Cervical notes Flashcards

1
Q

What can also be affected with the cervical spine?

A

nerves may also be affected

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2
Q

What is the primary cause of neck pain?

A

degenerative and traumatic conditions

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3
Q

What can influence pain, motion, and posture of the entire spine?

A

dysfunctions in the thoracic spine and ribs

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4
Q

Does age increase or decrease the frequency of cervical spine dysfunctions?

A

it increases

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5
Q

What percent of outpatient population have neck pain and headaches?

A

approximately 25%

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6
Q

What is the primary cause of degenerative and traumatic conditions?

A

Whiplash and arthritis

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7
Q

Questions you ask in the patient interview?

A
  • past medical history
  • mechanism of injury (motor vehicle accident or trauma, job/work duties)
  • numbness or tingling
  • radiating pain
  • loss of sensation
  • weakness
  • dizziness, nauseas or vertigo
  • increase or decreased pain
  • activities that are avoided
  • pain with sneezing
  • headaches
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8
Q

What is the first thing you observe when the patient walks in?

A

posture: note if it is forward head, increased kyphosis or thoracic spine

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9
Q

What can happen in the upper traps with forward head posture?

A

muscle hypertrophy

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10
Q

What are only important observations to make besides posture?

A
  • muscle hypertrophy
  • difficulty turning
  • rib movement with breathing (pain with coughing sneezing )
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11
Q

What are four things you need to make sure to check when dealing with the cervical spine?

A
  • joints above and below the affected area
  • assess cervical and thoracic spine together
  • look at shoulder and scapula mobility
  • rib functioning
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12
Q

Grade 5 for cervical

A

Full ROM and able to hold against max resistance

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13
Q

Grade 4 for cervical

A

movement through complete ROM but unable to hold against moderate resistance

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14
Q

Grade 3 for cervical

A

patient flexes head and neck through full ROM without resistance

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15
Q

Grade 2 for cervical

A

patient flexes head and neck through partial ROM

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16
Q

Grade 1 for cervical

A

no motion but palpable contraction is present

17
Q

What is the gravity eliminated position for cervical spine?

A

there is no separate test or position for muscle grades 3 and below

18
Q

What is a myotome?

A

-a motor test of each level of innervation from the cervical spine

19
Q

What is the purpose of the myotome test in UQS?

A
  • an isometric test of key muscles to look for gross weakness in the upper extremities
  • further investigation required if asymmetries found
20
Q

What is a dermatome?

A
  • sensation test of each level of innervation from the cervical spine
  • further investigation required if asymmetries found