cervical Flashcards
what is cranial nerve 1? How do you test?
olfactory, assess ability to smell common scents
what is cranial nerve 2? How do you test?
optic, read eye chart
what is cranial nerve 3? How do you test?
oculomotor, assess pupil contraction
what is cranial nerve 4? How do you test?
trochlear, have patient follow an H with eyes, assessing to see if eyes can go inward and downward
what is cranial nerve 5? How do you test?
trigeminal, test sensation of face and cheeks, clinch teeth
what is cranial nerve 6? How do you test?
abducens, follow H pattern with eyes, assessing to see if eyes go past midline
what is cranial nerve 7? How do you test?
facial, have patient smile
what is cranial nerve 8? How do you test?
vestibulocochlear, rub fingers by ear
what is cranial nerve 9? How do you test?
glossopharyngeal, gag reflex
what is cranial nerve 10? How do you test?
vagus, say ah and look for elevation of soft palate
what is cranial nerve 11? How do you test?
accessory, MMT traps
what is cranial nerve 12? How do you test?
hypoglossal, stick tongue straight out, look for deviations
what are the CPRs for a cervial spinal myelopathy?
age over 45, positive test on hoffmanns, inverted supinator, babinski, and gait abnormality
what is a positive test on sharp purser?
symptoms go away
what ligament is tested during the sharp purser?
transverse
what does the waiter test?
median
what does the tip begger test?
radian
what does batman glasses test?
ulnar
at what degree of difference between sides do you start to get concerned with upper limb nerve testing?
greater than 10 degrees
what age is the peak for the prevalence for neck pain?
increases with age, peaks at 35-49,
Is cycling a risk factor for neck pain?
yes
do we normally know the pathoanatomical cause of neck pain?
nope
what is no disability on the NDI?
0-4
what is mild disability on NDI?
5-14
what is moderate disability on NDI?
15-24
what is severe disability on NDI?
25-34
what is complete disability on NDI?
35 or greater
what nerve roots supply the diaphragm?
C3-C5, phrenic nerve
what are some issues that a patient may present with that are not musculoskeletal in nature?
dyspnea, dysphasia, fever/chills, sore throats, UMN signs
what are the signs of osteomyelitis?
neck pain even at night, stiffness, may have fever
what is stage I classification?
higher disability score, mod-severe pain
what is stage II classification?
moderate disability, mild-moderate pain
what is stage III classification?
nil-minimal disability score, nil-minimal pain
what are some guideline for the canada cervical spine rules?
age 65 or older, dangerous mechanism of injury, able to rotate neck less than 45 degrees
what group is least likely to seek care for neck pain?
old males
what does severity refer to?
intensity of the pain provoking activity
what does irritability refer to?
how far into a movement pain is provoked, how long it takes for pain to subside after the movement is withdrawn
what does nature refer to?
refers to the type of tissue that is causing the symptoms
what does stage refer to?
the stage of healing that the patient is in. Acute, subacute, chronic
what does stability refer to?
is the problem: worsening, improving, stabilizing
what are the 5 D’s of vertebrobasilar insufficieny?
dizziness, diplopia, dysarthria, dysphasia, drop attacks
what are the cluster tests for radiculopathy?
ULNT (median), cervical rotation (<60 degrees), cervical distraction test, spurlings test
what would you test in a patient who has neck pain with mobility deficits?
cervical AROM, cervical/thoracic segmental mobility
what would you test in a patient who has neck pain with a headache?
cervical AROM, cervical/thoracic segmental mobility, cranial cervical flexion test
what would you test in a patient who has neck pain with movement coordination impairments?
cranial cervical flexion test, deep flexor endurance test, flexibility deficits of UQ muscles
what would you test in a patient who has neck pain with radiating pain?
cervical AROM, spurlings test, ULTT, neck distraction
