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Spine - Exam 1 > Cervical Spine (2) > Flashcards

Cervical Spine (2) Flashcards

1
Q

occiput mechanics w/ chin tuck

A

rolls forwards and slides backwards

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2
Q

impairment based classification for c spine

A

neck pain w/ mobility deficits

neck pain with headache (cervicogenic)

neck pain with movement coordination impairments (WAD)

neck pain with radiating pain (radicular)

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3
Q

neck pain w/ mobility deficits

A

central or unilateral pain w/ limited mobility

referred to shoulder girdle/UE pain

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4
Q

neck pain w/ headache

A

noncontinuous, unilateral neck pain with HA

HA aggravated by neck movements

MVMT coord of thoracic flex/ext, neck flex/ext, neck rotation

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5
Q

neck pain with mvmt coordination impairments

A

mechanism of onset trauma/whiplast

referred of shoulder girdle/UE pain

dizziness/nausea, concentration/memory

hypersensitivity, distress

mvmt coordination: thoracic flex/ext and neck flex/ext

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6
Q

neck pain with radiating pain (radicular)

A

central and or unilateral neck pain

radiating pain in UE

UE dermatomal/myotome sxs

sxs exaggerated with sb/rot to same side

MVMT coordination: neck flexion/ext and rotation

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7
Q

what is most common –> IBC

A

neck pain with mobility deficits

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8
Q

red flags

A

signs of serious pathology that needs to be immediately referred to a PCP/emergency room

sxs that are not consistent with findings

cervical myelopathy, neoplastic conditions, cervical ligamentous instability, vertebral artery insuff, inflammatory/systemic dz

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9
Q

signs of serious pathology that needs to be immediately referred to a PCP/emergency room –> red flag

A

hx of trauma (whiplash)

instability, spinal fx, brain stem/cord injury

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10
Q

sxs that are not consistent with findings –> red flags

A

peripheral weakness

dizziness

drop attacks

diplopia

B hand paresthesia

numbness

ataxia

weight loss

lethargy

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11
Q

yellow flags

A

predictors of poor outcomes

psychological aspect of disability/pain that could lead to chronicity

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12
Q

what are yellow flags tested w/

A

depression screen

FABQ

neck disability index

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13
Q

who has chronic neck pain

A

> 40 years old

long history of lumbar pain

cycling as a regular activity (positioning)

loss of strength in hands

poor quality of life/less vitality (yellow flag)

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14
Q

history should include

A

present complaint

surgeries/accidents

prior LBP

family history (CA, RA, autoimmune illness)

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15
Q

decisions trees for eval and intervention C/S

A

components 1-4

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16
Q

component 1 –> decisions trees for eval and intervention C/S

A

initial observation, concerns, problems, stories

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17
Q

component 2 –> decisions trees for eval and intervention C/S

A

determine irritability levels

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18
Q

component 3 –> decisions trees for eval and intervention C/S

A

physical exam to r/o or r/i most relevant conditions

19
Q

most relevant conditions –> decisions trees for eval and intervention C/S

A

neck pain w/ mobility deficits

neck pain w/ movement coordination impairments

neck pain w/ headache

neck pain w/ radiation

20
Q

component 4 –> decisions trees for eval and intervention C/S

A

most relevant impairment and strategies to implement

21
Q

component 4 is …. –> decisions trees for eval and intervention C/S

A

irritability dependent

22
Q

asymmetries of bony landmarks

A

thoracic kyphosis/flattening

FHP

frontal plane

transverse plane

23
Q

thoracic kyphosis/flattening –> asymmetries of bony landmarks

A

limited thoracic mobility plays role in cervical spine dysfxn

24
Q

FHP –> asymmetries of bony landmarks

A

precipitated by or at least associated w/ thoracic kyphosis

25
Q

what does FHP lead to –> asymmetries of bony landmarks

A

limited upper cervical mobility

mid-cervical hyper/hypo mobility

26
Q

what is FHP associated w/ –> asymmetries of bony landmarks

A

poor muscle fxn w/in the cervical and thoracic spine

27
Q

frontal plane asymmetries –> asymmetries of bony landmarks

A

thoracic SBing

cervical SBing

28
Q

thoracic SBing –> asymmetries of bony landmarks

A

mobility impairments caused by something else

plays a role in cervical positioning and dysfxn

29
Q

cervical SBing –> asymmetries of bony landmarks

A

mobility impairment can be caused by
- radiating pain
-muscle fxn
-upper/mid cervical or thoracic dysfxn

30
Q

transverse plane –> asymmetries of bony landmarks

A

same impairments as frontal

31
Q

asymmetries include

A

C/s SB or tilt: OA side tilt, midcervical

FHP: OA ext, midcervical flexion, thoracic

rotation: AA, midcervical

32
Q

ROM testing –> pts with radicular pain

A

limited rotational ROM toward the dysfxnal side w/ sxs referral

also associated w/ extension

33
Q

hypomobile pt –> ROM testing

A

limited ROM

limited into combined motions

34
Q

motor control deficits –> ROM testing

A

dyskinesia (involuntary muscle mvmt)

guarded response

catching

protecting

35
Q

tissue tension

A

JANDA

upper crossed syndrome

associated w/ poor cervical/thoracic postures

36
Q

what is there strong evidence of –> JANDA

A

weakness, decreased endurance and muscle coordination dysfxn associated w/ CCFT

neck flexor endurance test is associated with chronic neck pain, HA and movement impairments

37
Q

upper crossed syndrome

A

weak cervical flexors and lower trap/SA

tight upper trap/LS & SCM/pec

38
Q

special tests

A

spurlings

distraction

shoulder ABD test

ligamentous stress testing

vertebral artery testing

craniocervical flexion test (CCFT)

cervical flexor/extensor endurance test

39
Q

spurlings

A

NRC

part of cluster of wainner

SXS RELIEVER

40
Q

distraction

A

NRC

part of cluster of wainner

41
Q

ligamentous stress testing

A

instability

cord signs

42
Q

vertebral artery testing

A

insufficiency

43
Q

CCFT

A

motor control

Spine - Exam 1 (7 decks)

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