Evaluation of the Patient with Neck Pain - Part II

Question 1

What can cause significant range of motion loss?

Answer 1

Fracture

Sprain & strain

Disc herniation

Congenital anomalies: Klippel-Feil Syndrome, block vertebrae

Question 2

What are the normal ranges of motion for cervical flexion and extension?

Answer 2

Flexion - 60 degrees

Extension - 75 degrees

Question 3

What is the normal range of motion for cervical sidebending?

Answer 3

45 degrees

Question 4

What is the normal range of motion for cervical rotation?

Answer 4

80 degrees

Question 5

Half of cervical rotation occurs at which joints?

Answer 5

Atlanto-axial joints

Question 6

When performing a neurologic exam, what kind of function are you testing for C1-C4?

Answer 6

C1 - motor to cervical muscles only

C2 - sensory and motor

C3 - sensory and motor

C4 - sensory and motor

Question 7

How would you test motor function of C5?

Answer 7

Shoulder abduction, elbow flexion

Question 8

How would you test motor function at C6?

Answer 8

Elbow flexion, wrist extension

Question 9

How would you test motor function at C7?

Answer 9

Elbow extension, wrist flexion, finger extension

Question 10

How would you test motor function at C8?

Answer 10

Finger extension, intrinsic hand

Question 11

How would you test motor function at T1?

Answer 11

Intrinsic hand

Question 12

Each colored section represents an area of sensation pertaining to a specific nerve root. Name each nerve root.

Answer 12

Question 13

These neurological exams test which cervical nerve?

Answer 13

C5

Question 14

These neurological exams test which cervical nerve?

Answer 14

C6

Question 15

These neurological exams test which cervical nerve?

Answer 15

C7

Question 16

These neurological exams test which cervical nerve?

Answer 16

C8

Question 17

These neurological exams test which cervical nerve?

Answer 17

T1