classification

Question 1

diagnosis versus classification

Answer 1

Diagnosis is the process of determining the cause of a patient, illness or discomfort

Classification is the process of classifying clinical data into categories of critical entities for the purpose of making clinical decisions

Question 2

Classification subgroups

Answer 2

neck pain with mobility deficits
Neck pain with headache
Neck pain with movement coordination impairments
Neck pain with radiating pain

Question 3

Common symptoms for neck pain with mobility deficits

Answer 3

Central and or unilateral neck pain

Limitation and neck motion that consistently reproduce symptoms

Associated shoulder girdle or upper extremity pain may be present

Question 4

expected exam findings for neck pain with mobility deficits

Answer 4

Limited cervical ROM

Neck pain reproduced at the end of range, active and passive motion

Restrictive, cervical and thoracic segmental mobility

intersegmental mobility testing reveals restriction

Neck and referred pain reproduce with provocation of the involved cervical or upper thoracic segments or cervical musculature

Deficits in cervicoscapulothoracic strength and motor control may present an individual with subacute or chronic pain

Question 5

Common symptoms for neck, pain with movement coordination impairments

Answer 5

mechanism of onset linked to trauma or whiplash

Associated shoulder girdle or upper extremity pain

Associated varied non-specific concussive signs and symptoms

Headache, dizziness, nausea
Difficulty concentrating confusion hypersensitivity to mechanical, thermal odor or light stimuli

Heighten effective distress

Question 6

Neck pain with movement coordination impairments expected exam findings

Answer 6

positive cranial cervical flexion test

positive neck, flexor, muscle endurance test

Positive pressure algometry

Strength and endurance deficits of the neck muscles

Neck pain with mid range motion worsen with end range position

Point tenderness may include myofascial trigger points

Sensory impairment may include altered, muscle activation patterns, proprioceptive deficit, postural, balance, or control

Neck and referred pain reproduced by provocation of the involved cervical segments

Question 7

Common symptoms for neck, pain with headache

Answer 7

noncontinuous, bilateral neck, pain and associated headache

Headache is precipitated or aggravated by neck, movements or sustain postures or positions

Question 8

Expected exam findings for neck pain with headache

Answer 8

positive cervical flexion rotation test

Headache reproduced with provocation of the involved upper cervical segment

Limited cervical range of motion

Restricted upper cervical segmental mobility

Strength, endurance, and coordination deficits of the neck muscles

Question 9

Common symptoms for neck, pain with radiating pain

Answer 9

neck pain with radiating pain in the involved extremity

Upper extremity dermatomal, paresthesia, or numbness and myotomy muscle weakness

Question 10

expected exam findings for neck pain with radiating pain

Answer 10

Neck and neck related radiating pain reproduced or relieve with radiculopathy testing
Positive test cluster includes upper limb, nerve mobility, Spurling test, cervical distraction, cervical ROM

May have upper extremity sensory strength or reflex deficits associated with the involved nerve roots

Question 11

neck pain with mobility deficits interventions

Answer 11

Thoracic manipulation

Cervical mobilization or manipulation

Range of motion Stretching strengthening

Question 12

neck pain with movement coordination impairment interventions

Answer 12

Educate advise

Minimize collar use

Active range of motion, strength exercises

Proprioceptive exercise

cervical mobilization

Ice heat tens

Question 13

Neck pain with headache intervention

Answer 13

C1-2 self snag
CT mobilization manipulation
Motion stretching strengthening

Question 14

neck pain with radicular pain interventions

Answer 14

intermittent traction
Centralizing exercises, strength exercises
CT mobilization manipulation

Question 15

acute phase

Answer 15

Usually highly irritable
Pain experienced at rest or with initial to mid range spinal movements
Before tissue resistance

Question 16

subacute phase

Answer 16

Moderate irritability
Pain experienced with mid range motions that worsen with end range spinal movements
With tissue resistance

Question 17

chronic phase

Answer 17

Low degree of irritability
Pain that worsen with sustained and range, spinal movements or positions
Over pressure into tissue resistance

Question 18

Intervention strategy for neck, pain with mobility deficits

Answer 18

Thoracic manipulation
cervical mobilization or manipulation
ROM stretching strengthening

Question 19

Intervention strategy for neck pain with movement coordination impairments

Answer 19

educate advise
Minimize collar use
Active range of motion
Strengthening exercises
Proprioceptive exercise
Cervical mobilization
Ice heat tens

Question 20

intervention strategy for neck, pain with headache

Answer 20

C1-2 self snag
CT mobilization manipulation
Range of motion
Stretching
Strengthening

Question 21

intervention strategies for neck, pain with radiating pain

Answer 21

intermittent traction
Centralizing exercises
Strength exercises
CT mobilization manipulation