Cervical Spine Continued

Question 1

What is a medical diagnosis

Answer 1

Made by physicians at a cellular level

Question 2

True or False:

Derangements must have a directional preference

Answer 2

True

Question 3

Which classification has a good prognosis

Answer 3

Dysfunction

Question 4

Which classification has an ify prognosis

Answer 4

Derangement

Question 5

True or False:

Dysfunctions are shortened tissue that need stretching overtime

Answer 5

True

Question 6

When should you be suspicious of trauma (3)

Answer 6

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

Question 7

What does the Canadian C-spine rules determine

Answer 7

If the patient needs imaging to ruleout fracture

Question 8

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

Answer 8

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

Question 9

What is a distraction based injury

Answer 9

MVA

Question 10

If you have one of these tests what should you do

Answer 10

Refer immediately

Question 11

What constitutes a referral

Answer 11

One of the positive tests

Question 12

Characteristics of cervicogenic HA (5)

Answer 12

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

Question 13

Characteristics of ICAD (6)

Answer 13

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

Question 14

True or False:

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

Answer 14

True

Question 15

What does ICAD stand for

Answer 15

Internal Carotid Arterial Dissection

Question 16

What is thoracic outlet syndrome

Answer 16

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

Question 17

Characteristics of TOS (6)

Answer 17

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

Question 18

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

Answer 18

1. Cervical spine rotation less than 60
2. • Spurling’s test
3. • Distraction test
4. • upper limb nerve tension test (Elvy’s test)

Question 19

What is the LR with 2 out of 4 criteria

Answer 19

0.88

Question 20

What is the LR with 3 out of 4 criteria

Answer 20

6.1

Question 21

What is the LR with 4 out of 4 criteria

Answer 21

30.3

Question 22

What does CPR stand for

Answer 22

Clinical Prediction Rule

Question 23

What does LR stand for

Answer 23

Likelihood Ratio

Question 24

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

Answer 24

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

Question 25

True or False: | Symptoms below the elbow are consistent with mechanical neck pain because the shoulder doesn't refer to below elbow

Answer 25

True

Question 26

What are the 5 basic managing principles

Answer 26

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

Question 27

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

Answer 27

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

Question 28

What are the mobility deficit classifications

Answer 28

Directional preference and hyper vs. hypomobile

Question 29

What is the pain classification

Answer 29

Pain control

Question 30

What is the radiculopathy classification

Answer 30

Neuromobilization

Question 31

What is traction used for

Answer 31

Radiculopathy and stenosis

Question 32

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

Answer 32

Usually 30 reps

Question 33

What are 6 interventions addressing hypomobility

Answer 33

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

Question 34

What are 4 interventions addressing hypermobility

Answer 34

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

Question 35

5 ways to control pain/inflammation

Answer 35

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

Question 36

What are 6 things you should educate patients on

Answer 36

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

Question 37

What is HEP

Answer 37

What, why, how often, how long