Question No 1

Test Performed:

Segmental range and quality of movement, including end-feel.

Starting position:

- The patient lies on the left side with hips and knees flexed. The patient’s

knees extend off the edge of the table. Place a pillow under the patient's

waist to avoid lateral flexion of the lumbar spine.

- Stand facing the patient.

Hand placement and stabilization:

- Therapist’s stable hand: Place your right palpating finger dorsally

between the two spinous processes of the segment to be tested. Use the

remaining part of your right hand to stabilize cranial to the segment.

- Therapist’s moving hand: With your left hand, grasp the dorsal aspect

of the patient’s calves and knees. The patient’s knees contact your body.

Procedure:

- Use your body and left arm as a unit to guide the patient’s knees in a

cranial direction, until movement occurs in the segment to be tested.

- Apply a Grade I, II, or III flexion movement.

Question no 2:

cervical radiculitis:
 It is inflammation of spinal nerve root of uper portion of spine in neck area.

Symptoms :severe pain in neck region which radiates to uper extremis (shoulder, elbow, arm).

Question no 3:

Part a:

pelvic tilt include the iliopsoas, erector spinae, rectus femoris, and quadratus lumborum.

Part b:

effects of atlas malaignment:

Hormonal effects

Brain fogging

Coordination of movement

Eye movement focus

Neurological control

Leg length discrepancy

Pain increases

Loss of energy

Dizziness, nausea, light headaches

Question no 4: :

A 25 year old man fell 2o feet from a tree. Upon impact he lost consciousness for approximately 2 minutes.
He was conscious with a Glasgow coma scale of 14 upon arrival of paramedics. He was breathing spontaneously
at 26/minutes, HR 110/ minute, and BP 11o/72. His cervical spine was immobilized and the patient was
transferred to the emergency department. In the ER, he had episodes of irritability alternating with un
responsiveness and apnea. He occasionally mumbles, open eyes only to pain, and has occasional extension of
both upper extremities. He was immediately intubated and peripheral intravenous lines were placed. He was
immediately transported to radiology for a CT scan that showed epidural hematoma..

GCS score

E2, V2, M2

GCS =6

Question 4 B

Procedure:

- Use your body and left arm as a unit to guide the patient’s knees in a

cranial direction, until movement occurs in the segment to be tested.

- Apply a Grade I, II, or III flexion movement.

Objective:

- Test: Segmental range and quality of movement, including end-feel.

Question No 6

Objective:

- Test: Symptom alleviation or provocation screening.

- Mobilization: For restricted movement or symptom relief.

Starting position:

- The patient sits. To enhance stabilization, the patient can lean against a

“ chair backrest.

- Stand behind the patient.

Hand placement:

- Place your palms on the mastoid processes of the patient’s skull.

- Place your forearms on top of the patient's shoulders.

Procedure:

- Press your elbows in a caudal direction to traction the patient's cervical

spine. Pivot your forearms over the fulcrum provided by the patient's

shoulders.

- Apply a Grade I, II or III movement.

This technique is effective in actual resting position.