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Fall Semester DPT > Cervicothoracic Spine II > Flashcards

Cervicothoracic Spine II Flashcards

1
Q

Sensitization is an underlying mechanism with __________ P!

A

nociplastic

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2
Q

With nociplastic pain, there is increased _________ and __________ by central structures

A

sensitivity; misinterpretation

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3
Q

With nociplastic pain, there is increased _________ of segmental ______ horn neurons

A

excitability; dorsal

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4
Q

With ____________ P! there is no loss of descending anti-nociceptive mechanisms

A

Nociplastic

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5
Q

With loss of descending anti-nociceptive mechanisms (noicplastic pain)

there is less __________ opiates released

less ______ control

A

endogenous; P!

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6
Q

With nociplastic P! there are ____-fibers that transmit ______ and travel at least 2 spinal segments sup. and inf..

A

C; Pain

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7
Q

With nociplastic P! which part of the brain is “sumdged”?

A

homunculus

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8
Q

What are 3 conditions that contribute to nociplastic P!?

A
  • Neck P!
  • Migraine
  • Shoulder P!
  • Lateral elbow P!
  • Low back P!
  • Age-related joint changes
  • Persistent fatigue syndrome
  • Fibromyalgia
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9
Q

What is the condition for these symptoms?

  • ≥ 3 months of P!
  • Regional or spreading symptoms
  • P! that cannot be explained by nociceptive or neuropathic pathways
  • P! hypersensitivity or allodynia (non-painful stimuli causing P!_)
  • Sensitivity to sound, light, and or odor
  • Sleep disturbances
  • Fatigue
  • Cognitive problems
A

Nociplastic p!

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10
Q

What is the most accepted manual therapy for nociplastic pain?

A

JM

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11
Q

Doing JM on ___________ p! patients help stimulate decreasing inhibitory P! mechanisms, which creates more ________

A

Nociplastic; endorphins

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12
Q

JM for nociplastic p! patients helps to reduce ….

A

dorsal horn excitability and inflammatory mediators

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13
Q

What is the MET prescription for Nociplastic P! patients?

A

low to moderate-intensity global and aerobic resistance activities

2-3x/wk

30-90 mins per session

at least 7 weeks

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14
Q

What are the purposes of MET for patients with nociplastic P!?

A
  • Endogenous/opiate analgesia
  • Helps pt. interpret p! and motion as non-threatening
  • Reorganizes Homunculus
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15
Q

What should you educate your pt. on for nociplastic pain?

A

Explain increased sensitivity and misinterpretation to reduce stress/anxiety of misperceived tissue injury

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16
Q

What do you want to transition to overall with nociplastic pain?

A

adaptive P! coping

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17
Q

What is the prognosis for nociplastic pain patients?

A
  • Varying degrees of improvement
  • Longer recovery
  • Likely not full resolution of symptoms
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18
Q

What is the percentage of people who will experience Neck pain?

A

70%

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19
Q

What is the percentage of people who will develop persistent neck P!?

A

33-44%

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20
Q

Neck P! is more prevalent with what biological sex and age?

A

older biological females

21
Q

Risk factors for Neck P!

Biological _________
Hx of _______ P!

> ______ yrs. of age
______P! (UBP or LBP)

A

females
neck
40
LBP

22
Q

Neck P! is MOST often…

A. identified
B. unidentified

A

B

23
Q

Neck P! is often misdiagnosed as ________ or _______

A

MND; N. root compromise

24
Q

Full Neck EXT is ____-_____

A

50-70

25
Q

Function Neck rotation for driving is ____-_____ and full ROM is ____-____

A

60-70

70-90

26
Q

With Neck P! there will be impaired ________ mechanics

A

scapular

27
Q

_______ often fails to identify neck P! symptoms

A

imaging

28
Q

With neck pain…

____-______ % w/bulging herniated discs

____% annular tears

_____% spinal cord compression

A

50-73

94

13

29
Q

With neck pain, _______ _____ lacks strong diagnostic accuracy measures necessary for clinical decision-making

A

clinical tests

30
Q

Neck P! with movement coordination impairments (whiplash
associated disorders) is associated with ____________

A

hypermobility

30
Q

Neck P! with mobility deficits is ____________

A

hypomobility

31
Q

With neck pain, cervical JM modulate _______ function

This also increases ________ muscle recruitments

A

muscle; deep

32
Q

With MET for neck pain, there is ______ evidence

A

strong

33
Q

MET for neck pain should consist of

___-_____ minute sessions

__-__x/wk

__-___ wks

A

30-60

2-3

7-12

34
Q

With neck pain, it should include exercise for…________, _______, _______, and _______ regions

A

cervical, thoracic, scapular, and shoulder

35
Q

What are the 3 purposes of MET for neck pain?

A
  1. stabilization
  2. endurance
  3. strength
35
Q

Local and global muscle training should consist of ____ load endurance for _____ weeks

A

low; 6

36
Q

With local and global muscle training, exercise is effective in _________

A

isolation

37
Q

What is an example of isotonic and isometric local/global muscle training?

A

forward nodding

38
Q

What should you tell your patient to do before beginning any exercises?

A

SIT TALL!

39
Q

How to keep up with exercises for neck P?

___x a week for over a year

___-___ visits

___x week for _____ wks.

A

3

8-12

2x/ 6 wks.

40
Q

With neck P! ________ is NOT beneficial in isolation

this should be combined with MET

A

stretching

41
Q

What is the current evidence regarding modalities for Neck Pain?

A

lacking, limited, or conflicting and NOT recommended for Neck P!

42
Q

What are two main things you should you educate your pt. on for neck P?

A

early movement w/o provocation

reassure them of a good prognosis and full recovery in MOST cases

43
Q

Prognosis regarding neck P!

_____ trauma: quicker recovery
______ trauma: longer recovery

A

acute; worse

44
Q

With ______ ______: there are major limitations of pharmaceuticals are the lack of replication of the findings indicating inconsistency of results

A

MD Rx

45
Q

With epidural injection, it occurs around the ….

A

dura of the spinal n.

46
Q

Oral medication has _______ results and _____ benefits

A

mixed; unclear

Fall Semester DPT (11 decks)

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