Cervical Spine (2)

Question 1

occiput mechanics w/ chin tuck

Answer 1

rolls forwards and slides backwards

Question 2

impairment based classification for c spine

Answer 2

neck pain w/ mobility deficits

neck pain with headache (cervicogenic)

neck pain with movement coordination impairments (WAD)

neck pain with radiating pain (radicular)

Question 3

neck pain w/ mobility deficits

Answer 3

central or unilateral pain w/ limited mobility

referred to shoulder girdle/UE pain

Question 4

neck pain w/ headache

Answer 4

noncontinuous, unilateral neck pain with HA

HA aggravated by neck movements

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

Question 5

neck pain with mvmt coordination impairments

Answer 5

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

Question 6

neck pain with radiating pain (radicular)

Answer 6

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

Question 7

what is most common –> IBC

Answer 7

neck pain with mobility deficits

Question 8

red flags

Answer 8

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

Question 9

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

Answer 9

hx of trauma (whiplash)

instability, spinal fx, brain stem/cord injury

Question 10

sxs that are not consistent with findings –> red flags

Answer 10

peripheral weakness

dizziness

drop attacks

diplopia

B hand paresthesia

numbness

ataxia

weight loss

lethargy

Question 11

yellow flags

Answer 11

predictors of poor outcomes

psychological aspect of disability/pain that could lead to chronicity

Question 12

what are yellow flags tested w/

Answer 12

depression screen

FABQ

neck disability index

Question 13

who has chronic neck pain

Answer 13

> 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)

Question 14

history should include

Answer 14

present complaint

surgeries/accidents

prior LBP

family history (CA, RA, autoimmune illness)

Question 15

decisions trees for eval and intervention C/S

Answer 15

components 1-4

Question 16

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

Answer 16

initial observation, concerns, problems, stories

Question 17

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

Answer 17

determine irritability levels

Question 18

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

Answer 18

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

Question 19

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

Answer 19

neck pain w/ mobility deficits

neck pain w/ movement coordination impairments

neck pain w/ headache

neck pain w/ radiation

Question 20

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

Answer 20

most relevant impairment and strategies to implement

Question 21

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

Answer 21

irritability dependent

Question 22

asymmetries of bony landmarks

Answer 22

thoracic kyphosis/flattening

FHP

frontal plane

transverse plane

Question 23

thoracic kyphosis/flattening –> asymmetries of bony landmarks

Answer 23

limited thoracic mobility plays role in cervical spine dysfxn

Question 24

FHP –> asymmetries of bony landmarks

Answer 24

precipitated by or at least associated w/ thoracic kyphosis

Question 25

what does FHP lead to --> asymmetries of bony landmarks

Answer 25

limited upper cervical mobility mid-cervical hyper/hypo mobility

Question 26

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

Answer 26

poor muscle fxn w/in the cervical and thoracic spine

Question 27

frontal plane asymmetries --> asymmetries of bony landmarks

Answer 27

thoracic SBing cervical SBing

Question 28

thoracic SBing --> asymmetries of bony landmarks

Answer 28

mobility impairments caused by something else plays a role in cervical positioning and dysfxn

Question 29

cervical SBing --> asymmetries of bony landmarks

Answer 29

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

Question 30

transverse plane --> asymmetries of bony landmarks

Answer 30

same impairments as frontal

Question 31

asymmetries include

Answer 31

C/s SB or tilt: OA side tilt, midcervical FHP: OA ext, midcervical flexion, thoracic rotation: AA, midcervical

Question 32

ROM testing --> pts with radicular pain

Answer 32

limited rotational ROM toward the dysfxnal side w/ sxs referral also associated w/ extension

Question 33

hypomobile pt --> ROM testing

Answer 33

limited ROM limited into combined motions

Question 34

motor control deficits --> ROM testing

Answer 34

dyskinesia (involuntary muscle mvmt) guarded response catching protecting

Question 35

tissue tension

Answer 35

JANDA upper crossed syndrome associated w/ poor cervical/thoracic postures

Question 36

what is there strong evidence of --> JANDA

Answer 36

weakness, decreased endurance and muscle coordination dysfxn associated w/ CCFT neck flexor endurance test is associated with chronic neck pain, HA and movement impairments

Question 37

upper crossed syndrome

Answer 37

weak cervical flexors and lower trap/SA tight upper trap/LS & SCM/pec

Question 38

special tests

Answer 38

spurlings distraction shoulder ABD test ligamentous stress testing vertebral artery testing craniocervical flexion test (CCFT) cervical flexor/extensor endurance test

Question 39

spurlings

Answer 39

NRC part of cluster of wainner SXS RELIEVER

Question 40

distraction

Answer 40

NRC part of cluster of wainner

Question 41

ligamentous stress testing

Answer 41

instability cord signs

Question 42

vertebral artery testing

Answer 42

insufficiency

Question 43

CCFT

Answer 43

motor control