Cervical Spine Examination Orthobullets

ppt), PDF File (. Patients who sustain tear-drop fractures of the cervical spine do not have specific ways of presentation. Anterior cervical corpectomy and fusion is a similar type procedure to the anterior cervical discectomy. A cone biopsy removes abnormal tissue that is high in the cervical canal. Population of adults with cerebral palsy. Cervical Extension: Model is prone with head off the end of table and arms at side. The surgeons of SouthPalm Ortho-Spine Institute always consider minimally invasive surgery as an option. Cervical spine pain is one of the more common complaints seen in outpatient orthopaedic physical therapy. AP and Odontoid Views. Cervical spine trauma assessment backbone orthobullets. Diagnosing your back or neck pain begins with a physical examination and includes an evaluation of your medical history and symptoms. Assess active movements: Flexion – “touch your chin to your chest” – normal ROM 0-80º. Neurological exam normal. 3D Printing - Cervical Spine ACDF Anterior Cervical Exposure Biologics for Spine C1-C2 Fusion Cervical Corpectomy Cervical Disc Arthroplasty Cervical Foraminal Stenosis Cervical Foraminotomy Cervical Laminectomy Cervical Osteotomy Cervical Spine Anatomy Cervical Spine Exam Cervical Spine Imaging Cervical Spine Trauma Cervical Subluxation. Sometimes, doctors can diagnose cervical spondylosis with just a physical exam. Fusion is similar to glue that hardens over time to create a solid construct, which stabilizes the spine. In fact, the diagnosis of cervical radiculopathy is largely clinical. I hereby certify that, to the best of my knowledge, no aspect of my current personal or professional situation might reasonably be. I recently received an email from a reader asking about a question from the free practice exam. Myra Barrett • Dr. The fusion was performed on C1-C2-C3. Start studying Limited Scope Study Guide- Spine. Cervical spine injuries in children are usually seen in the upper cervical region owing to the unique biomechanics and anatomy of the pediatric cervical spine. Pediatric C-spine Clearance – via ERCAST. Feller, MD a, Nikhil A. From checking blood glucose levels to removing bullet shards from a patient's body, EMTs use a variety of tools to get the job done. Whether spondylosis should be considered a degenerative change or an age related change is simply a matter of semantics, but the development of osteophytes and related changes can be viewed as a reactive and adaptive change that seeks to compensate for biomechanical. The neck, also called the cervical spine, is a well-engineered structure of bones, nerves, muscles, ligaments, and tendons. Diagnosing your back or neck pain begins with a physical examination and includes an evaluation of your medical history and symptoms. New York State Inpatient Cervical Spine Confrontational Exam Protocol No Tenderness Able to rotate neck Unable to rotate neck Unable to flex/extend neck Positive Tenderness Able to flex/extend neck Passed confrontational exam Failed confrontational exam Keeping cervical spine in neutral position, loosen C-collar and palpate for posterior midline. for topic: Can I Die From Cervical Spine Stenosis If I Ignore It. Cervical spine. The maximum disability is 38% a cervical injury. Quickly memorize the terms, phrases and much more. Cervical Myelopathy CPR for Cervical Myelopathy1 1. Reliability and diagnostic accuracy of the clinical examination and patient self-report measures for cervical radiculopathy. The cervical spine consists of 7 cervical vertebrae (the bones that form the neck region). *FREE* shipping on qualifying offers. A clinical symptom caused by nerve root compression in the cervical spine characterized by sensory or motor symptoms in the upper extremity. The cervical spine , which consists of 37 joints, permits more motion than any other region of the spine. Discussion centres around what is normal for an ideal spine and the. The goal of surgery is to relieve symptoms by "decompressing," or relieving pressure on, the spinal cord. The examiner places one hand over the parieto-occipital for resistance and the other hand is placed under the chin ready to catch the head if it gives way. A complete physical examination of the shoulder and cervical spine includes inspection, palpation, range of motion testing, strength testing, and a variety of signs and tests used to elicit findings that suggest specific diagnoses. 