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OPTIM OCS: UQ > Cervical Spine TBC 5 > Flashcards

Cervical Spine TBC 5 Flashcards

1
Q

Acute torticollis: What is it?

A

sustained involuntary contraction of neck muscles

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2
Q

Acute torticollis: Typically unknown pathogenesis but two hypotheses (broad categories)

A
  • Genetics
  • Trauma
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3
Q

Acute torticollis: Typically unknown pathogenesis but two hypotheses

Genetics

A

significant % of first degree relatives of pts with focal dystonia/tremor also have it

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4
Q

Acute torticollis: Typically unknown pathogenesis but two hypotheses

Trauma: Prevalence of patients with cervical dystonia related to trauma is

A

15-21%

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5
Q

Acute torticollis: AKA

A
  • cervical dystonia
  • spasmodic torticollis
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6
Q

Acute torticollis: 75% of the time, pt presents with

A
  • head rotation to one side
  • pain
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7
Q

Acute torticollis: types of spasms that may be present

A
  • intermittent
  • clonic
  • tremulous
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8
Q

Acute torticollis: In addition to pain and head rotation to one side, what may also be seen?

A
  • lack of postural control
  • spasms
  • alterations in vestibular function and perception of body orientation
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9
Q

Acute torticollis: How direction of torticollis named?

A

by direction of rotation

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10
Q

Movement coordination impairments: chronicity

A

> 12 weeks

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11
Q

Movement coordination impairments: management evidence

A
  • coordination, strengthening, endurance exercises
  • effective exercise methods: proprioceptive and dynamic resisted exercises
  • strengthening of neck and shoulder muscles
  • patient education and counseling
  • stretching
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12
Q

Pain control: may present with varying degrees of

A
  • motion loss
  • HA
  • emotional disturbance
  • cold hyperalgesia
  • high disability score
  • post-traumatic stress
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13
Q

WAD: Strain results in

A
  • secondary edema
  • hemorrhage
  • inflammation
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14
Q

WAD: MOI

A
  • MVA
  • sports injury
  • child abuse
  • blow to head from falling object
  • similar acceleration-deceleration injury
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15
Q

WAD: most common symptoms

A
  • sub-occipital HA
  • pain that is either constant or motion induced
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16
Q

WAD: May have delay in onset of symptoms up to

A

48 hrs

17
Q

WAD: In addition to delayed onset of pain, may also present with these symptoms

A
  • cervical instability
  • neuro symptoms
  • dizziness
  • tinnitus
  • visual disturbances
  • difficulty sleeping
  • TMD
  • difficulty with concentrating/memory issues
18
Q

WAD: acute

symptoms last no longer than

A

2-3 mos

19
Q

WAD: chronic symptoms last over

A

3 mos

20
Q

WAD: (%) recover within 6 mos

A

85%

21
Q

WAD: up to (%) turn into chronic

A

50%

22
Q

A level evidence:

To improve recovery in pts with WAD, clinicians should

A
  1. educate pt that early return to normal, non-provocative, pre-accident activities is important AND
  2. provide reassurance that good prognosis and full recovery commonly occurs
23
Q

WAD: treatment

AROM in this position

A

anti-gravity

24
Q

WAD: graded exercise progress to

A

more direct treatment

25
Q

WAD: Will require this type of approach overall

A

Multimodal

PT alone often insufficient

26
Q

WAD: 9 predictors of chronicity

A
  1. no post-secondary education
  2. female
  3. hx of neck pain
  4. baseline neck pain intensity > 55/100
  5. neck pain at baseline
  6. HA at baseline
  7. catastrophizing
  8. WAD grade 2 or 3
  9. no seat belt use in collision
27
Q

A level recommendation

WAD: Clinicians (should/should not) consider using cervical manipulation and mobilization procedures to reduce neck pain and headache.

A

should

28
Q

A level recommendation

WAD: Clinicians should consider the use of these types of exercises to reduce neck pain and HA

A
  • coordination
  • strengthening
  • endurance
29
Q

Level of evidence:

  • should consider use of UQ and nerve mobilization in pts with neck and arm pain
  • should consider cervical IMT combined with other interventions in pts with neck and neck-related arm pain
A

B

30
Q

Level of evidence:

Centralization procedures (repeated motions) to promote centralization are not more beneficial in reducing disability when compared to other forms of interventions

A

C

31
Q

Level of evidence:

Thoracic manipulation can be used for pts with primary complaints of neck pain and neck-related arm pain

A

C

OPTIM OCS: UQ (17 decks)

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