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Spine Assessment

Sports Med 2. Spine Assessment. History. Most important thing to do is rule out a spinal cord injury Did you land on top of, or hit someone with your head Did you lose consciousness Do you have pain in your neck Any tingling, numbness, or burning in your shoulders, arms or hands

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Spine Assessment

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  1. Sports Med 2 Spine Assessment

  2. History • Most important thing to do is rule out a spinal cord injury • Did you land on top of, or hit someone with your head • Did you lose consciousness • Do you have pain in your neck • Any tingling, numbness, or burning in your shoulders, arms or hands • Do you have equal muscle strength in both hands? • Are you able to move your ankles and toes

  3. History • Yes to any of those questions will send a red flag when moving your athlete. Remain overly cautious. After you have ruled out a spinal injury then general questions can begin • Were you standing, twisting, sitting, bending • Did the pain begin immediately • How long has it been going on • What motions/movements hurt your back • Tingling or pain in your buttocks or down the back of your leg

  4. Observation • Posture Evaluation • Posture vary tremendously between athletes • Entire body should be observed from all angles • Lateral, anterior, posterior • A grid can be used for accuracy • Figure 23-10, 23-11

  5. Observation • General Observation • Head is tilted to one side • Shoulder is lower on one side, or carried forward • Scapular imbalance • One hip is prominent • Hips are tilted • One arm hangs lower • One patella is lower than the other

  6. Deviations: Define and Drawpg. 869 • Kyphosis • Forward Head Posture • Flatback • Swayback • Lordosis • Scoliosis

  7. Cervical Observations • Look at the position of the head and neck • Symmetrical shoulders • Is the patient willing to move head and neck • Check active ROM

  8. Thoracic Observations • Check active ROM • Pain = cervical disk or trigger point • Flex forward and laterally/extend and rotate the trunk • Pain = nerve root irritation to the lower thoracic region • Most common pain has to do with facet joints

  9. Lumbar Observations • Pelvis and shoulders should be level • Soft tissues symmetrical • Unusual curve in lower back noticed

  10. Palpation • Athlete lying prone • Head and neck should be slightly flexed • Pillow under the hips • Musculature on both sides of spine • Spinous processes • Sacroiliac joints

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