5% will have neurologic symptoms stemming from this instability [ 8 ]. Positive inverted supinator sign 4. inadequate. A GP should check more serious cases affecting the spine. In general, the neck viscerally serves as a channel for vital vessels and nerves, the trachea, esophagus, spinal cord, and as a site for lymph and endocrine glands. It is important to keep in mind that the information and videos provided in this section should only serve as a guide. loss of lordosis. pdf), Text File (. Ageing causes wear and tear to muscles and bones – called cervical spondylosis. Pain may be accompanied by numbness, weakness, or hyporeflexia. Each vertebra is separated by a gel-like disc. MDT and the Relevant Lateral Component: Strategies for the Challenging Cervical Spine Patient Ron Schenk PT, PhD, OCS, FAAOMPT, Dip MDT Amy Fletcher PT, DPT, FAAOMPT, Dip MDT Brian McClenahan PT, MS, OCS, FAAOMPT, Dip MDT. The discs provide shock absorption for the spine. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Code 5242: Degenerative arthritis of the spine is first rated under the general rating formula. Any abnormal radiographic findings or positive exam findings necessitate pediatric neurosurgical consultation. • Spinal Cord Injury Syndromes 2. the cervical spine consists of 7 cervical bony vertebrae which are separated by intervertebral disks and connected by a myriad of ligaments. com] […] therefore guided on a case-by-case basis depending on sequelae frequent screening eye exam every year in infancy hearing tests every 6-12 months dental exams every 6 months cervical[medbullets. ***Dynamic Neck Exam Once the neurological examination is proven normal, a dynamic (range of motion) evaluation of the neck should be undertaken to assess the mobility of the cervical spine. The cervical facets differ from the lumbar facets in many ways. Some people with cervical spondylosis benefit from the use of traction, which can help provide more space within the spine if nerve roots are being pinched. Schmitz will review Anatomy related multiple choice questions. Gunshot wounds to the cranium alone are not associated with a risk of cervical spine trauma. Spinal stenosis is the narrowing of the spinal canal causing irritation of the spinal cord or spinal nerve roots. Lots of different size and color combinations to choose from. These Cervical Spine Assessment forms facilitate efficient case notes. Cervical radiculopathy is a disorder of the cervical spinal nerve root and most commonly is caused by degenerative changes, cervical disc herniation or other space-occupying lesion, resulting in nerve root inflammation, impingement, or both. This can put pressure on your spinal cord and spinal nerves. com - id: 3b3578-Njg0O. Cervical Extension: Model is prone with head off the end of table and arms at side. Examination shows they are compatible findings buy lasix without prescription not prompt attention to offer help in genetics solves lasix without prescription of miscarriage is common, ovarian syndrome with your ward. Physical Exam of the Cervical Spine. 95 (US) Examination and Management of Acute Pathologies Head and Acute Cervical Spine Pathologies. Study Design. See Abdominal Examination and Hepatosplenomegaly Reference. Demonstration of the tests used to assess the neurologicl structures of the cervical spine. injury to the middle ganglion/sympathetic chain will lead to Horner's syndrome. You should ensure you are able to perform this confidently. Sometimes, doctors can diagnose cervical spondylosis with just a physical exam. Due predominantly to receiver coil design and intrinsic anatomy, brain lesions in MS are easiest to identify, followed by those in the cervical cord (with the poorest imaged area being the thoracic spine). important to clear cervical spine and remove collar in an efficient manner. Changes in the bones, disks, and ligaments of your spine can cause. They also lose water content, begin to dry out and weaken. The cervical spine is composed of seven vertebrae stacked in a gentle, lordotic C-shaped curve. Rotation – “turn your head to the left and then to the right” – normal ROM 0-80º. Degeneration of the cervical spine can result in several different conditions that cause problems. The fusion was performed on C1-C2-C3. Cervical spondylotic myelopathy (CSM) is the leading cause of myelopathy in subjects above 55 years old and the major cause of spasticity acquired in the aged population. 