Alar Ligament Stress Test | Upper Cervical Spine Instability

[@joshmagay]

Thank you for the help to all your vids!

[@Physiotutors]

Youre welcome 😊 glad we can help

[@sirmanni4534]

Great video demonstration + explaining the end feel. Do you have a video on upper cervical spinal cord compression?

[@arturofernandezbarnes301]

According to Dr. Nikita A. VIzniak "Physical Assessment" 2012 p 136 3rd Edition: The lamina should be stabilised in C2 and not the spinous process. What are your thought on that?

[@Physiotutors]

Doesn't matter. You need to be able to fixate C2 properly to assess the alar ligaments.

[@ginny177]

do you have some exercises for exercises for cervical instability? I have C1-C2 instability and horrible visual problems with headaches. Deep flexor muscles exercises were tremendously helpful but I have a cervical kyphosis so my physio suggest do more extensions for deep extensors ...

[@MrKennyhop21]

Go get prolotherapy for that it will fix it.

[@ginny177]

@@MrKennyhop21 it is not so easy, there is no prolotherapy in my COUNTRY , I have some gelatinose mass iny my occipital muscles..something like that. I had been repeatadly chiromanipulated without any effect...uhmm

[@MrKennyhop21]

@@ginny177 maybe try to get some imaging? To find out what it is or maybe save up some money to fly to America to get prolotherapy for your neck?

[@ginny177]

@@MrKennyhop21 I have problem with a muscle spasm in C1-C2.

[@MrKennyhop21]

@@ginny177 hmmm ok well does message help? Or chiropractic help?

[@shreyarewar2836]

Do you have a video for the lateral shear test for C1-C2 integrity testing?

[@Physiotutors]

Not yet Shreya, but we will definitely film this one very soon as it's part of our own upcoming exam of our Master's program!;)

[@hodahashad1812]

can I ask a question what is the difference between specificity and sensitivity???!!

[@Physiotutors]

We have an entire video on this topic Search our channel

[@qitae]

A chiro tore mine, worst injury that never got better

[@fdauti_ca]

Neck manipulations, right?

[@qitae]

@@fdauti_ca yes

[@scottk1525]

How are the alars supplied with nutrients? I can find zero info on this. I know there's not blood supply. Is there synovial fluid? Thanks.

[@jg6332]

The 2020 O'Sullivan, Siegelman, Shutlive & Shaffer NPTE Therapy Ed prep book says "Patient seated, passively, slightly flex the upper cervical spine.." indicating to perform this test in seated. Any comment on this? Does it matter how it is done?

[@nilsbarriquand2754]

Hello im French and i want to buy your app mobile. Is There a French version ?

[@Physiotutors]

Salut Nils, malheureusement la app est seulement disponible en anglais. Une grande part de nos videos ont sous-titrage en français.

[@Thompoux]

Hi, can the test be performed with the patient in sitting position ? Thanks

[@Physiotutors]

We always try to show the test like it is described in the literature. But yes, sitting position is possible as well.

[@nica2878]

Great vid ! Chur Bala

[@visualsnow7173]

Treatment?

[@Physiotutors]

Surgery

[@visualsnow7173]

Physiotutors vitamins and exercises are useless?

[@dr.gaurav9717]

What about prolotherapy?

[@bellaburda8597]

I have the same question.^

[@bellaburda8597]

@the dude what’s your symptoms?

[@rakanm720]

www.ncbi.nlm.nih.gov/pmc/articles/PMC6484502/ There you find more information. I am sure you find all videos

[@lucabrindillo3286]

I am sorry but you made few mistakes in this video. You quoted Sensibility and Specificity taken from Kaale et al. study published in 2008, in which the patient was assessed in a sitting position, then you showed a way of performing the test completely different, with the patient in a supine position, taken from the case report of Mintken et a, also it published in 2008. There are no studies that have verified the diagnostic accuracy of the test shown in your video, which was not even included in the Systematic Review of Hutting et al. In 2013.

[@NoPlanNoProb]

Nothing get past this guy

[@davidjames1811]

Bring back shit neon blue

[@NoPlanNoProb]

You should see a doctor if you have neon blue shit