C spine

Question 1

CA C spine rules

Answer 1

if 1 high risk factor - radiograph

if 2 low risk factors and can’t rotate to 45 deg bilaterally - radiograph

Question 2

Cervical myelopathy - clinical presentation

Answer 2

(+) babinski, (+) hoffman, gait deviation, >45 yo, positive inverted supinator sign

Question 3

Cervical radiculopathy - CPR

Answer 3

(+) traction test, (+) ULTT median nerve, (+) Spurlings, limited movement to one side (<60 deg rotation)

Question 4

Cervical Manip

Answer 4

NDI <5 hrs/day, feels better to move neck, extending neck does not worsen sx, spondylosis w/o radiculopathy

Question 5

Cervical Traction

Answer 5

peripheralization with lower C-spine mobility testing, (+) shoulder abduction test (hand on head relieves sx), >55 yo, (+) median n test, (+) neck distraction test

Question 6

Thoracic Manip for C-spine pain

Answer 6

sx <30 deg

Question 7

How do you assess the C1-2 joint

Answer 7

in supine, bring the pt to max flexion and passively rotate (should be 45 deg bilat)

Question 8

Neck flexor muscle endurance test findings

Answer 8

no neck pain: avg of 39 sec

with neck pain: avg of 24 sec