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Cervical Spine Test

Enter the letter for the matching Answer
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1.
What are the 6 criteria present to have success with Thoracic Manipulation? (3 of 6 86% success)
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2.
sensory disturbance of the hands, mm wasting of hand intrinsics, unsteady gait, hoffman's reflex, hyperreflexia, B/B Problems, Multisegmental wkness/sensory changes
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>50 y/o, Previous hx of CA, Unexplained wt loss, Constant pn, no relief with bed rest, Night pain
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4.
What are the criteria for the exercise/conditioning category?
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5.
Drop attacks, Dizziness(light-headed from neck mvmt), Dysphasia, Dysarthria, Diplopia, +CN tests, (nausea, nystagmus, numbness-lip)
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6.
What are the 6 criteria present to have success with Cervical Manipulation? (4 of 6 89% success)
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7.
What are the criteria for the mobility category?
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8.
Temperature >100, BP >160/95 mmhg, Resting Pulse >100bpm, RR >25 bpm, Fatigue
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9.
How would you treat a pt in the pain category?
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10.
Occipital HA, Severe limitation during neck AROM in all directions, Signs of cervical myelopathy
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11.
How would you treat someone in HA category?
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What are the criteria for HA category?
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13.
What are the criteria for the centralization category?
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14.
What four variables significantly increased the likelihood the patient has cervical radiculopathy?
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How would you treat someone in the mobility category?
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How would you treat someone in the ex/cond category?
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What are the criteria for pain category?
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18.
How would you treat a pt in the centralization category?
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19.
What are the adjunct treatments for all patients with neck pain?
A.
1. Referral of pain into the upper extremities/hand 2. Radiculopathy 3. Referral to mid-scapular area 4. Peripheralization with AROM 5. Increased symptoms with closing pattern (<60 SB, Rot ipsi) 6. +Spurling, ULTTA, Distraction Test
B.
1. Lower pn and disability scores 2. Longer duration of symptoms 3. No signs of nerve root compression 4. No peripheralization/centralization with AROM *often started in another category and progressed to conditioning
C.
1. Higher level of pain and disability 2. Very recent onset of symptoms 3. Referred or radiating symptoms into upper quarter 4. Cervicogenic HA 5. Difficult exam due to exacerbation of sxs 6. Poorly tolerates manual or movement interventions 7. Trau
D.
Goal:Help to improve AROM, decrease pn and disability -Thoracic, CT Mob/Manip -Mobilization with movement -AROM exercises
E.
-Cervical spine mobility interventions -Suboccipital release, strain/counterstrain -Strengthening of neck and upper quarter mms -Postural education -MET to AA jt
F.
1. Unilateral HA "ram's horn" 2. Onset preceded by neck pn 3. Triggered by neck movement or positions 4. Reproduced by pressure on posterior neck
G.
-Strength and endurance exercises for the neck and upper quarter (deep cervical flexors) -Aerobic conditioning exercises
H.
Goal: decrease pn and disability, permit further examination -Thoracic/CT Manip -Gentle AROM -Gentle massage -Modalities -Activity modification -Short term cervical collar
I.
Red Flag: NEOPLASTIC CONDITIONS
J.
Red Flag: VERTEBRAL ARTERY INSUFFICIENCY
K.
1. Recent onset <4 weeks 2. Rarely have upper quarter symptoms 3. AROM does not peripheralize sx 4. No signs of nerve root compression 5. AROM discrepancy (SB,Rot)
L.
1. Symptom duration <30 days 2. No symptoms distal to the shoulder 3. FABQPA <12 4. Looking up does not aggravate symptoms 5. Cervical ext <30 6. Flat T3-T5
M.
Red Flag: CERVICAL MYOPATHY
N.
1. Ipsilateral cervical rotation <60 2. ULTTA 3. Distraction Test 4. Spurling's Test +LR= 30
O.
Goal: centralize symptoms, decrease pn and disability. -Mechanical cervical traction -Manual cervical traction -Traction manip -Chin retraction ex -Lateral slide glide with neurodynamic positioning -Thoracic/CT Manip
P.
Red Flag: INFLAMMATORY OR SYSTEMIC DISEASE
Q.
-Mobilizations: opening/closing/traction -MET -Soft tissue techniques (suboccipital release) -AROM exercises -Thoracic/CT Manipulations -
R.
Red Flag: UPPER CERVICAL LIGAMENTOUS INSTABILITY
S.
1. Initial NDI <11.5 2. Bilateral involvement pattern 3. Not performing sedentary work >5 hrs/day 4. Feeling better with movement 5. Did not feel worse while extending neck 6. Diagnosis of spondylosis without radiculopathy

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