7% of patients overall, with 2. physical exam; radiographically; Missed cervical spine injuries. Cervical Spine Injury Criteria cont’d •If the conditions described on preceding slide are met, cervical spine can be cleared clinically. The Canadian C-spine Rule (CCR) was developed to help physicians determine which trauma patients need c-spine imaging. The cervical spine consists of 7 cervical vertebrae (the bones that form the neck region). NASS Guidelines. An accurate diagnosis will also help your doctor develop a treatment plan for you—a way to manage your herniated disc pain and other cervical and lower back symptoms and to help you recover overall. In this episode, Dr. Degenerative cervical myelopathy (DCM), earlier referred to as cervical spondylotic myelopathy, involves spinal cord dysfunction from compression in the neck. Trauma - Whiplash - Fracture of vertebral body, spinous or transverse process - Ligamentous sprain. Utilizing Pilates to Enhance Rehab Outcomes Home Study Instant Online Access, DVD shipment. Cervical radiculopathy spine orthobullets. Additional views may be indicated in cases involving. Cervical Disc Disease and Neck Pain. If you continue browsing the site, you agree to the use of cookies on this website. Cervical spine exam orthobullets keyword after analyzing the system lists the list of keywords related and the list of websites with related content, in addition you can see which keywords most interested customers on the this website. Cervical spine injury is relatively common and is typically seen in association with road traffic accidents, falls from a height and sporting injuries. Range of Motion Examination of the Cervical Spine. The cervical spine is a mobile region enabling mobility in various planes and during any trauma, the head can act as a significant lever arm on the cervical spine and creating a wide range of injury patterns. The physical exam of this patient revealed that the beginning of the patient's signs and symptoms turned into most possibly the cervical spine and no longer the. Cervical spine injuries in children are usually seen in the upper cervical region owing to the unique biomechanics and anatomy of the pediatric cervical spine. Musculoskeletal examination of the spine focuses on determining diseases and disorders that specifically effect that system in relation to the spine. Clearing The Pediatric C-spine - via PEM ED. The relatively large head in comparison to the neck and trunk results in increased flexion/extension forces on the cervical spine - All of these differences contribute to patterns of injury, which include higher level c-spine injuries in children <8 (occiput to C3) and spinal cord injuries without radiographic abnormalities (SCIWORA) in. Patient should be awake and cooperative to perform the Valsalva Maneuver. Changes in the bones, disks, and ligaments of your spine can cause. pdf), Text File (. Neck Spine Fractures Overview. We all know that as the most mobile region of the vertebral column the cervical spine is vulnerable to trauma, as well as to problems of apparently spontaneous onset. Numerous guides and pearls will be shared as well as several videos to help the nurse practitioner become more comfortable in treating cervical spine pathology. The MSI exam used to diagnose these syndromes and identify the contributing factors will be described. Cervical Spine. which the entire cervical spine, the entire thoracolumbar spine, or the entire spine is fixed in flexion or extension, and the ankylosis results in one or more of the following: difficulty walking because of a limited line of vision; restricted opening of the mouth and chewing;. , c-spine) radiograph. In some cases, especially if surgery will be considered, the doctor will probably also request advanced diagnostics, which could include an: Imaging study. Start studying IPAP Ortho Exam 4: Spine. Vertebral fracture (vertebrae of the neck) ICD Code: Date of diagnosis:. Taking the history is by far the most significant tool in the diagnostic procedure. Kevin Haussler • Dr. Cervical stenosis is narrowing of the spinal canal, which compresses the spinal cord. Currently an associate professor at the University of Kentucky, he teaches in multiple courses relating to examination and treatment of patients with musculoskeletal disorders. Physical Exam: Step One in the Herniated Disc Diagnosis. Radiographic evaluation of the c-spine: CT Scan of the cervical spine for complete evaluation. Spine examination frequently appears in OSCEs. Cervical Spine Nerve Root Exam EXTREME PAIN ~ Chiropractor Goes Into Savage Mode on Spine. Population of adults with cerebral palsy. is claiming an increase for his service connected c3/4,c5/6 herniated nucleus pulposus with muscle spasm and degenerative joint disease, cervical radiculopathy,left/rt. Byrd sold Reuters the man’s cervical spine. These tests may include the following: X-rays show the bones in your spine. Conservative treatment options for a cervical muscle spasm include avoiding activities that produce pain, rest and immobilization, ice, physical therapy, anti-inflammatory. The significant motion that occurs in the neck places the cervical spine at an increased risk of injury and degenerative changes. Cervical Gross Screen; Alar Ligament Test; Spurling's Test; Cervical Gross Screening. This clear, concise manual fills the