Exam 20: The Spine

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Identify what an athlete can do to prevent neck injuries.

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An athlete can take several proactive steps to prevent neck injuries, which are particularly important in contact sports or activities that place stress on the neck area. Here are some strategies to minimize the risk of neck injuries:

1. **Strengthening Exercises**: Engage in exercises that strengthen the neck muscles. Strong neck muscles can provide better support and reduce the likelihood of injury. This can include isometric exercises, where you push your head against your hand in different directions without allowing your head to move.

2. **Flexibility Training**: Incorporate flexibility exercises into your routine to maintain a full range of motion in your neck. Stretching can help prevent strains and sprains.

3. **Proper Technique**: Learn and consistently apply proper technique in your sport. For example, in football, players should be taught to tackle with their heads up to avoid 'spear tackling,' which can lead to serious neck injuries.

4. **Use of Appropriate Gear**: Wear the correct protective equipment for your sport, such as a well-fitted helmet and any additional neck support gear that is recommended. This equipment should be properly maintained and replaced as needed.

5. **Education and Awareness**: Understand the risks of your sport and be aware of how neck injuries occur. This knowledge can help you avoid risky behaviors and recognize when to seek medical attention for neck pain or injury.

6. **Warm-Up Properly**: Always warm up before practice or competition to prepare your muscles and joints for the physical activity. This can include light cardiovascular exercise followed by dynamic stretching.

7. **Maintain Good Posture**: Practice good posture in daily activities, not just during sports. This can help prevent chronic strain on your neck muscles.

8. **Hydration and Nutrition**: Stay well-hydrated and maintain a balanced diet to keep your muscles and tissues in good condition, which can help prevent injuries.

9. **Rest and Recovery**: Ensure you get adequate rest and allow for proper recovery time between intense training sessions or competitions. Overuse of muscles can lead to injury.

10. **Consult Professionals**: Work with coaches, trainers, or physical therapists to ensure that you are exercising correctly and addressing any predispositions you might have to neck injuries.

By following these guidelines, athletes can reduce their risk of sustaining neck injuries and maintain a healthy and active lifestyle in their chosen sports.

A football player or wrestler with a short neck is especially at risk for neck injury.

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Which of the following tests checks for sacroiliac joint dysfunction?

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Sports movements that characteristically hyperextend the spine are likely to cause:

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Special tests for the lumbar spine should be performed in standing, sitting, supine, side-lying, and prone positions.

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A sprain of the neck produces tears in the supporting tissue of the anterior or posterior longitudinal ligaments, the interspinous ligament, or the supraspinous ligament.

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Identify the important points that should be covered in an observation to rule out serious back conditions.

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In axial loading of the cervical vertebrae, the normal anterior curve in the cervical spine flattens out.

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The first two vertebrae in the cervical region allow for flexion and extension of the neck.

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Discuss the mechanisms, signs, symptoms, and management of cervical fractures and dislocations.

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Which of the following is considered the strongest and the thickest of the vertebrae?

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When does disc herniation occur?

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Recognition of the compression fracture is difficult without an X-ray examination.

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When treating a cervical sprain (where the physician has ruled out a fracture) of an athlete, it is important to make the athlete wear a soft cervical collar to reduce muscle spasm.

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Which lumbar vertebra is most likely to slip as a result of spondylolisthesis?

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Which of the following statements is true of sciatica?

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An injury to the coccyx is usually the result of being kicked by an opponent or falling and landing hard on the buttocks.

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Sciatica is a term used to describe:

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Which of the following occurs when hip levels are asymmetrical?

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The cervical and lumbar regions of the spine allow for extension and flexion.

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