Cervical CC handout

Question 1

Mobility

Answer 1

• mob or manip exercises to increase mobility
• interventions include AROM exercises and cerv thor mobilization

Question 2

Centralization

Answer 2

• traction, traction manipulation, exercises to promote centralization
• utilize traction and repeated movements
• movement into extension, side bending and rotation to ipsi side will aggravate while movement away will decrease
• main goal is to centralize symptoms

Question 3

Conditioning and increased exercise tolerance

Answer 3

• focus on strength and consitioning
• typically lower pain and disability score with longer duration of tx, no nerve root compression, no peripheralization/centralization of movement

Question 4

Pain control

Answer 4

• modailities, activity modification, gentle exercise to decrease pain and promote movement

Question 5

Reduce headaches

Answer 5

• mobilization, strengthening of neck and upper quarter, postural education

Question 6

Most commonly encountered red flag

Answer 6

cervical myelopathy

Question 7

Cervical myelopathy

Answer 7

• diameter of SC narrowed and causes compression of SC may be congenital or result from degenerative disease
  
  • sensory disturbances in hand in fingertips, intrinsic muscle wasting of hands, unsteadiness of gait.
  • hyperreflexia (hoffmans/Babinski)
• Often surgery