growing need for a text covering the process of physical examination of the spine and extremities. METHODS: We prospectively evaluated 534 blunt trauma patients between February 2004 and January 2005. lumbar plexus moves dorsal to ventral moving down the lumbar spine. Physical therapists that have obtained specialty certification by the Physical Therapy Board of Craniofacial & Cervical Therapeutics (PTBCCT) understand the relationship of the neck and shoulder girdle to the temporomandibular complex and cranium. A thorough cervical spine examination is warranted for patients presenting with the following conditions: Down syndrome - Approximately 13% of patients with DS will have asymptomatic AAI, and 1. SPINE Cervical Disc di sease Pain Radiculopathy Trauma CERVICAL SPINE W/O CONTRAST 72141 Indications Tumor Infection MS Syrinx Transverse myelitis Postsurgical spine AVM Brachial plexus post radiation therapy, eval for mass lesions, entrapment, denervation CERVICAL SPINE W AND W/O CONTRAST 72156 Thoracic Disc disease Pain. It also can help diagnose tumors, bleeding, swelling, infections, or inflammatory conditions in the vertebrae or surrounding tissues. Diagnosing your back or neck pain begins with a physical examination and includes an evaluation of your medical history and symptoms. A Comprehensive Review of Physical Examination Test of the Cervical Spine, Scapula, and Rotator Cuff {{ (moduleVm. Normal Anatomy • Lower (Subaxial) Cervical Spine: • The vertebrae of the lower cervical spine have a superior cortical surface which is concave in the coronal plane and convex in the sagittal plane. Utilizing Pilates to Enhance Rehab Outcomes Home Study Instant Online Access, DVD shipment. When your spine specialist has a comprehensive bank of information—your medical history, outcomes from your physical and neurological exams, and imaging test results—he or she is best positioned to make an accurate diagnosis of cervical or lumbar spinal stenosis. Fusion is similar to glue that hardens over time to create a solid construct, which stabilizes the spine. Cervical spondylotic myelopathy (CSM) is the leading cause of myelopathy in subjects above 55 years old and the major cause of spasticity acquired in the aged population. MDT and the Relevant Lateral Component: Strategies for the Challenging Cervical Spine Patient Ron Schenk PT, PhD, OCS, FAAOMPT, Dip MDT Amy Fletcher PT, DPT, FAAOMPT, Dip MDT Brian McClenahan PT, MS, OCS, FAAOMPT, Dip MDT. When it affects the thoracic spinal cord, the condition is specified as thoracic myelopathy. the spine (cervical, thoracic, lumbar) affected by disc disease. of history and clinical examination. Spinal Cord Injury. Clinical assessment following acute cervical spinal cord injury. Numerous guides and pearls will be shared as well as several videos to help the nurse practitioner become more comfortable in treating cervical spine pathology. A Patient's Guide to Cervical Spinal Stenosis Introduction. the cervical spine is more exposed than the thoracic and vertebral spine. Spine Trauma. This reference provides guidance for the evaluation and treatment of cervical and thoracic problems. The joint between the first vertebra of the cervical spine (the atlas) and the occipital bone at the base of the skull allow movements of the head, such as nodding. for alignment and tenderness. AP and lateral views of the low cervical spine help to identify changes in cervical lordosis, osteophyte formation, neuroforaminal narrowing and appropriate levels. Clinical Examination and Treatment of the Cervical and Upper Thoracic Spine - DVD and Instant Online Home Study. Trauma - Whiplash - Fracture of vertebral body, spinous or transverse process - Ligamentous sprain. A laminectomy removes or "trims" the lamina (roof) of the vertebrae to create space for the nerves leaving the spine. These are condition(s) for which an evaluation has been requested on an exam request form (Internal VA) or for which the Veteran has requested medical evidence be provided for submission to VA. This is accomplished using a cervical plate and screws (instrumentation) and fusion (bone graft). It is also a neurological procedure that checks for insufficient blood flow through the vertebral arteries. Therefore, the neck exam focuses on assessing this underlying structure. Cervical disc herniation. Start studying Ortho Exam 1 Cervical Spine. Rajasekaran, AOSpine International Chairperson. Welcome to the PEB Forum! In accordance with 38 CFR VASRD §4. Cervical spine disc herniation at C2-C3 level: Study of a Clinical Observation and Literature Review Dominique N'Dri Oka 1, Fulbert Kouakou 2, Yacouba Haro 3, Souleymane Sarki3 1Associate Neurosurgery Professor, 2Professor assistant (anatomist) 3Neurosurgery Resident Physician. Whether spondylosis should be considered a degenerative change or an age related change is simply a matter of semantics, but the development of osteophytes and related changes can be viewed as a reactive and adaptive change that seeks to compensate for biomechanical. 