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Static Manual Release: Cervical Muscles - Upper Trapezius, Levator Scapulae, Splenii

Static Manual Release: Upper Trapezius, Levator Scapulae and Splenii

(Upper Trapezius, Levator Scapulae, Splenius Capitis and Splenius Cervicis)

(for Upper-Body Dysfunction and Cervical Dysfunction):

By Brent Brookbush DPT, PT, COMT, MS, PES, CES, CSCS, ACSM H/FS

 

For a complete review of muscle fiber dysfunction, trigger point etiology, assessment and intervention, please check out:

  • Muscle Fiber Dysfunction and Trigger Points
  • Trigger Point Assessment, Palpation and Intervention (Coming Soon)

Techniques Covered in this Course:

  • Upper Trapezius Static Manual Release
  • Levator Scapulae Static Manual Release
  • Splenius Capitis and Splenius Cervicis Static Manual Release

Signs of over-activity and/or a maladaptive decrease in length:

  • Overhead Squat Assessment:
    • Forward Head
    • Shoulders Elevate
  • Goniometry
    • Cervical Lateral Flexion < 35 - 45°
    • Note: Gross movement exams may be beneficial for identifying asymmetry, significant restriction, and pain with movement; however, cervical rotation, flexion and extension are not

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Special Tests: Upper Cervical Spine Stability and Vertebrobasilar Insufficiency (VBI)

Special Tests: Upper Cervical Spine Stability and Vertebrobasilar Insufficiency (VBI)

by Brent Brookbush DPT, PT, COMT, MS, PES, CES, CSCS, ACSM H/FS

For an introduction to Special Tests including definitions of specific terminology, what special tests measure, how we chose the tests in these lessons, and best use, check out:

  • Special Tests: Introduction

Special Tests Covered in this Lesson:

  • Upper Cervical Spine Stability Tests
    • Modified Sharp Purser Test
    • Alar Ligament Stability Test
    • Tectorial Membrane and Posterior Atlanto-occipital Membrane Test
    • Anterior Stability Test of the Atlanto-Occipital Joint
  • Vertebrobasilar Insufficiency Testing
    • Vertebrobasilar Insufficiency (VBI) Test and Wallenberg's Position

Summary:

The special tests for upper cervical spine instability and vertebrobasilar ischemia (VBI) are under studied. Many questions are unanswered regarding the reliability, specificity, sensitivity and validity of these tests. Based on the criteria described in Special Tests: Introduction some of these tests would not be included in this course; however, some organizations have called for the

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