Neck Flashcards
1
Q
Three ways to differentiate a disc and z joint
A
- Mid line or bilateral pain - more likely disc
- Regular pattern of motion loss - more likely z joint
- Paivm assessment
2
Q
What are the sensory, motor and reflex signs of myelopathy ?
A
Sensory - bilateral P&N, numbness in hands and/or feet
Motor - gait disturbance
Reflexes - DTR are hyper, +ve plantar responses and +ve Hoffmans
3
Q
What is the natural history for a cervical radiculopathy at 6-12 months
A
55% recovery
4
Q
What is the natural history of whiplash
A
50% recover within 3/12
5
Q
How do you retrain multifidus in the cervical spine
A
Gentle pressure applied into the zygomatic arches
6
Q
What are the 5D’s?
A
- Dizziness
- Diplopia
- Dysarthria
- Dysphasgia
- Drop attacks
7
Q
What are the 3Ns?
A
- Nystagmus
- Nausea
- Numbness - perioral
