Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Musculoskeletal Rehab PT 514 > Cervical Spine Intervention and Examination > Flashcards

Cervical Spine Intervention and Examination Flashcards

1
Q

Origin of cervical neck pain is often…

A

Indefinable

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Main Elements of Subjective examination

A 
Nature of disorder
Area of symptoms
Behavior of symptoms
Present History
Past History
Special Questions
Questionnaires
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Chemical Pain Behavior

A 
Acute
Constant/High levels
Recent onset
Easy aggravation
Responds to NSAIDS
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Mechanical Pain Behavior

A 
Intermittent pain
Variable levels/ usually local
Changes in position or direction eases pain
short lived symptoms
Variable response to NSAIDS
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

5 D’s

A

Dizziness, Drop Attacks, Disarthria, Dysphasia, Diploplia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Disarthria

A

Trouble swallowing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Dysphasia

A

Trouble speaking

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Diplopleia

A

Double vision

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Neck Disability Index

A

ASAP when they come into clinic
10 item condition specific self-report questionnaire
0-50 score
Minimal detectable change = 5 points

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Patient Specific Functional Scale

A

Patient identifies 3 items of difficulty
Rates each item 0-10
Final score is an average of the three
Minimal detectable change = 2.1 Points

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Common medical diagnosis for pts presenting with neck pain

A 
Herniated disc
Cervical Radiculopathy
Stenosis
Spondylosis
Spondylolysis
Spondylolesthesis
Whiplash
Cervicogenic headaches
Post-surgical
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Purpose of physical exam

A

Funnel info; narrow focus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Physical exam components

A

ROS
Cervical Spine Exam
Special tests

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Cervical FLX Norm

A

45 degrees

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Cervical EXT Norm

A

45 degrees

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Cervical side-bending Norm

A

45 degrees

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Cervical rotation Norm

A

60 degrees

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

AROM movement

A

Looking at available range

Is Concordant sign reproduced?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Derangement

A

Disruption in how surfaces come together

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Dysfunction

A

Adaptively shortened tissue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Postural

A

Abnormal stress on otherwise healthy tissue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Repeated movement testing

A

Sitting position with good posture

Sagittal plane 1st

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Sudden vs chronic pain indications

A

Sudden: Derangement
Chronic: Dysfunction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Pain during movement indication

A

Derangement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Pain at end range indication

A

Dysfunction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Varied response to RMT indication

A

Derangement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Consistent response to RMT indication

A

Dysfunction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

No response to RMT indication

A

Postural

29
Q

PROM looking to assess…

A

Movement between segments
End-feel
Pt response to movement

30
Q

Passive accessory motion testing

A

Prone or supine
Assesses movement; end feel; Pt response
Graded hypo/hyper mobile, normal end feel

31
Q

Tests for neurological symptoms

A 
Cranial nerve testing
DTR/MSR (Biceps, brachioradialis, triceps)
Myotomes
Sensation
Spurling's test
Distraction Test
Upper Limb Nerve Tension Testing
Special tests for UMN lesions
32
Q

UMN lesion tests

A

Babinski’s reflex
Hoffman’s sign
Rhomberg test
Lhermitte’s sign (lightning down spine)

33
Q

Tests for vascular signs

A

Vertebral artery test

Have to do this before any manipulation

34
Q

Tests for cervical spine instability

A 
Alar ligament test
Transverse ligament test
Modified Sharp pursers test
Aspinall's
Tectorial Membrane
35
Q

Ataxia

A

Disturbance of gait

36
Q

Palpation

A

In supine or sitting

Structures on anterior, lateral, and posterior aspect of the cervical spine

37
Q

Canadian C-spine rules

A

Cognitively impaired, displays neurologic symptoms in extremities
Age > 65
Fearful of moving head
Distraction based injury
Midline pain
Imaging should be done if patient meets criteria

38
Q

Cervicogenic HA

A

Originate from upper cervical spine
Symptoms change with movement testing
Symptoms noted in sub-occipital region, temporal, frontal, and orbital region

39
Q

Internal Carotid Ateriole Dissection

A

Temporal region
Worst headache of my life
May present with upper motor neuron signs
Medical emergency

40
Q

Cervical Radiculopathy

A

Most likely have arm and neck symptoms
Likely referred pain
Parasthesias follow a dermatomal pattern
Neuroscreen reveals weakness in particular myotome

