression. Foraminal stenosis at this joint is the most common cause of cervical nerve root pressure.
Cervical PPIVMs can be performed in cervical lateral flexion or rotation, with the therapist restricting movement beyond a certain cervical level by blocking with the hand; this allows the identification of the exact spinal level where patient symptoms occur.
Torticollis, also known as wry neck, is a painful, dystonic condition defined by an abnormal, asymmetrical head or neck position, which may be due to a variety of causes. The term torticollis is derived from Latin tortus 'twisted' and collum 'neck'.
When the shoulder is fixed, levator scapulae rotates to the same side and flexes the cervical spine laterally. When both shoulders are fixed, a simultaneous co-contraction of both levator scapulae muscles in equal amounts would not produce lateral flexion or rotation, and may produce straight flexion or extension of the cervical spine.
The exact prevalence of the disorder is not known; several family and population studies show that as many as 25% of cervical dystonia patients have relatives that are undiagnosed. [29] [30] Studies have shown that spasmodic torticollis is not diagnosed immediately; many patients are diagnosed well after a year of seeking medical attention. [1]
From a lateral aspect, the sternomastoid muscle is the most striking mark. It separates the anterior triangle of the neck from the posterior. The upper part of the anterior triangle contains the submandibular glands , which lie just below the posterior half of the mandible.
Flexion and extension are movements that affect the angle between two parts of the body. These terms come from the Latin words with the same meaning. [a] Flexion is a bending movement that decreases the angle between a segment and its proximal segment. [9] For example, bending the elbow, or clenching a hand into a fist, are examples of flexion ...