71a Schedule of ratings—musculoskeletal system, "The Spine," it would seem that your degenerative disc disease, lumbar spine medical condition meets the DoVA 40% rating criteria. Minimally invasive spinal stenosis treatments:. The cervical spine is susceptible to injury because it is highly mobile with relatively small vertebral bodies and supports the head which is both heavy and acts as a lever. Upon completion of this course the participant will be able to: Perform a post operative spinal evaluation utilizing certain techniques for the varying stages of post- op progression. 25 Management of Cervical Facet Dislocation Ishaq Y. Pediatric C-spine Clearance - via ERCAST. Degeneration of the cervical spine can result in several different conditions that cause problems. This is accomplished using a cervical plate and screws (instrumentation) and fusion (bone graft). Remove the shoulder pads (only) B. Myotome testing is conducted in order to determine muscle power and possible neurological weakness originating from the nerve roots in the cervical spine. The full weekend was devoted to cervical spine and protocol application with force transducer measurements of the forces as they are applied in addition to the cervical spine research studies related to Cox® Technic for the cervical spine. Cervical spine Physical examination: Look Observe the - Cervical spine Physical examination: Look Observe the posture of the head and neck and note any abnormality and deformity, e. Doctors may use X-rays as a starting point. These are condition(s) for which an evaluation has been requested on an exam request form (Internal VA) or for which the Veteran has requested medical evidence be provided for submission to VA. THE AUSTRALIAN JOURNAL OF PHYSIOTHERAPY VOLUME 25 APRIL 1979 NUMBER 2 EXAMINATI0N OF THE CERVICAL SPINEl G. Today’s topic; Cervical Spine Dr. It includes removal of the cervical disc from an anterior approach, as well as removal of part (partial) or the majority of the vertebral body (body=corpus) in between the involved discs. •C-spine injury is less common in children but when it occurs it is more likely to happen in the upper cervical spine. Examination of the Cervical Spine Summary Look. الصفحة 2- Physical examination of spine and extremities Ortho and Sports injuries Library and MultiMedia Physical examination of spine and extremities - الصفحة 2 - طـبيـعي للعلاج الطبيعي والتأهـيل الطبي. History and examination. Cervical laminoplasty is a surgical technique that removes pressure from the spinal cord in the neck. A cervical spine CT scan is a medical procedure that uses specialized X-ray equipment and computer imaging to create a visual model of your cervical spine. Due predominantly to receiver coil design and intrinsic anatomy, brain lesions in MS are easiest to identify, followed by those in the cervical cord (with the poorest imaged area being the thoracic spine). Conduct a complete history and physical examination of each affected segment of the spine (cervical, thoracic, lumbar), whether or not there has been surgery, as described above under B. (Multiple sclerosis; Lhermitte sign) Introduction: Brachial Plexus Illustrations ; Nerve root anatomys key difference between cervical and lumbar spine is. Neurological Examination. Cervical Spine. A compression means pressure, pinching, or squeezing. Radiographic evaluation of the c-spine: CT Scan of the cervical spine for complete evaluation. Taking the history is by far the most significant tool in the diagnostic procedure. METHODS: A cervical spine clearance protocol had been utilized in our institution from 2002 to 2011. The cervical spine provides support and stability to the head while allowing for a wide ROM. Learn vocabulary, terms, and more with flashcards, games, and other study tools. The cervical spine is the portion of the. Cervical Spondylosis (Arthritis of the Neck) (American Academy of Orthopaedic Surgeons) Cervical Spondylotic Myelopathy (CSM) (American Academy of Family Physicians) Also in Spanish; Cervical Stenosis, Myelopathy and Radiculopathy (North American Spine Society) Herniated Cervical Disc (North American Spine Society). Cervical spine injuries literature reviews journal of. The Neck & Cervical Spine; The Back; The Hip; The Knee; The Ankle & Foot; Adult Trauma. The examiner stands next to patients head. Examination of Cervical Spine - Free download as Powerpoint Presentation (. clinical and paraclinical – give current information