EEO: Lecture 5 Flashcards
What are performance measures for the spine?
cervical deep flexor endurance test
5 x STS
prone plank
side plank
Sorensen
When do you clear the spine?
If the main complaint is NOT the spine
What are you looking for when clearing the spine?
if there is a change or reproduction of their non-spinal symptoms
How do you clear the spine if a patient is NWB or a major fall risk?
What is included in clearing the spine?
AROM cervical spine
-flexion, extension, sidebend, rotation
Resisted testing in neutral spine
overpressure
compression/distraction
Where are the common areas for hinge points in the spine?
transition zones: lower cervical, lower lumbar
- they are shaped differently
which parts of the spine are prone to exhibit a reverse lordosis?
upper thoracic
-from looking down at phone
What are the two kinds of spinal stenosis?
central (vertebral foramen) and foramina (intervertebral foramen) stenosis
What is the MOI of intervertebral foramina stenosis
prior injuries, repetitive motions
Foraminal stenosis
-Narrowing of intervertebral foramen, pinching the spinal nerve root.
-SHOOTS IPSILATERAL RADICULAR PAIN DOWN THE ARM
What tests should you give to a patient who has foraminal stenosis, central stenosis, or a cervical disc lesion?
-NDI
-Grip strength dynanometer
-Cervical flexor endurance test
What is a primary difference in the symptoms of foraminal stenosis vs. central stenosis?
Foraminal stenosis will have unilateral symptoms
central stenosis will have bilateral symptoms
What tests or measures can you give to someone who has foraminal stenosis?
-Cervical AROM
-Cervical MMT
-Reflex testing
What are typical causes and symptoms of central stenosis?
Anteriorly: Disc pathology
-affects motor and sensory function
Posterior: Hypertrophy of the ligamentum flavum
-affects certain types of sensory function
What are some unique tests and measures for central stenosis?
-Testing balance
-Hoffman reflex
-Shumizu reflex
These can be done because central stenosis will cause a UMNL, whereas foraminal stenosis will cause a LMNL!
What is a cervicogenic headache, and where would you expect the patient to report pain from?
-A headache that starts at the neck and migrates to the head
-Pain is usually experienced at the top of the head as well as the suboccipital region
-affects concentration, ability to read, vision, and mood
What is likely the cause for cervicogenic headaches?
-likely due to an upper cervical spine dysfunction (C0, C1, C2)
What is the function of the OA joint?
yes motion
what is the function of the AA joint?
no motion
What are some questions to include in the subjective interview for someone with cervicogenic headache?
-Which exact areas of the head or face hurt? Point to one specific area.
-Which activities bring on the headache?
-How much screen time do you have?
-What does a typical day look like for you?
What cranial nerve may contribute to cervicogenic headache?
Trigeminal (CN V)
In what age range are vertebral disc problems most common?
20’s to late 40’s
What are common causes of cervical disc pathology?
-prolonged flexion or whiplash
-typically dislocates posteriorly / towards the spinal canal
What are common symptoms of cervical disc pathology?
-BILATERAL presentation, motor symptoms first then can progress to sensory
-sensitivity to weightbearing
-will sometimes cause radiating pain down the arm. Not always!