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MM III > C-Spine lecture2 > Flashcards

C-Spine lecture2 Flashcards

1
Q

Test ____ first

A

uninvolved/less involved side/direction

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2
Q

active motions done _____ passive

A

before

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3
Q

resistive motions done ___ passive

A

after

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4
Q

when should painful/provocative tests be done

A

towards the end of the exam

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5
Q

What is the exception to the rule that special ortho testing is done after motion and strength assessments

A

testing that is done to ensure that movement testing is safe. EX ligamentous testing

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6
Q

What does SINSS stand for

A

Severity, Irritability, Nature, Stage, Stability

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7
Q

refers to the intensity of the pain provoking activity

A

severity

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8
Q

delineates when caution is necessary during the exam and treatment

A

severity

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9
Q

refers to the pain level

A

irritability

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10
Q

describes how far into a movement pain is provoked

A

irritability

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11
Q

how long it takes to subside after the movement is withdrawn

A

irritability

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12
Q

T/F irritability is an emotional measure

A

F

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13
Q

Refers to the type of tissue that is causing the symptoms

A

nature (MSK, mechanical, inflammatory, neural, etc)

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14
Q

high fear avoidance can be considered part of which aspect of SINSS

A

Nature

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15
Q

What does stage refer to

A

acute, sub-acute or chronic

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16
Q

is the problem worsening, improved or stabilizing

A

stability

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17
Q

a positive with rule in a diagnosis

A

specificity

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18
Q

a negative will rule out a diagnosis

A

sensitivity

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19
Q

Likelihood ratios for positive tests above ___ and for negative tests below ___ provide strong evidence to rule in or out diagnoses

A

10, 0.1

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20
Q

T/F the vetebral artery has a high sensitivity, therefore it is a good screening test

A

F. it has a very low sensitivity

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21
Q

Cluster testing for radic

A
  1. ULNT (median)
  2. Cervical rotation (<60)
  3. Cervical distraction test
  4. spurlings test
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22
Q

ULTT 1 (median)

A

shoulder depression and abduction, forearm supinated, wrist extended, elbow extended, fingers/thumb extended

23
Q

most cervical special test tend to be highly____

A

specific

24
Q

ABC’s of c-spine film

A

alignment, bones, cartilage, soft tissue

25
Q

sensitivity during assessment is greatly increased by

A

listening to the patient

26
Q

recommended tests for neck pain with mobility deficits

A

cervical AROM, cervical/thoracic segmental mobility

27
Q

recommended tests for neck pain with headache

A

cervical AROM, cervical/thoracic segmental mobility, cranial cervical flexion test

28
Q

recommended tests for neck pain with movement coordination impairments

A

cranial cervical flexion test, deep flexor endurance test, flexibility deficits of upper quarter muscles

29
Q

recommended tests for neck pain with radiating pain

A

cervical AROM, spurlings maneuver, upper limb tension tests, neck distraction test

30
Q

3 mckenzie classifications

A

postural, dysfunction, and derangement syndromes

31
Q

proposed as caused by mechanical deformation or vascular insufficiency of normal tissue as a result of sustained loading

A

postural syndrome

32
Q

characteristics of postural syndrome

A

gradual onset, symmetric pain, full cervical AROM, no referred pain, neck pain with sustained end range positions (may take >15 min)

33
Q

caused by mechanical deformation or vascualar insufficiency of abnormal tissue

A

dysfunction syndrome

34
Q

characteristics of dysfunction syndrome

A

intermittent neck pain, loss of cervical AROM, neck pain at end range, no arm pain

35
Q

caused by internal disruption or displacement of tissues (disc related)

A

derangement syndrome

36
Q

characteristics of derangement syndrome

A

loss of cervical AROM, constant neck pain, pain radiates, neck/arm pain affected by repeated movment

37
Q

the mckenzie classification for constant pain in all movement directions as a result of inflammatory or infections process

A

non-mechanical pain (trauma syndrome). intervention is rest and pharmacology

38
Q

effect of FHP on c-spine

A

increased facet loading, slight extension of upper c-spine for a forward gaze

39
Q

effect of FHP on muscle activity

A

increased post cervical mm activity

40
Q

what muscles are hyperactive and short in upper crossed syndrom

A

levator scap, upper trap, pec maj/minor

41
Q

what muscles are hypoactive and long in upper crossed syndrom

A

deep neck flexors, middle and lower trap

42
Q

_____ _______ increases the load on the median nerve by 50% or more

A

scapular protraction

43
Q

annulus of disc in c spine is thickened…

A

anteriorly

44
Q

what is the support for the nucleus pulposus posteriorly in the c-spine

A

posterior longitudinal lig

45
Q

when does disc fibrosis and desiccation typically start to occur

A

30-40s

46
Q

where in the c spine is disc disease occurrence most often

A

C67

47
Q

in order of greatest to least occurence of disc diseased

A

C67 (C7), C56 (C6), C45 (C5)=C7T1 (C8)

48
Q

cough/sneeze is irritating for what condition

A

cervical disc lesion

49
Q

Stage 1 cervical spondylosis

A

dysfunction stage: pt reports nonspecific neck pain and decreased ROM, neuro exam negative

50
Q

Stage 2 cervical spondylosis

A

instability stage: increased facet laxity, neck apin and “catch” and possible radic. often movement greater in this stage

51
Q

Stage 3 cervical spondylosis

A

stability stage: fibrosis, radicular symptoms are more common

52
Q

what is the most serious consequence of cervical spondylosis

A

spondylitic myelopathy

53
Q

test cluster for cervical spondyolitic myelopathy

A

Babinski, inverted supinator sign, hoffman’s reflex, reflex testing

MM III (7 decks)

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