Cervical Flexion Syndrome

Question 1

which is more common, cervical flexion or extension syndrome?

Answer 1

extension

Question 2

what will you see in cervical flexion syndrome?

Answer 2

decrease of normal cervical lordosis
decreased throacic kyphosis
loss of flexion in thoracci spine, may require greater flexion in cervical spine

Question 3

who usually has cervical flexion syndrome?

Answer 3

younger spines typically
ballet, military
painful flexion in cervical spine

Question 4

describe patient who has flexion syndrome

Answer 4

altered distribution of flexion
dominance of cervical intrinsic flexors creates kyphotic cerviclal spine
insufficient recruitment of extensors during extension, depressed shoulders

Question 5

corrective exercises

Answer 5

encourage them to “slump”
this encourages flexion in thoracic spine
helps force activation of extensors in the cervical spine to maintain neutral position

Question 6

corrective exercise while laying down

Answer 6

have them lay prone
have them push head into table
come up to elbows have them try to extend
have them use an exercise ball and pulling a band out

Question 7

supine correction

Answer 7

have them bring their arm to 90 degrees

have them try to depress shoulder and finally add a little rotation

Question 8

what are these corrective exercises doing?

Answer 8

relax/stretch facilitated muscles for each pattern
bring spine to better neutral position and begin exercises
use gravity
motor controll and coordination

Question 9

0 whiplash

Answer 9

no complaint or physical signs

Question 10

I whiplash

Answer 10

neck pain, stiffness and tenderness only

Question 11

II whiplash

Answer 11

neck pain and musculoskeletal signs, decreased ROM, point tender

Question 12

III whiplash

Answer 12

neck complaint and neurological signs

decreased or absent relfexes, weakness, sensory deficits

Question 13

IV whihplash

Answer 13

nack pain and fracture or dislocation

Question 14

what initial whiplash symptoms predict poorer outcome?

Answer 14

greater intial pain
greater number of symptoms
more parts in pain
pain related lmitations

Question 15

psychological factors predictive of slower recovery

Answer 15

fear
catastrophizing
passive coping
depression
anxiety
helplessness

Question 16

managment of whiplash

Answer 16

reassure them
maintain life activities, act as usual
return to work as soon as possible (work alterations, relaxation techniques
ROM exercises
isometrics
adjustments/mibilizations
postural exercises

Question 17

what are the phases of healing?

Answer 17

acute inflammatory (0-3 days)
subacute/proliferative (3 days- 3 weeks)
chronic remodeling (3weeks+)