Cx spine lecture

Question 1

List the 5 Ds

Answer 1

1. Dizziness/unsteadiness
2. Diplopia
3. Dysarthria
4. Dysphagia
5. Drop attacks

Question 2

What is Diplopia

Answer 2

Double vision

Question 3

what is dysarthria

Answer 3

difficulty with speech or finding words

Question 4

list the 3 Ns

Answer 4

1. Nystagmus
2. Nausea
3. Numbness or paraesthesia (perioral)

Question 5

in the 3 N’s, where should numbness be strongly assessed for?

Answer 5

Around the mouth

Question 6

What do the 5D’s and 3 N’s assess for?

Answer 6

CAD

Question 7

What is the positional test for VBI

Answer 7

sustained 10 second rotation both ways, monitor 5D’s and 3 N’s in this position

Question 8

List 4 risk factors for upper cervical instability

Answer 8

1. Hx of trauma
2. Throat infection
3. Recent head/neck/dental surgery
4. Inflammatory arthritis (RA)

Question 9

List 3 upper Cxsp Instability tests

Answer 9

1. Sharp-Purser
2. Anterior shear
3. Rotational stress test

Question 10

What is the Mulligan concept in terms of the Cxsp

Answer 10

Unilateral MT with movement, usually rotation

Question 11

What are the two types Wry neck

Answer 11

1. apophyseal

2. Discogenic

Question 12

list the 5 common causes of Cx spine pain

Answer 12

1. Wry neck
2. Cervical radiculopathy
3. Whiplash associated disorders
4. Cervicogenic headaches
5. Non-specific mechanical neck pain

Question 13

Which type of Wry Neck is acute and more common?

Answer 13

Apophyseal

Question 14

Which type of Wry neck is associated with fixed deformity of flexion, rotation and lateral flexion

Answer 14

Apophyseal

Question 15

Which type of Wry neck is more associated with adolescence ?

Answer 15

Apophyseal

Question 16

Which type of Wry neck is associated with muscle spasm

Answer 16

Apophyseal

Question 17

Which direction will a person with Apophyseal wry neck move their head towards

Answer 17

Unilaterally away from pain

Question 18

Which type of Wry neck is associated with a gradual onset and older age group

Answer 18

Discogenic

Question 19

Which type of Wry neck is associated with pasin in the interscapular region

Answer 19

Discogenic

Question 20

Which type of Wry neck is associated with diffuse pain, which is dull in nature

Answer 20

Discogenic

Question 21

Which type of Wry neck is associated with Ipsilateral lateral flexion, but not mechanically blocked

Answer 21

Discogenic

Question 22

Which type of Wry neck indicates the need for Thoracic ROM treatment as well

Answer 22

Discogenic

Question 23

Rx for first 48 hours of WAD consists of what type of approach

Answer 23

Hands-off

assess instability and the need for imaging

Question 24

List 5 indicative signs of a Cervicogenic headache

Answer 24

1. slow onset
2. Occipital pain
3. Unilateral
4. History of trauma or injury
5. Posture as a trigger

Question 25

Which Z joints are most associated with cervicogenic headaches

Answer 25

0/C1 - C2/C3

Question 26

Canadian C-spine rules - What are the high risk factors that mandates Radiographic imaging ?

Answer 26

1. Age > 65
2. Dangerous mechanism
3. Paraesthesia in extremities

Question 27

List 4 factors that indicate the ROM assessment is safe in C-spine

Answer 27

1. Not involved in rear-end MVA
2. able to sit
3. able to mobilise
4. Absence of midline C-spine tenderness

Question 28

What rotation must be achieved to rule out Radiographic imaging ?

Answer 28

45 degrees rotation L and R

Question 29

2 PROM’s for WAD

Answer 29

1. NDI

2. Impact of event scale