CPGs for C SPINE Flashcards
neck pain with cervicogenic HA - acute phase
CPG grade- which is higher
1. supervised instruction in mobility exercise
2. C1-2 self SNAG exercise
- B = active mobility
- C= clinicians may provide C1-2 self SNAG exercise
active mobility better grade than self snag
neck pain with cervicogenic HA -**subacute **phase
CPG grade: which is higher
1. self snag exercise
2. cervical manip or mobilization
cervical manip has higher CPG grade than self snag
B > C
CPG Grade: neck pain with cervicogenic HA for chronic phase:
clinicians should do cervical mobs or manips with shoulder girdle and neck stretching, strengthening, and endurance exercise
B
CPG grade: neck pain with movement coordination impairments ( WAD)
**acute ** for 1) education on minimizing use of collar, return to activity, and mobility to decrease pain AND 2) multimodal intervention approach
B
CPG grade: neck pain with movement coordination impairments ( WAD)
acute phase for
1) low risk for chronicity can add these: exercise program, TENS, early advice..
C
neck pain with movement coordination impairments ( WAD)
**acute ** CPG grade for
- clinician monitoring recovery to try to ID those with delayed recovery who may need more intense rehab
F
CPG grade: Chronic WAD
PT may do these thing
- patient education and advice on prognosis and pain management
- mobilization with exercise plan
- TENS
C
CPG grade: neck pain with radicular pain
acute:
Pt can:
- mob. + stab. exercise
- laser
- collar
C
CPG grade: neck pain with radicular pain
chronic:
1- traction with other interventions
2- education and counseling for activity partication
B
which has a better CPG grade for acute neck pain with mobility deficits:
1- cervical manip or mob.
2- thoracic manip., ROM program, scapulothoracic + UE strengthening
thoracic manip. , ROM, UE strength > cervical mob and manip.
B > C
which has a better CPG grade for subacute neck pain with mobility deficits:
1- neck + UE endurance exercises
2- thoracic manips
neck + UE strengthening exercises> thoracic manips
B > C
CPG grade for chronic neck pain with mobility deficit:
Pt should have a multimodal plan
- t and c spine manips
- mixed exercise
- dry needling
B
