Cervical Interventions

Question 1

for pt’s with acute neck pain with mobility deficits what should the PT do?

Answer 1

thoracic manipulations
neck ROM
scapulothoracic and UE strength

Question 2

for pt’s with acute neck pain with mobility deficits what may the PT do?

Answer 2

cervical manip and/or mobs

Question 3

for pt’s with subacute neck pain with mobility deficits what should the PT do?

Answer 3

neck and shoulder girdle endurance exercise

Question 4

for pt’s with subacute neck pain with mobility deficits what may the PT do?

Answer 4

thoracic manip
cervical manip and/or mobs

Question 5

for pt’s with chronic neck pain with mobility deficits what should the PT do?

Answer 5

thoracic manip and cervical manip or mobs
and every other type of training and modality you can think of

Question 6

what is important to educate the pt on when they have experienced a movement coordination injury like WAD

Answer 6

recovery is expected to occur within the first 2-3 months

Question 7

what muscles are important for straightening the c-spine and holding it rigid

Answer 7

cervical flexors - perform the deep cervical endurance test

Question 8

grade 1 joint mob

Answer 8

small amplitude at beginning of the range
0-25%

Question 9

grade 2 joint mob

Answer 9

large amplitude performed within the range but not reaching the limit
25-50%

Question 10

grade 3 joint mob

Answer 10

large amplitude performed up to the limit of the range
50-100%

Question 11

grade 4 joint mob

Answer 11

small amplitude performed at the limite of the range
75-100%

Question 12

grade 5 joint mob

Answer 12

high velocity thrust performed at limit of the range

Question 13

manual therapy absolute contraindications

Answer 13

malignancy of targeted region
cauda equina syndrome
red flags including indicators of neoplasm, fx, or systemic disturbance
rheumatoid collagen necrosis
upper c-spine instability
concern for CAD

Question 14

manual therapy relative contraindications

Answer 14

active, acute inflammatory conditions
segmental stiffness
systematic diseases
neurological deterioration
irritability
osteoporosis
condition getting worse
acute nerve root irritation
immediately post-partum
blood clotting disorder

Question 15

absolute contraindications for manipulations

Answer 15

previous absolute contraindications
practitioner lack of ability
spondylolisthesis
gross foraminal encroachment
children/teens
prego
fusions
psychogenic disorders
immediately postpartum

Question 16

relative contraindications for manipulations

Answer 16

active, acute inflammatory conditions
segmental stiffness
systematic diseases
neurological deterioration
irritability
osteoporosis
condition getting worse
acute nerve root irritation
immediately post-partum
blood clotting disorder