Cervical Proprioception Exercises/ Core Stability

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Questions and Answers

What is the primary goal of the cervical proprioception exercise?

To enhance muscle strength in the neck

To relieve neck stiffness

To improve cognitive function

To train the awareness of where the head is in space (correct)

What is one difference between cervical prop and cervical decoupling?

Cervical decoupling is standing, cervical prop is sitting (correct)

Cervical decoupling is standing, cervical prop is while walking

Cervical prop is standing, decoupling is sitting

Cervical prop is standing on foam pad, decoupling is while walking

What does the halo headband provide during exercises?

More proprioceptive input (correct)

Less proprioceptive input

Support for the neck

Security for their head

In the core stability exercise, how should the patient position their arms?

Pointed towards the ceiling with thumbs turned outward Signup and view all the answers

What is an important instruction for the patient during the core stability exercise?

Push the low back into the table Signup and view all the answers

How can the difficulty of the core stability exercise be increased?

By moving the legs and hands in opposing circles Signup and view all the answers

What should be done if the patient struggles with the cervical proprioception exercise?

Decrease the distance moved Signup and view all the answers

What equipment do you need for cervical prop or decoupling?

Laser glasses Signup and view all the answers

If the person has back pain and is unable to do the dead bug core stability what should you do?

Have them try to plank Signup and view all the answers

How long should the patient ideally hold the core stability position?

ideally up until right before their threshold Signup and view all the answers

What angle should the legs be at during core stability if they can?

90 Signup and view all the answers

What is the point of core stability?

Stabilizes the cerebellum and brainstem Signup and view all the answers

In the cervical proprioception exercise, what should the patient do after opening their eyes?

Patient should self correct by moving back to center Signup and view all the answers

What is an upgrade with the cervical proprioception exercise if it is too easy for the patient?

Increase the distance the rehab moves their head Signup and view all the answers

What should the patient do with their eyes during cervical proprioception?

Have them closed until they think they are back at center then open Signup and view all the answers

About how many times should someone turn to each side during cervical decoupling?

5 Signup and view all the answers

What should you write in the notes near this cervical prop?

Which directions you practiced/symptoms Signup and view all the answers

How should the patient breath during core stability?

Belly breaths Signup and view all the answers

Which is not a way to increase the difficulty of core stability?

Bring their knees in closer to chest Signup and view all the answers

Study Notes

Cervical Proprioception

Conduct the exercise with the patient seated 8 blocks from a target poster.
A laser is placed on the patient's forehead to aid in accuracy.
Instruct the patient to keep their eyes closed and move their head, then return to the target.
Patients open their eyes to assess their position and can correct themselves if necessary.
Progress the distance based on improvement, but reduce if difficulties arise.
Encourage multiple repetitions in various directions to enhance proprioceptive skills.
Regular check-ins are vital as this can be a challenging task for patients.

Cervical Decoupling

Exercise begins with the patient standing, laser aimed at a wall target.
Patient shifts their feet to face left, keeping the head and laser focused on the dot.
Gradually return the body position back to center and then to the right side.
Repeat the movement 3-5 times for better coordination.
Use a Halo Headband for additional proprioceptive feedback; it’s a weighted headband suitable during these exercises.

Core Stability

Patient raises both legs to a 90-degree angle, ensuring knees do not touch.
Arms are extended toward the ceiling with thumbs turned 45 degrees outwards.
Emphasize pushing the lower back into the table, imagining pushing against a bead.
Aim to hold this position for 15-60 seconds, adapting to patient fatigue levels.
For increased challenge, engage in opposing arm and leg movements in circular motions, while resisting movement.
Encourage diaphragmatic breathing and maintaining pressure with the lower back throughout the exercise.
Work oppositional limbs and adjust the duration based on patient difficulty, focusing on all four limbs.

Cervical Proprioception Exercise

Position a chair 8 blocks away from a cervical proprioception poster.
Have the patient sit, place a laser on their forehead, and instruct them to maintain the laser on a target.
With eyes closed, the patient moves their head in different directions and attempts to return to the dot.
After estimating their position, the patient opens their eyes to check alignment and make corrections if necessary.
Repeat the exercise multiple times, adjusting the target distance based on the patient's improvement or difficulty.
Ensure to check in regularly, as this exercise can be physically demanding for the patient.

Cervical Decoupling Exercise

Start in a standing position similar to cervical proprioception.
Set the laser at eye level on a dot on the wall.
Instruct the patient to shift feet slowly to face the left wall while keeping their head and laser aligned with the dot.
Return to center and then shift to the right, repeating this process 3-5 times.

Halo Headband

A weighted headband that increases proprioceptive input to the head.
Can be utilized during cervical proprioception, cervical decoupling, or other therapeutic exercises.

Core Stability Exercise

Instruct the patient to elevate both legs to a 90-degree angle without knee contact.
Arms should be extended towards the ceiling, thumbs rotated 45 degrees outward.
Emphasize pushing the low back into the table, as if trying to press a bead under their back.
Hold this position for 15-60 seconds, ideally at the point right before fatigue.
To increase difficulty, coordinate movements by extending the opposite arm and leg in opposing circles, while the patient resists movement.
Encourage consistent deep belly breathing and maintaining pressure with the low back during the exercise.
Continue this exercise for about 30 seconds, then assess the patient's perceived challenge level.
Switch sides to engage all limbs effectively, working opposite arm and leg alternately, adjusting duration based on patient capability.

Cervical Proprioception

Set up a chair 8 blocks away from a cervical proprioception poster to engage the patient in a visual tracking exercise.
Equip the patient with a laser on their forehead, instructing them to maintain the laser on a target.
With eyes closed, the patient turns their head in a chosen direction and attempts to return the laser to the dot.
Allow the patient to open their eyes for corrections and adjustments if they miss the target.
The exercise can be incrementally adjusted based on the patient’s performance and endurance; closer or further distances can be utilized.
Repeat the task in various directions while monitoring the patient’s comfort and fatigue levels.

Cervical Decoupling

Transition to a standing position while keeping the laser pointed at an eye-level dot on the wall.
Instruct the patient to shift their feet and rotate their body and shoulders to face the left wall, keeping their head aligned with the dot.
Repeat the movement by returning to the center, then turning towards the right wall, performing 3-5 cycles.
Use a halo headband—an adjustable, weighted headgear—during proprioceptive exercises to amplify sensory feedback to the head.

Core Stability

Begin with the patient lifting both legs to a 90-degree angle, ensuring knees do not touch each other.
Position the arms pointing towards the ceiling with thumbs turned out at a 45-degree angle.
Instruct the patient to press their low back into the table, creating tension as if pushing against a bead underneath.
Maintain this position for 15-60 seconds, ideally stopping just before fatigue sets in.
Increase difficulty by having the patient move opposite arm and leg in opposing circular motions while resisting further movement.
Encourage the patient to perform "big belly breathing" while sustaining pressure with their low back throughout the exercise.
Conduct for about 30 seconds, checking in on the patient's difficulty level, and switch sides to ensure all limbs are engaged, adjusting duration as necessitated by the patient’s ability.

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Description

This quiz focuses on cervical proprioception exercises designed for patients. It outlines a method for patients to improve their spatial awareness through head movement and visual targeting. The exercise involves using a laser for accuracy, with a structured approach to track progress and adjust difficulty.