L10 CT Exam

Question 1

Neck Pain Epidemiology

Answer 1

• 10-20% of population will experience neck pain at any given time
• 2nd only to LBP in workers’ compensation costs in the US
• 25% of patients seeking out-patient PT care

Question 2

Neck pain risk factors

Answer 2

• age > 40 yrs
• coexisting LBP
• previous hx of neck pain
• females > males
• high job demands
• low social/work support

Question 3

Neck Disability Index

Answer 3

*10 Qs, ranked 0-5 each
*50 pts total
* higher score is more disability
* MDC is 5 pts

Question 4

Prognostic Factors for Neck pain

Answer 4

• natural hx of neck pain is favorable, rates of recurrence and chronicity is high
• > 6/10 initial visit has increased likelihood of persistent s/s at 12 mo
• higher perceived disability (>30%) is poorer prognosis
• WAD is easier to gauge, cold hyperalgesia has poorer prognosis

Question 5

Complete recovery after recurrent episodes is

Answer 5

the exception, not the rule

Question 6

Most recovery from neck pain will occur in the first

Answer 6

6-12 weeks

Question 7

Things to know for MVA

Answer 7

1. where in the car was the pt
2. was the pt belted and did it engage
3. which direction did the impact come from
4. did the pt see it coming
5. did the pt have s/s that were immediate or delayed

Question 8

Thoracic and Shoulder Screening Exams

Answer 8

seated thoracic rotation
lumbar locked thoracic rot
apley scratch test
thoracic shoulder test

Question 9

Myotomes for Neck

Answer 9

• neck flexion = c1-c2
• neck lateral flex = c3
• shoulder elevation = c4
• shoulder abd = c5
• elbow flex = c6
• wrist ext = c6
• elbow ext = c7
• wrist flex = c7
• thumb ext = c8
• finger abd = t1

Question 10

Upper Limb Reflexes

Answer 10

Brachioradialis = c5/6
Biceps = c5/c6
Triceps = C7/c8

Question 11

Dermatomes

Answer 11

Question 12

Clinical Instability of cervical spine

Answer 12

can be due to trauma, hypermobility syndromes, degenerative processes, congenital conditions

tests for eval look specifically at passive constraints

Question 13

Patients with clinical instability may report

Answer 13

• head feels heavy, fatigued
• may seek external support
• feeling of instability
• neck gets stuck
• frequent episodes
• past history of trauma
• fear/unwillingness to move
• 5ds and 3 ns

Question 14

5 Ds and 3 Ns

Answer 14

Dizziness
Diplopia
Drop attacks
Dysphagia
Dysarthria
Nausea
Nystagmus
Numbness

Question 15

OA Joint

Answer 15

flexion and extension of occiput on condyles of C1

Question 16

AA Joint

Answer 16

assessed with cervical flexion rotation test

Question 17

Suboccipital muscles

Answer 17

primarily rotation and extension, micro controlling and stabilization of neck