KPE 273 Lecture 6: Trunk and Spine Pathologies and Conditions
Document Summary
Extremes of motion or violent muscle contraction. Developmental narrowing of the cervical spinal canal. Straightening or reversal of the normal cervical lordotic curve. Preexisting minor posttraumatic radiographic evidence of bony or ligamentous injury. Palpation reveals muscle spasm + increased pain during active contraction or passive stretching. Sensory changes burning pain, numbness, tingling, loss of sensation. Damage to the anterior 2/3 of the spinal cord. Loss of function, pain, and temperature sensation below injury. Senses loss but motor function and sense of pain are preserved. Syndrome involves hemisection of the spinal cord caused by penetrating injury incomplete loss of motor function w/ upper extremity weakness being greater than lower. Pain exarcerbated by valsalvs maneuvers (breath- holding, straining, coughing) Sharp radicular pain with spurling maneuver (turning head with neck extended) Acute forceful separation of the neck from the shoulders. Ems neck is tilted in direction of the dislocation. Acute that radiates from the supraclavicular area down the arm and into the hand.