cervical spine

Question 1

RPP of the cervical spine

Answer 1

midway betw flexion and extension

Question 2

CPP of the cervical spine

Answer 2

full extension

Question 3

capsular pattern of the cervical spine

Answer 3

side flexion and rotation equally limited > extension

Question 4

usual presentation of cervical spondylosis

Answer 4

older than 45 or 65 y/o

slow onset = IV disc generation = osteoarthritis symptoms

unilateral pain into affected dematome

pain inc on extension; dec on flexion; NOT RELIEVED BY REST

C5-C6 or C6-C7

Question 5

usual presentation of cervical spinal stenosis

Answer 5

30-60 y/o

unilateral or bilateral pain on several dermatomes bcs narrowing of canal = spinal cord affected d/t abnormal growth ganun or structures

paon inc on ext; dec on flexion; RELIEVED BY REST

slow onset and maybe combined c spondy and disc herniation

Question 6

usual presentation of cervical disc herniation

Answer 6

can happen to anyone usually d/t traumatic flex/ext = sudden onset

commonly uni pero pwede din bilat pain into affected dermatome

pain inc on extension; inc/dec on flexion; NOT RELIEVED BY REST

C5-C6

Question 7

what to consider for VBI

Answer 7

5Ds

dizziness
diplopia
drop attacks
dysarthria
dysphagia

Question 8

usual cause of upper cervical symptoms

Answer 8

excessive nodding; yuko

Question 9

usual cause of lower cervical symptoms

Answer 9

activities that require push and pull motion

Question 10

usual pres of myofascial pain syndrome

Answer 10

aching on at least 3 trigger points for at least 3 months s hx of trauma

Question 11

usual pres of cervical radiculopathy

Answer 11

injury to nerve roots d/t disc herniation, stenosis, osteophytes, trauma, spondylosis

sharp burning pain in affected dermatomes c numbness and pins and needles

dec ROM and possible weakness on myotomes

Question 12

usual pres of brachial plexus lesion

Answer 12

d/t stretching/compression of cervical and depression of shoulder

sharp burning in majority of arm dermatomes c traps pain; pins and needles and numbness

transient dec in ROM and muscle weakness

Question 13

usual pres of cervical myelopathy

Answer 13

injury to SC itself - UMNL

spastic weakness, paresthesia, difficulty walking and lack of balance

Question 14

what is upper crossed syndrome

Answer 14

tight: upper traps, lev scap, pecs

weak: rhomboids, serratus ant, lats, lower traps. deep neck flexors