Lecture 4: Cervical Spine Diagnosis Flashcards

1
Q

What is postural dysfunction syndrome?

A

results from sustained end range positions and postures, end range stress of normal tissues

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2
Q

What is upper crossed syndrome?

A

inhibited- neck flexors. rhomboids, SA

tight- pecs, upper trap and levator scap

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3
Q

What is PP of postural dysfunction syndrome?

A

gradual onset, dull aching pain, poor posture, better with exercise

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4
Q

What are interventions for postural dysfunction syndrome?

A

posture correction, stretching and strengthening of scap stabilizers, aerobic conditioning

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5
Q

What is facet dysfunction?

A

hypo mobility due to onset of unilateral neck pain or locking likely from trauma or position

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6
Q

What should be done in exam for facet dysfunction?

A

palpation, ROM, joint play

Neuro exam- usually normal

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7
Q

What is intervention for facet dysfunction?

A

joint mobs- central PA glides, unilateral PA glides, combined movements

MWM, muscle energy techniques, ROM exercises

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8
Q

What is cervical spine instability?

A

active and neural cervical subsystem failure, movement coordination impairment

poor motor control of muscle

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9
Q

What are sx of cervical spine instability?

A

intolerance to prolonged postures, inability to hold head up, better with external support, frequent acute episodes, sharp pain, unpredictability of sx

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10
Q

What will PT find on exam of cervical spine instability?

A

poor muscle control (cranial flexion test), abnormal jt play, segmental hinging

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11
Q

What are interventions for CSI?

A

PNF, scap exercise, posture, mobilize hypo mobile regions

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12
Q

What are 3 types of cervical disc pathology?

A
  1. neck pain
  2. radiculopathy
  3. myelopathy
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13
Q

What cervical segments are most common areas for cervical disc pathology?

A

c5-6, c6-7

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14
Q

What is risk factors for CDP?

A

smoking, sedentary lifestyle, poor posture, excessive lifting

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15
Q

What are two differential diagnosis for CDP?

A

TOS, brachial plexus injury

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16
Q

What are exam findings for CDP?

A

pain, guarded posture, limited and painful ROM

17
Q

What are interventions for CDP?

A

distraction, posture, centralization exercises (chin tuck- lower cervical extension/upper cervical flexion)

c spine and scap strengthening

18
Q

What are exam findings for DLD/OA/ Cervical spondylosis?

A

pain. morning stiffness, decreased ext and SB, general hypomobility,

19
Q

What are interventions for OA etc?

A

joint mobs, ROM exercise, soft tissue mobs, posture, strength/endurance

20
Q

What is most common cause of cervical radiculopathy?

A

herniated nucleus pulposos and spondylosis

21
Q

What are 4 positive exam findings indicative of radiculopathy?

A
  1. Spurling test
  2. upper limb tension test
  3. cervical distraction test
  4. less than 60 degrees cervical rotation towards the symptomatic side
22
Q

What is treatment for cervical radic?

A

mechanical traction to centralize sx, spine mobs C and T, strengthening

23
Q

What are 3 ways to get cervical myelopathy?

A
  1. acquired- spinal stenosis
  2. traumatic-
  3. spinal cord tumor