C Spine Rx Flashcards
Range of pull for cervical mechanical traction
10-40 lbs
Or 7% of BW
How many pounds of pull is necessary for vertebral separation with mechanical cervical traction?
20-30 lbs
Duration for mechanical cervical traction for HNP
Static for 5-10 min
Or intermittent for 15 min (50:10 on:off)
T/F: some traction should still be present for off cycles of intermittent traction to avoid rebound effect
T
Suspected diff dx:
Younger pt with unilateral pain that is more localized
Facet dysfunction
Suspected diff dx:
Older pt with bilateral pain that is painful with all ROM
Stenosis
When is neck pain reproduced during ROM for neck pain with mobility deficits category?
At end of ROM
What intervention has he best evidence for treating neck pain with mobility deficits?
T spine HVLAT
Expected exam findings for neck pain with movement coordination impairments
(+) CCFT
(+) neck flexor muscle endurance test
(+) pressure algometry
pain at midrange that worsens at end range
concussive S&S
How long is expected recovery for neck pain with movement coordination impairments?
1st 2-3 months
S&S of true cervicogenic HA
Unilateral pain
pain at midrange
intermittent (usually due to facet referral)
Neck pain with HA treatments
B: active mobility, HVLAT, mob
C: SNAG
Which joints most commonly have deficits with cervicogenic HAs?
OA, AA, C2/3
Which type of HA is the only bilateral HA?
Tension
CPR for t spine HVLAT for neck pain
Sx <30 days
no sx distal to shoulder
looking up does not aggravate sx
FABQ PA score <12
diminished upper t spine kyphosis
cervical extension ROM <30
Order of treatment for neck pain
- T spine hypomobility/dysfunction
- CT junction and lower cervical
- Move superior
Spine surgery is reserve for pts with…
Fx
instability
significant weakness
progressive neuro deficits
severe unremitting pain
persistent radicular pain
Laminectomy is indicated for
Spinal stenosis, multi level DDD with anterior SC compression
Major concern for laminectomy
Instability
Major advantage of laminoplasty
Preserves segmental spine motion
What is laminoplasty indicated for?
Multi level spondylotic myelopathy
