Cervical 1

Question 1

Canadian cervical spine rules (high risk)

Answer 1

-Age >65
-parathesias in extremities
-Dangerous MOI
-MVA at high speeds (100k/hr), or involves rollover/ejection
-Fall from 1+ meter
-Bicycle collision/motorized recreational activity
Presence of 2 or more requires imaging

Question 2

Canadian cervical spine rules (low risk)

Answer 2

• sitting in ER
• ambulatory at time
• delayed onset of neck pain
• absence of midline tenderness
• minor MVA
• can rotate neck 45 degrees or more

Question 3

NEXUS (low probability of injury)

Answer 3

• no midline tenderness
• no focal neuro deficits
• normal alertness
• no intoxication
• no painful/distracting injury

Question 4

Predictors to benefit from cervical manipulation version A

Decreased pain, increased satisfaction, increased perception of condition

Answer 4

• Initial NDI score <11.5
• Bilateral symptoms
• Not performing sedentary work for more than 5 hours per day
• Feeling better when moving the neck
• Did not feel worse with extension
• Diagnosis of spondylosis without radiculopathy

Question 5

Predictors to benefit from cervical manipulation version B

Decreased pain, increased satisfaction, increased perception of condition

Answer 5

• Symptoms less than 38 days
• Positive expectations that manipulation will help
• Side to side differences in c/s rotation ROM greater than or equal to 10 degrees
• Pain with PAs to mid c/s