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PHTY APPB > Exercise prescription for Cervical spine > Flashcards

Exercise prescription for Cervical spine Flashcards

1
Q

Recall questionnaires to assess disability, psychology and nerve sensitivity

A
  • NDI
  • PSFS
  • DASS 21
  • PCS (catastrophizing)
  • IES (PTSD)
  • LANNS
  • CSI
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2
Q

What to look for in neck assessment?

A
  • Observation: posture, chin, scapula
  • Balance
  • Other joint screening
  • C/sp ROM +/- OP/combined mvoements
  • Neurological examination

Test based on triage

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3
Q

What are red flag pathologies

A
  • CAD/VBI
  • Tumour
  • inflammatory diseases
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4
Q

What are tests for red flags/serious pathology?

A
  • Cranial N tests
  • VBI tests
  • Other investigations/bloods
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5
Q

What are tests for radiculopathy/myelopathy?

A
  • Neurological +/- MRI
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6
Q

What are the 4 categories that make up NSNP?

A
  • Movement/articular impairment
  • Motor impairment
  • Sensori-motor
  • Sensory/pain
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7
Q

What are tests for movement/articular impairments?

A
  • ROM
  • PAIVM
  • PPIVM
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8
Q

What to assess for motor impairment?

A
  • Axio-scapula
  • Cervical Flexors
  • Cervical extensors
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9
Q

What to assess for sensori-motor impairment?

A
  • JPE
  • SNPT
  • Balance
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10
Q

What to test for for sensory/pain impairment?

A
  • PPT
  • CPT
  • NTPT (ULTT)
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11
Q

Identify impairments that can cause

  • Extension limit with pain
  • increased headache
A
  • Movement/articular: mechanical pain, joint immobility, UCS dysfunction
  • Motor control: Poor MC of extensors
  • Consider CGH
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12
Q

What does forward head posture indicate?

A

Impairment: Poor upper cervical motor control particularly in F/E
- consider daily movements
U/C mechanical articular impairment

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13
Q

What tests to use to assess upper cervical mechanical impairment?

A

AM +/- OP UCS

UCS PAIVM

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14
Q

What can downwardly rotated scapula indicate?

A

Poor axio scapular MC

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15
Q

What test to assess poor axio-scapula MC?

A

Scap hold

Scap repositioning

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16
Q

What can cause slight dizziness with flexion?

A

UCS mechanical imapirment?

JPE?

17
Q

How to differentiate between articular/ MC

A

Supported and unsupported AM: if the same –> articular

18
Q

What are static/dynamic tests for axioscapula control

A
  • Scap position: tilt, protraction/retraction
  • Forward head posture?
  • Assess using most common daily activity - dynamic
19
Q

What are tests for cervical flexors?

A
  • Cranio-cervical flexion test

- Head lift test

20
Q

How to assess for cervical extensors?

A
  • Cervical extensor tests
  • Cranio- cervical extensor test
  • Extensor endurance

SEE tutorial demonstration for each

21
Q

What are 4 indications for cervical flexor training?

A
  • Poor active control of cervical flexion
  • Active insufficiency
  • poor performance on motor function tests
  • Responds well to cervical flexor training
22
Q

What are 4 indications for cervical extensor training?

A
  • Poor active control of cervical extension
  • Active insufficiency
  • Patient performs poorly on motor function tests
  • Patient responds positively to cervical extensor training
23
Q

What are indications for axio-scapular training

A
  • Active insufficiency
  • Poor motor function tests
  • DIscomfort with UL activities
  • Responds well with scapula positioning
24
Q

How to assess for cervical sensory motor impairment

A
  • Joint position error: returning from flexor/extensor to neutral
  • Smooth Pursuit neck torsion test:
25
Q

What are the phases of treatment?

A

Phase 1: Rehabilitation of muscle control

2: Strength and endurance
3: Continued strength and endurance: functional

26
Q

What does phase 1 exercise prescription entail?

A
  • control/activation of deep postural muscles
  • coordination between neck and scapular muscles
  • muscle control during functional activities
27
Q

Recreate intervention exercise plan phases for

  • flexors
  • axioscapula
  • cervical extensors
  • sensorimotor
A

Complete?

PHTY APPB (10 decks)

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