Cervicobrachial Region Flashcards

1
Q

What type of pain patterns are typical of cervicogenic pain?

A

sclerotome, myotome, and/or dermatomal patterns

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2
Q

What symptoms are present in patients with cervicogenic pain?

A
  • paresthesia
  • numbness
  • weakness
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3
Q

What imaging findings are often present in patient with cervicogenic pain?

A

Spondylosis or disc pathology

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4
Q

What are the four signs present in patients with cervical radiculopathy?

A
  • positive Spurling’s test
  • positive limb tension tests
  • limited cervical rotation (<60 degrees)
  • positive distraction test
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5
Q

Does neck pain cause shoulder pain?

Does shoulder pain cause neck pain?

A

YES

YES

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6
Q

Upper crossed syndrome involves adaptive shortening of which muscles?

A
  • levator scapulae
  • upper trapezius
  • pectoralis major and minor
  • suboccipitals
  • sternocleidomastoid
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7
Q

Upper crossed syndrome involves weakness of which muscles?

A
  • deep neck flexors
  • rhomboid major and minor
  • serratus anterior
  • lower and middle trapezius
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8
Q

What are the characteristics of upper crossed syndrome?

A
  • elevation and protraction of the shoulder
  • rotation and abduction of the scapula
  • scapular winging
  • forward head
  • decreased stability of the GH joint
  • increased muscle activity of the levator scapulae and trapezius
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9
Q

Where is DJD/DDD often seen?

A

in the mid cervical spine

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10
Q

What muscle does C4 innervate?

A

the upper trap

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11
Q

What muscle does C5 innervate?

A

shoulder/deltoid

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12
Q

What muscle does C6 innervate?

A

biceps

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13
Q

C2/C3 facet joint pain refers to what area?

A

right mastoid/occipital area

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14
Q

C3/C4 facet joint pain refers to what area?

A

Left lateral neck area

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15
Q

C4/C5 facet joint pain refers to what area?

A

Right lower occipital/upper trap area

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16
Q

C5/C6 facet joint pain refers to what area?

A

Left upper trap area

17
Q

C6/C7 facet joint pain refers to what area?

A

right mid to low rhomboid area

18
Q

If a patient who experiences shoulder pain demonstrates increased pain associated with repeated cervical spine movements, what should be considered dysfunctional?

A

the cervical spine

19
Q

Cervical spondylosis is oftentimes confused with what pathologies?

A

RC tears, nerve compression in the shoulder area, or brachial neuritis.

20
Q

External rotation lag sign assess which RC muscle?

A

infraspinatus

21
Q

Shoulder lift off test assess which RC muscle?

A

subscapularis

22
Q

What cervical mobilization has been proven to be beneficial in treating neck pain with radiating symptoms into the UE?

A

lateral glides

23
Q

Is cervical traction beneficial for neck pain patients with radicular symptoms?

A

Yes, intermittent cervical traction