Head & Neck Flashcards
What does Snoop stand for?
Systemic symptoms or illness
Neurologic symptoms or signs
Onset recently or suddenly
Onset after age 40 years
Prior Headache History that is different or progressive
Headache Diagnosis - determine nature
Patients age & sex
Detailed patient history
Thorough clinical examination (largely to exclude 2ºHA)
Diagnostic Investigations (to exclude 2º HA)
Management of migraines - General measures
- Biopsychosocial support
- Lower pain, avoid triggers, stress management
- Identify & control trigger
- Sleep - bed rest if acute; ensure not too much or too little sleep
Management of migraines - Manual Therapy
- less clearly of use; neck stiffness may be a trigger
- soft tissue to tender muscles
- Hydrotherapy - heat, full immersion baths prior to attack may abort headache. Cold pack during acute attack applied to neck and scalp
Management tension HA - General measures
- Biopsychosocial support
- pain management, cold or hot packs
- cervical pillow/supportive mattress
- stress reduction
Management of tension HA - Manual Therapy
- Soft tissue massage to tender muscles
- MET & stretching to cervical muscles
- Treatment of other regions as indicated
Management Cervicogenic HA
- Soft tissue
- MET of Cervical joints and musculature
- HVLA
- Postural & ergonomic advice
- stress management
AROM of the OA Joint
Flexion - 5-10º
Extension - 5º
AROM of the AA Joint
Rotation (in full flexion) - approx 25º
AROM of the typical Cervical Segments
Flexion - 45-50º
Extension - 75-80º
Sidebending - 35-40º
Rotation - 65-75º
PROM of the Cervical Region
Flexion - 45-50º
Extension - 75-80º
Sidebending - 35-40º
Rotation - 65-75º
C1-C2 (AA) Rotation - 35-40º
Joint play of C2-C7
Lateral translation
PA translation
Segmental definition of the C2-C7 includes:
Diagnostic palpation
Lateral translation
Segmental passive motion
