Cervical exercises for stability

Moderators: kwyss, Sillevis

Cervical exercises for stability

Postby Maddox » Tue Sep 20, 2011 8:30 am

A patient- male mid 40's- is being treated for work related injuryto his neck. HA c/o somewhat controlled by radio frequency procedure. Pt independant with HEP, and reports no increase of c/o after exs. However, when pt is at work, any bending and reaching activities will provoke HA's and CSA tightness. Pt is able to perform most any exercises as long as he is not bending forward (with neck straight but unsupported), as this aggrevates his c/o. What are some exercises he could do to help him with this?
Maddox
 
Posts: 10
Joined: Thu Sep 01, 2011 5:12 pm

Re: Cervical exercises for stability

Postby Sillevis » Sat Sep 24, 2011 12:34 am

Can you provide us with some more information? How is his cervical mobility? How about the upper thoracic spine? It there normal posture? does he have flexion of the cervical spine while bending forward? How is his muscular state? Any imaging studies done and if so what were the results?
Sillevis
 
Posts: 889
Joined: Thu Aug 18, 2011 7:26 am

Re: Cervical exercises for stability

Postby Maddox » Tue Oct 04, 2011 1:28 pm

Pt displays limitation towards left sidebending and rotation, posture has some forward head positioning, TSA has some occasional hyomobility. Pt normally displays increased muscle tone in TSA- Right > Left, increased upper trap, levator, scaleni tone- R>L, Mri study shows herniated disc- c4-5, c5-6. Pt is a work related head injury.
Maddox
 
Posts: 10
Joined: Thu Sep 01, 2011 5:12 pm

Re: Cervical exercises for stability

Postby Jbeas » Tue Oct 04, 2011 5:11 pm

It seems that there is more of a restriction with the tone and hypomobility you describe. Stability exercises are for when there is excessive movement or "unstable"movement of a joint. I believe those restrictions need to be addressed before the exercise route. You also have to consider the stage of condition the patient is in.
Jbeas
 
Posts: 31
Joined: Fri Aug 19, 2011 5:40 pm

Re: Cervical exercises for stability

Postby Maddox » Thu Oct 06, 2011 3:08 pm

True, but his tightness appears to be guarding, resluting from pain due to HYPERmobility. When he relaxes, he his symptoms are greatly reduced. But when he works, his c/o increase. neck statrs getting tight and painful, and HA gets unbearable. His Right csa is hypertone due to his job- his machine requires him to keep looking left while leaning forward.
Maddox
 
Posts: 10
Joined: Thu Sep 01, 2011 5:12 pm


Return to Cervical spine