Cervical Spine Disorders

Question 1

What are the risk factors for chronic neck pain?

Answer 1

• Age over 40
• Coexisting LBP
• History of neck pain
• Cycling regularly
• Loss of hand strength
• Worrisome attitude/poor life quality

Question 2

What are four questions patients want to have answered?

Answer 2

• What’s wrong with me
• How long will it take?
• What can I do?
• What can you do?

Question 3

What are the best questionnaires for neck pain?

Answer 3

-NDI
-Patient specific functional scale
-

Question 4

What are the 5 categories for neck pain?

Answer 4

• Mobility
• Headache
• Centralization
• Exercise
• Pain control

Question 5

Signs of mobility classification?

Answer 5

• Recent symptoms
• Age under 60
• No symptoms distal to shoulder
• No signs of radiculopathy with ROM
• Restriced rotation or sidebend ROM

Question 6

Variables of the cervical pain and manipulation CDR?

Answer 6

• Initial score on NDI of less than 11.5
• Bilateral involvement pattern
• Not performing sedentary work longer than 5 hrs per day
• Feeling better with moving neck
• Did not feel worse while extending neck
• Diagnosis of spondylosis without radiculopathy

Question 7

What are 6 variables that make it likely for someone to respond to Tspine manip?

Answer 7

• Symptoms less than 30 days old
• No symptoms distal to shoulder
• Looing updoes not aggravate symptoms
• FABQPA score of less than 12
• Diminished upper thoracic spine kyphosis
• -Cervical extension ROM <30 degrees

Question 8

Centralization classification exam findings?

Answer 8

• Radicular symptoms in upper quarter
• Peripheralization and/or centralization with ROM
• Signs of nerve root compression present
• CPR for radiculopathy

Question 9

What are the four variables for IDing cervical radiculopathy?

Answer 9

• spurling test
• Cervical distraction test
• ULTT A Median Nerve
• Limited cervical rot

Question 10

What makes it likely for someone to respond to PT with cervical radic?

Answer 10

• Young age
• Dominant arm okay
• Looking down okay
• Multimodal treatment used.

Question 11

What variables make it likely for someone to respond positively to cervical traction?

Answer 11

• Older age
• Positive shoulder abduction test
• Positive ULTT A
• Symptom peripheralization
• • cervical distraction test

Question 12

What variables suggest Exercise classification?

Answer 12

• Low pain and disability score
• Chronic cervical symptoms
• No signs of nerve root compression
• No preipheralization/centralization
• Older patients
• Arthritic

Question 13

Signs of pain control class?

Answer 13

• Acute
• High NDI
• Traumatic onset
• Referred pain
• Poor tolerance for exam