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Musculo > Cervical Spine Continued > Flashcards

Cervical Spine Continued Flashcards

1
Q

What is a medical diagnosis

A

Made by physicians at a cellular level

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2
Q

True or False:

Derangements must have a directional preference

A

True

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3
Q

Which classification has a good prognosis

A

Dysfunction

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4
Q

Which classification has an ify prognosis

A

Derangement

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5
Q

True or False:

Dysfunctions are shortened tissue that need stretching overtime

A

True

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6
Q

When should you be suspicious of trauma (3)

A
  1. MVA
  2. Fall from 5 feet or more
  3. Fall down 5 or more stairs
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7
Q

What does the Canadian C-spine rules determine

A

If the patient needs imaging to ruleout fracture

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8
Q

What are the 5 positive tests for the Canadian C-spine rules

A
  1. Cognitively impaired or neurologic symptoms in limbs
  2. Age 65 or older
  3. Fearful of moving head
  4. Involved in a distraction based injury
  5. Midline pain
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9
Q

What is a distraction based injury

A

MVA

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10
Q

If you have one of these tests what should you do

A

Refer immediately

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11
Q

What constitutes a referral

A

One of the positive tests

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12
Q

Characteristics of cervicogenic HA (5)

A
  1. Originate from upper C-spine
  2. Symptoms in suboccipital region, temporal bone, frontal bone, and orbital region
  3. Symptoms change with motion
  4. Non life threatening
  5. Do very well in PT
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13
Q

Characteristics of ICAD (6)

A
  1. Life threatening
  2. Sudden intense HA in temporal region
  3. Neck pain of same side as HA
  4. Worst HA of life
  5. UMN signs
  6. Get to emergency room
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14
Q

True or False:

People with an ICAD will not be able to focus because pain is so bad

A

True

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15
Q

What does ICAD stand for

A

Internal Carotid Arterial Dissection

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16
Q

What is thoracic outlet syndrome

A

Collection of symptoms that don’t follow a typical pattern like a radiculopathy

17
Q

Characteristics of TOS (6)

A
  1. Present with neck and shoulder pain
  2. Arm feels heavy
  3. Hands feel cold
  4. Difficulty with RM at or above shoulder level
  5. Not sure how injury occurred
  6. Usually no pain at rest
18
Q

What are the 4 criteria of Wainner’s CPR for Cervical Radiculopathy

A
  1. Cervical spine rotation less than 60
    • Spurling’s test
    • Distraction test
    • upper limb nerve tension test (Elvy’s test)
19
Q

What is the LR with 2 out of 4 criteria

A

0.88

20
Q

What is the LR with 3 out of 4 criteria

A

6.1

21
Q

What is the LR with 4 out of 4 criteria

A

30.3

22
Q

What does CPR stand for

A

Clinical Prediction Rule

23
Q

What does LR stand for

A

Likelihood Ratio

24
Q

What are things to consider when determining if neck or shoulder pain (3)

A
  1. Onset of symptoms
  2. Location of symptoms
  3. Examination how the neck changes shoulder pain/function
25
Q

True or False:

Symptoms below the elbow are consistent with mechanical neck pain because the shoulder doesn’t refer to below elbow

A

True

26
Q

What are the 5 basic managing principles

A
  1. Stage of recovery
  2. Exam findings
  3. Pt beliefs and goals
  4. Evidence to support what you are doing
  5. Test-tx-Retest-tx
27
Q

What are the 5 broad intervention options for the C-spine

A
  1. Directional preference
  2. Hyper vs. Hypomobility
  3. Pain control
  4. Neuromobilization
  5. Traction
28
Q

What are the mobility deficit classifications

A

Directional preference and hyper vs. hypomobile

29
Q

What is the pain classification

A

Pain control

30
Q

What is the radiculopathy classification

A

Neuromobilization

31
Q

What is traction used for

A

Radiculopathy and stenosis

32
Q

How many reps of directional preference motion do we need to do before we see change

A

Usually 30 reps

33
Q

What are 6 interventions addressing hypomobility

A
  1. Education
  2. Thrust and non-thrust menipulation
  3. Soft tissue mobilization and stretching
  4. A/PROM in to restricted movements
  5. Postural education
  6. Muscle performance testing
34
Q

What are 4 interventions addressing hypermobility

A
  1. Education
  2. Local modalities in acute/irritable conditions
  3. Stabilization activities
  4. Address postural muscle strength/endurance
35
Q

5 ways to control pain/inflammation

A
  1. Local modalities
  2. Education
  3. Manual therapy
  4. A/PROM in pain free range
  5. Progress toward mobility classification
36
Q

What are 6 things you should educate patients on

A
  1. Inform about prognosis and plan
  2. Limitations of stage of healing
  3. Learn how to manage symptoms
  4. Postural awareness
  5. Prevent future episodes
  6. HEP
37
Q

What is HEP

A

What, why, how often, how long

Musculo (18 decks)

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