Manual Interventions for Cervical Spine

Question 1

Basically we can mobilize/manipulate the spine in how many directions?

Answer 1

side glide
side bending 
rotation
traction
neutral

Question 2

BOUNCE PASS WITH BASKETBALL

Answer 2

Palpation: Coupled Ipsilateral Lateral Flexion, Contralateral Rotation & Anterior Sagittal Glide

Question 3

Vertebral Basilar Insufficiency VBI test

Answer 3

end range rotation without extension hold 10 secs, return to neutral for 10 seconds, other side for 10 seconds. Dizziness, diplopia, dysarthria, drop attacks, nausea and nystagmus

Question 4

Clincal prediction rule for patients with neck pain likely to benefit from TJM to Cspine

Answer 4

symptom duration less than 38 days,
positive expectation that manipulation will help,
side-to-side difference in cervical rotation range of motion of 10° or greater, and
pain with posteroanterior spring testing of the middle cervical spine) was identified.

Question 5

Canadian C-Spine Rules for acute trauma patients

Answer 5

1. Are they cognitively intact?
2. Are they under 65 y/o?
3. They can move more than 45d rotation (even if it causes pain)
4. No crazy injury circumstances (distraction/high speeds, etc)?
5. No Pain at rest in midline?
6. No paresthesia in arms following trauma

Question 6

Cervical muscle strength

Answer 6

● Craniocervical flexion test

● Deep flexor endurance test

Question 7

Distraction test: worsens pain

Answer 7

muscular patient

Question 8

Distraction test: relieves pain

Answer 8

radicular patient

Question 9

Myelopathy

Answer 9

UMN

Question 10

Nerve root lesion

Answer 10

LMN

Question 11

Peripheral nerve lesion

Answer 11

LMN