Cervical Pain CPG (15)

Question 1

Acute neck pain w/ radiating recommendations (3)? Grade?

Answer 1

C - mob and stab ex, laser, short term collar

Question 2

Chronic neck pain w/ radiating pain rec (5)? Grade?

Answer 2

-mech intermittent traction, stx, strength, cerv and Thor mob/manip
-edu and counseling

B

Question 3

5 contraindications for traction

Answer 3

-vertebral fx
-vertebral dislocation
-hypermobility
-disease/infect
-vertebral artery dysfxn

Question 4

What is traction used to tx

Answer 4

Cervical radiculopathy

Question 5

7 benefits of manual traction

Answer 5

-stx mus and jts
-increases intervertebral spaces and foramen
-centripetally directed forces on disc
-mob vertebral jts
-relieves compressive effects
-improve arterial, venous, and lymphatic flow

Question 6

Manual traction form

Answer 6

-hand cradles neck on mastoid process and other on chin
- pull < 20 lbs
-intermittent pull 3-10 sec
-tx time 3-10 sec

Question 7

Pt pos for mechanical traction

Answer 7

Supine and neck flex 20-30 degrees

Question 8

How much force may increase intervertebral separation

Answer 8

50 lbs

Question 9

5 cervical traction CPRule

Answer 9

+ sh abd test
Age greater than or equal to 55
+ upper limb tension test
+ cervical distraction test