cervical

Question 1

do men or women more commonly have neck pain?

Answer 1

women

Question 2

what is the purpose of the neck and shoulder screening questionnaire?

Answer 2

screen for ligamentous instability, cervical fx, cord lesions, pancoast tumors

Question 3

what are the three major risk factors at the beginning of the canadian C-spine rules?

Answer 3

> 65 y/o, paresthesia in the limbs, dangerous MOI

Question 4

if someone clears that initial canadian c-spine rules, what are the 5 criteria to be cleared to check ROM?

Answer 4

can sit up in ER, can walk at any time, pain does not start immediately, no midline cervical tenderness, the MVA did not involve a big bus or truck

Question 5

if ROM can be assess for the canadian c-spine rules, how far must they be able to rotate to clear the test?

Answer 5

45 degrees rotation each way.

Question 6

what ligament are you testing with the sharp purser test?

Answer 6

cruciform ligament

Question 7

how do you perform the alar ligament test?

Answer 7

fingers on C2, sidebend and should feel C2 pop into finger opposite the side of the sidebend, delay equals a ligamentous instability

Question 8

what is the most common presenting symptom suggestive of a VBA dissection?

Answer 8

pain in head and neck, often unilateral and suboccipital. onset is usually acute

Question 9

what are the 6 predictors of a positive outcome to cervical manipulation?

Answer 9

NDI <11.5, having bilateral involvement, performing sedentary work <5 hours/day, feel better moving the neck, symptoms don’t increase with extension, a dx of spondylosis without radic

Question 10

what four things predict a good response to thrust manip to the cervical region?

Answer 10

symptoms less than 38 days, positive expectation it will help, side to side difference in rotation >10 degrees, pain with PA spring testing mid cervical

Question 11

what nerve root levels are tested with the biceps brachii and brachioradialis reflex?

Answer 11

C5-C6

Question 12

what nerve root level is tested with the triceps reflex?

Answer 12

C7

Question 13

describe the babinski test and what is positive

Answer 13

hammer on foot, positive test is toes splay out

Question 14

describe the Hoffman test and what is positive

Answer 14

flick middle finger, look for clonus

Question 15

what is the cluster for cervical radiculopathy (4 things)?

Answer 15

positive spurlings, positive distraction test, rotation less than 60 degrees to involved side, positive median ULTT

Question 16

what 4 variables predict a successful outcome in a cervical radiculopathy with PT?

Answer 16

age <54, dominant arm not affected, symptoms not worse looking down, multimodal approach

Question 17

what indicates a patient will benefit from traction (5 things)?

Answer 17

peripheralization with lower cervical spine mobility testing, + shoulder abd sign, age >55, + median ULTT, symptom relief with manual distraction test

Question 18

on the NDI does a higher score indicate more or less disability?

Answer 18

more

Question 19

what characteristics does someone in the neck pain with mobility deficits category have? (4 things)

Answer 19

age <50, acute neck pain (<12 weeks), symptoms isolated to the neck, restricted cervical ROM

Question 20

what six factors predict a positive response to thoracic manip for neck pain?

Answer 20

symptoms <30 days, no symptoms distal to shoulder, looking up does not aggravate, FABQ-PA <12, diminished upper thoracic kyphosis, cervical extension <30 degrees

Question 21

how many factors do you need on the thoracic manip predictors to likely have a good outcome?

Answer 21

3

Question 22

what 5 factors help classify someone as neck pain with headaches?

Answer 22

unilateral headaches in subocc region aggravated by neck movements, headache reproduced with posterior muscle palpation, limited cervical ROM, limited segmental mobility, substandard CCFT

Question 23

what is average time patients without neck pain get on the neck flexor endurance test?

Answer 23

39 seconds

Question 24

how do you do the CCFT?

Answer 24

chin tuck onto biofeedback unit, holds pressure levels for ten seconds at 22,24,26,28,30 mmHg, rest 10 seconds between each level

Question 25

what denotes failure on the CCFT?

Answer 25

less than 26, compensation

Question 26

what 6 things classify someone into the neck pain with movement coordination impairments category?

Answer 26

chronic neck pain (>12 weeks), substandard CCFT, substandard DFET, coordination and strength issues of UE muscles, flexibility issues of the UE muscles, ergonomic inefficiencies with repetitive activities

Question 27

what 4 things put someone into the neck pain with radiating pain category?

Answer 27

decreased cervical rotation (>60), signs of nerve root compression, success with reducing UE symptoms with initial eval and interventions, UE radicalizing symptoms

Question 28

what do you see for location, intensity, and duration for migraines?

Answer 28

4-72 hours, one sided, throbbing

Question 29

what do you see for location, intensity, and duration for sinus headaches?

Answer 29

widespread, last until treated, dull

Question 30

what do you see for location, intensity, and duration with tension headaches?

Answer 30

widespread, last hours, dull

Question 31

what do you see for location, duration, and intensity of cluster headaches?

Answer 31

one sided, 15 mins to 3 hours, sharp intense pain

Question 32

what do you see with cervicogenic headaches?

Answer 32

trigger point referral, are usually recurrent