Cervical III Flashcards
What are the red flag risk factors?
- Vessel disease
- Fracture
- Infx/instability
- Radiculopathy
- Spinal stenosis/stroke
- Tumor/thrombus
What should always be performed with cervical manipulation?
Neurological exam
What are the five components of the neuro exam?
- Inspection
- AROM
- Str
- Reflexes
- Sensation C5-T1 dermatomes
When are fractures of the neck suspected?
Pain in the neck after trauma
Relative contraindications to OMM are mainly to what?
HV/LA
Can you still treat patients who have contraindications with OMM?
Yes, with non-HV/LA techniques
Herniated nucleus pulposus = ok to treat?
Only non-HV/LA
What are the side effects of cervical manipulation?
- Transient dizziness
- Decrease of symptoms
- Soreness
- No change
What are the two indications of vascular insufficiency in the carotid or vertebrobasilar vascular disease?
Dizziness with looking up
Carotid bruit
Are cervical treatments safe? Why?
Apparently
- how they are performed
- Avoidance of complications
What did this AOA paper conclude?
- Small risk of C spine OMM
- Teach potential risks
- Continue to teach as before
- More research is needed
What are the two specific diseases that are need f/u prior to HV/LA cervical spine?
RA
Downs
Needs flexion and extension x-rays
What is spondylolisthesis, and can you treat it with HV/LA?
Movement of vertebrae on one another.
No
Why are ocular lens implants contraindicated for OMM?
lens fall off
What is a syringomyelia?
Cavity in the spinal cord due to trauma or tumor