41
Q

Thoracic Outlet Syndrome

A

Variety of symptoms including neck pain and shoulder pain
Arm feels heavy or weak
Hands feel cold
Difficulty with repetitive arm movements at or above shoulder level

42
Q

Wainner’s CPR for cervical radiculopathy

A

Cervical Spine rotation less than 60 degrees
Positive Spurlings test
Positive distraction test
Positive upper limb nerve tension test

43
Q

Basic Managing Principles

A 
Stage of recovery
Exam Findings
Pts beliefs/goals
Evidence to support intervention
Test-treatment-retest-treatment
44
Q

PROM positioning and order

A

Supine
Examiner cradles head
Least painful to most painful movements

45
Q

Passive accessory motion specific movements

A

P:A CVP
P:A UVP
Transverse VP
A:P UVP

46
Q

Resisted Isometric Testing

A

Provides clinician w/ info regarding tissue reactivity

47
Q

MMT

A

Provides clinician w/ info regarding strength

48
Q

Cervical Spine Exam Order

A 
Observation
AROM
Repeated Movements
PROM
Passive Accessory Motion
Muscle Performance testing
Special Tests
Palpation
49
Q

Components of observation

A 
Visual Inspection of Head and Neck
"Poking Chin"
"Wry Neck"
Shoulder girdle position
Function (Transfers, Gait, Movement)
50
Q

RMT movements

A 
Protraction
Retraction
Retraction w/ extension
Sidebending
Rotation
51
Q

UNLT Testing

A 
Mechanical and phsyiologic ability of the nervous system
Peripheral nerves (Median, Radial, Ulnar)
52
Q

Positive findings of UNLT Testing

A

One or more:
Reproduces concordant sign
Sensitizing movement alters pain
Difference from side to side (ROM: 10 degrees)

53
Q

Vertebral Artery Tests

A 
Rotation in sitting
Variations:
Ext; lateral flx
Ext; rotation (Wallenberg's position)
Ext; rotation; lateral flx
54
Q

What should be noted during palpation?

A 
Soft or bony
Tenderness or pain
Muscle tone
Skin texture and temperature
Skin mobility
55
Q

RMT Intervention

A

Ideally in sitting
Pt generated force before clinician
Alternate positions of prone or supine
Performed every few hours

56
Q

Interventions addressing hypomobility

A

Patient education
Thrust and non-thrust manipulation to c-spine
Soft tissue mobilization and stretching of restricted connective tissue
AROM/PROM into restriction
Postural Education
Muscle performance training

57
Q

Interventions addressing hypermobility

A

Patient education
Local Modalities in acute/irritable conditions
Stabilization activities (Muscle endurance/motor learn)
Address postural muscle strength/endurance

58
Q

Sensitivity

A

SNOUT
Negatives are strong
Positives dont mean much

59
Q

Specificity

A

SPIN
Negatives dont mean much
Positives rule in

60
Q

Pain/Inflammation Control

A

Local Modalities
Pt Education (Activity modification, Breathing Techniques)
Manual Therapy (Traction <5 min) (Gr. I & II non-thrust)
AROM/PROM in pain free range
Progress towards a mobility

61
Q

Grade I mobilization Parameters

A

1-3 sets, no pain, between 30-60 seconds

62
Q

Grade II mobilization Parameters

A

1-3 sets, no pain, between 30-60 seconds

63
Q

Grade III Mobilization parameters

A

3-5 sets, 3-5 minutes, into resistance or pain

64
Q

Grade IV Mobilization parameters

A

3-5 sets, 3-5 minutes, into resistance or pain

65
Q

Neuromobilization

A

In the presence of radicular symptoms or neurogenic symptoms
Test is treatment
Sliders and Tensioners
Passive movements should be graded

66
Q

Slider

A

No tension on nerve, pulled through the tunnel

No longer than 3 minutes

67
Q

Tensioner

A

Putting tension on nerve to realign fibers

No longer than 3 minutes

68
Q

Patient Education

A

Inform the patient about their prognosis and plan of care
Limitations concerning stage of healing
Learn how to manage symptoms independently
Postural awareness
Prevention of future episodes
HEP (What, why, how often, how long)

Musculoskeletal Rehab PT 514 (11 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions