Cervical 2

Question 1

Thoracic spine manipulation (not validated)

Answer 1

• Symptoms less than 30 days
• No symptoms distal to the shoulder
• Looking up does not aggravate symptoms
• FABQ <12
• Diminished upper thoracic kyphosis
• Cervical extension <30 degrees

Question 2

Factors to achieve success with PT in cervical radiculopathy

Answer 2

• Age <54
• dominant arm not affected
• symptoms not worse looking down
• multimodal treatment for at least 50% of visits (MT, traction, DNF strengthening)

Question 3

CPR for cervical radiculopathy

Answer 3

• +ULTTA snout
• • Spurlings A spin
• • Distraction test spin
• Rotation less than 60 degrees to affected side

Question 4

CPR to ID those who would benefit from cervical traction

Answer 4

• Peripheralization with lower c/s mobility testing (C4-7)
• Positive shoulder abduction sign
• Age less than or equal to 55
• +ULTTA
• • Distraction test

Question 5

CPR for cervical myelopathy

Answer 5

• Age over 45
• Ataxic gait
• +Babinski
• +Inverted supinator
• +Hoffmans
• could have bowel or bladder dysfunction

Question 6

5Ds, 2As, 3Ns

Answer 6

• Dysphagia, dysarthria, diplopia, dizziness, drop attacks
• Anxiety, ataxia
• Nausea, nystagmus, numbness