Lecture 4: Cervical Spine Diagnosis Flashcards
What is postural dysfunction syndrome?
results from sustained end range positions and postures, end range stress of normal tissues
What is upper crossed syndrome?
inhibited- neck flexors. rhomboids, SA
tight- pecs, upper trap and levator scap
What is PP of postural dysfunction syndrome?
gradual onset, dull aching pain, poor posture, better with exercise
What are interventions for postural dysfunction syndrome?
posture correction, stretching and strengthening of scap stabilizers, aerobic conditioning
What is facet dysfunction?
hypo mobility due to onset of unilateral neck pain or locking likely from trauma or position
What should be done in exam for facet dysfunction?
palpation, ROM, joint play
Neuro exam- usually normal
What is intervention for facet dysfunction?
joint mobs- central PA glides, unilateral PA glides, combined movements
MWM, muscle energy techniques, ROM exercises
What is cervical spine instability?
active and neural cervical subsystem failure, movement coordination impairment
poor motor control of muscle
What are sx of cervical spine instability?
intolerance to prolonged postures, inability to hold head up, better with external support, frequent acute episodes, sharp pain, unpredictability of sx
What will PT find on exam of cervical spine instability?
poor muscle control (cranial flexion test), abnormal jt play, segmental hinging
What are interventions for CSI?
PNF, scap exercise, posture, mobilize hypo mobile regions
What are 3 types of cervical disc pathology?
- neck pain
- radiculopathy
- myelopathy
What cervical segments are most common areas for cervical disc pathology?
c5-6, c6-7
What is risk factors for CDP?
smoking, sedentary lifestyle, poor posture, excessive lifting
What are two differential diagnosis for CDP?
TOS, brachial plexus injury
What are exam findings for CDP?
pain, guarded posture, limited and painful ROM
What are interventions for CDP?
distraction, posture, centralization exercises (chin tuck- lower cervical extension/upper cervical flexion)
c spine and scap strengthening
What are exam findings for DLD/OA/ Cervical spondylosis?
pain. morning stiffness, decreased ext and SB, general hypomobility,
What are interventions for OA etc?
joint mobs, ROM exercise, soft tissue mobs, posture, strength/endurance
What is most common cause of cervical radiculopathy?
herniated nucleus pulposos and spondylosis
What are 4 positive exam findings indicative of radiculopathy?
- Spurling test
- upper limb tension test
- cervical distraction test
- less than 60 degrees cervical rotation towards the symptomatic side
What is treatment for cervical radic?
mechanical traction to centralize sx, spine mobs C and T, strengthening
What are 3 ways to get cervical myelopathy?
- acquired- spinal stenosis
- traumatic-
- spinal cord tumor