only, the history also puts the evolution of the disease in the picture. High index of suspicion, strict cervical spine precautions, and complete clinical and radiographic evaluation are vital in patients presenting after trauma. ” To understand what this is, you have to understand how the spine is constructed. THE AUSTRALIAN JOURNAL OF PHYSIOTHERAPY VOLUME 25 APRIL 1979 NUMBER 2 EXAMINATI0N OF THE CERVICAL SPINEl G. Study Flashcards On Ortho-exam 1- Cervical spine at Cram. The cervical spine is the portion of your spine that runs through your neck. bernardino probation officer exam study guide, 2018 ford police interceptor remote start manual, 2019 yamaha breeze manual, repair service manual bf 40 hp honda, sea ray 185 2018 bowrider service manual, bmw 318 2016 manual, vda 6 3 manual 2018, 49cc scooter manual gy6, kawasaki h1 kx125 manual, 2019. • The ability to perform effective treatment through an accurate understanding of surface anatomy and tissue physiology of the Cervical Spine. At UPMC, we offer comprehensive spine care, both surgical and non-surgical, for a wide array of spinal disorders. TECHNIQUE: Multiplanar multisequence MR images of the cervical spine were obtained without gadolinium administration. only of neck movements but also of shoulder and upper limb tests. Start studying Ortho Exam 1 Cervical Spine. Cervical spondylotic myelopathy (CSM) - #1 Therapy at The Spine Hospital Neurological Institute of New York. Therefore, the cervical spine is protected in a patient of trauma, beginning at the accident site, during extrication, examination and shifting the patient. The Neck & Cervical Spine; The Back; The Hip; The Knee; The Ankle & Foot; Adult Trauma. Atypical Joints in the Cervical Spine OA ( occiput and atlas or atlanto -occipital joint) and the AA or atlanto -axial joint. CERVICAL SPINE CLEARANCE SUMMARY Cervical spine clearance following traumatic injury is an area of significant controversy. Cervical Radiculopathy (Nerve Root Compression) Radiculopathy refers to pain that is referred from the spinal nerve roots to other parts of the body. AIM's Clinical Appropriateness Guidelines (hereinafter "AIM's Clinical Appropriateness Guidelines" or the "Guidelines") are designed to assist providers in making the most appropriate treatment decision for a specific clinical condition for an individual. bernardino probation officer exam study guide, 2018 ford police interceptor remote start manual, 2019 yamaha breeze manual, repair service manual bf 40 hp honda, sea ray 185 2018 bowrider service manual, bmw 318 2016 manual, vda 6 3 manual 2018, 49cc scooter manual gy6, kawasaki h1 kx125 manual, 2019. MRI is the modality of choice for most cervical spine imaging indications, unless contraindicated or not tolerated by the patient (for example, secondary to claustrophobia) CT is the preferred technique for certain clinical scenarios such as suspected fracture, follow-up of known fracture,. Neck Spine Fractures Overview. A thorough neck examination should evaluate the soft tissues and bony structures while also testing neurologic function. In contrast, it is very unusual for pain to begin in the arm. This is accomplished using a cervical plate and screws (instrumentation) and fusion (bone graft). Range of Motion Examination of the Cervical Spine. The maximum disability is 38% a cervical injury. Synthesize the importance of the concordant/comparable sign, during examination. Examination. 25 Management of Cervical Facet Dislocation Ishaq Y. HISTORY A 32-year-old woman with a diagnosis of recurrent. These are condition(s) for which an evaluation has been requested on an exam request form (Internal VA) or for which the Veteran has requested medical evidence be provided for submission to VA. The area of skin served by each of these nerves is called its dermatome. - hold C2 in place w key grip, passively flex the headpush into forehead while maintaining grip, should have solid end-feel. ” To understand what this is, you have to understand how the spine is constructed. Achondroplasia is the maximum common form of shortlimb dwarfism. 5mg r will displace. Gunshot wounds to the cranium alone are not associated with a risk of cervical spine trauma. bility testing18 of the cervical spine and passive accessory intervertebral mobility testing32 of the cervical and thoracic spine (C2-T9). Impairment Rating: 25% of the whole. Unfused synchondroses, especially at the level of the dens, are susceptible to trauma. In this episode, Dr. Rich Table But Short Life Diffuse Idiopathic Skeletal Hyperostosis. Have patient hold chair seat or sit on hands to stabilize shoulders. Feel | PowerPoint PPT presentation | free to view. 05/2014 Cervical Spine Exam 34:05. Cervical Spine Examination Orthobullets.