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pt musculo2 > Cervical Examination & Intervention > Flashcards

Cervical Examination & Intervention Flashcards

0
Q

neck pain is almost as prevalent as blank

A

low back pain

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1
Q

neck pain affects blank percent of individuals in their lifetime

A

70

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2
Q

neck pain makes up about blank percent of patients seen in pt

A

25

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3
Q

like low back pain, the origin of pain is often blank

A

indefinablee

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4
Q

some elements of subjective exam

A

nature of disorder, area of symptoms, behavior of symptoms, questionnaires

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5
Q

pain that is constant and high level… recent onset

A

chemical pain

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6
Q

pain that is intermittent, variable levels of pain, usually local, can be chronic

A

mechanical pain

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7
Q

mechanical pain can be reduced by blank

A

changes in position

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8
Q

some special questions for cervical pain

A

dizziness? trouble talking/swallowing? change in vision? change in gait? hard to hold onto small objects?

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9
Q

5 d special questions

A

double vision, dysarthria (difficulty speaking), dizziness, dysphagia (difficulty swallowing), drop attacks

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10
Q

10 item condition specific self report questionnaire

A

neck disability index (NDI)

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11
Q

ndi is on a scale of

A

0-50

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12
Q

minimal detectable change with ndi

A

5 points

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13
Q

blank scores on ndi are more desirable

A

lower

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14
Q

concordant sign is the patients blank

A

chief complaint

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15
Q

normal AROM of cervical flexion

A

45 degrees

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16
Q

normal arom cervical extension

A

45

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17
Q

normal lateral flexion cervical

A

45

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18
Q

normal arom rotation cervical

A

60

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19
Q

movements used for the purpose of assessment and management of pain

A

repeated movement testing

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20
Q

three types of repeated movement testing

A

postural, dysfunction, derangement

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21
Q

pain during movement is characteristic of blank

A

derangement

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22
Q

pain at end range is more characteristic of blank

A

dysfunciton

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23
Q

repeated movements have no effect on this syndrome

A

postural

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24
Q

PROM cervical is usually performed in the blank position for relaxation

A

supine

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25
Q

PROM examiner uses blank hold or blank hold to move patient’s head into desired ROM

A

chin cradle, cradle

26
Q

during cervical PROM, examiner is looking for whether or not blank is present

A

gapping

27
Q

this test provides clinician with information regarding tissue reactivity

A

resisted isometric testing

28
Q

this test provides clinician with information regarding strength

A

MMT

29
Q

most people with cervical pain have weakness in blank

A

neck flexors

30
Q

special UMN lesion tests

A

babinski, hoffman, rhomberg, lhermitte

31
Q

rhomberg is a blank test

A

balance

32
Q

lhermittes sign is a blank pain down spine with blank cervical movement

A

lightning, retraction

33
Q

ULNT is a special test that looks at the blank and physiologic ability of the blank system

A

mechanical, nervous

34
Q

ULNT results that reproduce pain, alters pain, difference from side to side in ROM

A

positive results

35
Q

three peripheral nerves tested by ULNT testing

A

median, radial, ulnar

36
Q

alar ligament test, transverse ligament test, modified sharp pursers, aspinalls, tectorial membrane tests are provocative for blank

A

cervical instability

37
Q

these tests test for vascular signs and consist of different movements of the neck to see if there is dizziness

A

vertebral artery tests

38
Q

how many visits for appreciable change observation

A

6

39
Q

following a MVA or a fall from a height or down stairs, the clinician should be suspicious of serious injury in the presence of blank sings

A

vague

40
Q

canadian c spine rules are supposedly blank

A

100% sensitive

41
Q

pt should determine if headaches are blank or blank

A

cervicogenic, icad

42
Q

icad means

A

internal carotid artery dissection

43
Q

pts can treat this headache

A

cervicogenic

44
Q

cervicogenic headaches originate from cervical spine and symptoms change with blank testing, and symptoms in the suboccipital region, temporal, frontal, or orbital region

A

movement

45
Q

icad is a sudden intense headache in the blank region unilaterally

A

temporal

46
Q

icad also presents blank pain on the same side of headache

A

neck pain

47
Q

icad may present with blank signs and as the worst headache of a patient’s life

A

upper motor neuron (check CN)

48
Q

an icad is a medical blank

A

emergency

49
Q

cervical radiculopathy is blank by pt but blank thoracic outlet syndrome

A

treatable, not

50
Q

cervical radiculopathy is usually blank pain

A

referred

51
Q

thoracic outlet syndrome have symptoms with blank and is characterized by blank arms or blank hands

A

activity, heavy, cold

52
Q

four criteria to identify Wainners CPR for cervical radiculopathy

A

c spine rotation less than 60 degrees, spurlign’s test, distraction test, upper limb nerve tension test

53
Q

three of five basic managing principles

A

stage of recovery, exam findings, patient beliefs, evidence to support what you’re doing, test then treat then retest then treat

54
Q

intervention when patient responded favorably to repeated movement testing

A

directional preference

55
Q

directional preference should use movements in the blank direction of pain

A

opposite?

56
Q

directional preference should always exhaust movements in this plane

A

sagittal

57
Q

directional preference should ideally be performed in this position

A

sitting

58
Q

evidence for thoracic manipulation is blank

A

weak

59
Q

manual therapy that controls inflammation/pain should be blank cervical traction for less than five mins

A

intermittent

60
Q

this intervention is used in the presence of radicular symptoms or peripheral neurogenic symptoms

A

neuromobilization

61
Q

neuromobilization, the test is the blank

A

treatment

62
Q

passive neuromobilizations should be blank

A

graded

63
Q

neuromobilizations can be done blank or blank depending on the nature of the disorder

A

active, manually

pt musculo2 (17 decks)

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