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MM III > Cervical Spine 2 > Flashcards

Cervical Spine 2 Flashcards

1
Q

When testing the cervcal spine, which side should you test first? Involved or uninvolved?

A

Test the uninvolved/ less involved side first

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2
Q

What are the Maitland SINSS?

A 
Severity
Irritability
Nature
Stage
Stability
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3
Q

What is severity?

A

Intensity of the pain provoking activity (NPS). Can be min, mod, high

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4
Q

What is irritability?

A

How far into the movement is the pain provoked? Howling does it take to subside? Can be min, mid, high

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5
Q

What is nature?

A

Type of tissue that is causing sx (MSK, neural, inflamm…) Also consider fear avoidance

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6
Q

What is stage?

A

of healing… acute, sub-acute, chronic (3+ months)

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7
Q

What is stability?

A

If the problem is worsening, improving or stablized

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8
Q

Which is the most useful statistic clinically?

A

Likelihood ratios

strong evidence = + LR > 10 - LR < 0.1

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9
Q

What are the s/s of vertebral artery insufficiency?

A 
Dizziness
Diplopia (double vision)
Dysarthria
Dysphagia
Drop attacks
N/V
Sensory changes
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10
Q

What is the sensitivity and specificity of the vertebral artery test?

A

Sensitivity 0% (A negative cannot be trusted); Specificity 67-90% a positive can be trusted)

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11
Q

T/F: Centralization and peripheralization with cervical ROM in transverse and frontal planes has good reliability.

A

False. It has no to poor reliability

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12
Q

What are the 4 elements in the cluster test for radiculopathy

A
  1. ULNT (Median)
  2. Cervical rotation <60
  3. Cervical distraction test
  4. Spurling’s
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13
Q

What is the sensitivity of plain film?

A

93%

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14
Q

What is special about the oblique view of C spine?

A

You can see the foramen

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15
Q

What are the ABCs of film

A

Alignment, Bones, Cartilage (and soft tissue)

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16
Q

Which imaging technique would you use to show the relationship between bone to neural canal in transverse plane?

A

CT

17
Q

Which imaging technique would you use to visualize the spinal cord and soft tissues

A

MRI

18
Q

Which imaging technique would you use to visualize spinal cord and nerve roots

A

Myelogram

19
Q

Which imaging technique would you use to see a disc?

A

Discogram

20
Q

What (2) tests would you use for neck pain with mobility deficits?

A
  1. Cervical AROM

2. Cervical/ thoracic segmental mobility

21
Q

What (3) tests would you do for neck pain with HA

A
  1. Cervical AROM
  2. Cervical/ thoracic segmental mobility
  3. Cranial cervical flexion test
22
Q

What (3) tests would you do for neck pain with movement coord impairments?

A
  1. Cranial cervical flexion test
  2. Deep flexor endurance test
  3. Flexibility deficits of upper quarter muscles
23
Q

What (4) tests would you do for neck pain with radiating pain

A
  1. Cervical AROM
  2. Spurling’s
  3. ULNT
  4. Neck distraction
24
Q

What are the 4 principles of classification into McKenzie’s syndromes?

A
  1. Pain behavior
  2. Loss of ROM
  3. Presence of referred pain
  4. Effect of repeated movement on pain
25
Q

What are McKenzie’s 3 syndromes of mechanical pain?

A
  1. Postural
  2. Dysfunction
  3. Derangement
26
Q

What causes postural syndrome?

A

Mechanical deformation or vascular insufficiency of normal tissue as result of sustained loading.

27
Q

The following characteristics belong to which syndrome: gradual onset, dull symmetric pain, full cervical AROM, no referred pain, neck pain with sustained end range positions may take >15 mins

A

Postural

28
Q

What causes dysfunction syndrome?

A

mechanical deformation or vascular insufficiency of abnormal tissue (shortened and fibroses or lengthened)

29
Q

What syndrome has the following characteristics:intermittent neck pain, loss of cervical AROM, neck pain at end range, no arm pain

A

Dysfunction

30
Q

What causes derangement syndrome?

A

internal disruption or displacement of tissues (thought to be disc related)

31
Q

What syndrome has these characteristics: loss of cervical AROM, constant neck pain, pain radiates into shoulder/ arm, neck/ arm pain affected by repeated movement (peripheralization, centralization)

A

Derangement

32
Q

How would McKenzie classify the following characteristics: constant pain, pain in all movement directions, pain is a result of inflammatory or infectious processes, intervention is rest and pharmacology

A

Non-mechanical pain

33
Q

T/F: Forward head posture is the most common c-spine impairment

A

True

34
Q

What effects does FHP have on c-spine and muscle activity?

A

Increased facet loading, slight extension of upper c spine, increased post cervical mm activity

MM III (2 decks)

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