Neck Pain-JOSPT

Question 1

Interventions- cervical mob/manipulation

Answer 1

• A
  
  • consider cerv manip and mob procedures; thrust and non thrust, to reduce neck pain and headache.
  • Combining cerv manip and mob with exercise more effective at reducing neck pain, headache, and disability than manip and mobs alone

Question 2

Intervention- Thoracic mob/manipulation

Answer 2

• C
  
  • can be used for patients with primary complaints of neck pain

Question 3

Intervention- Stretching exercises

Answer 3

• C
  
  • flexibility exercises can be used for patients with neck symptoms
  • ant/post scalenes, upper trap, levator scap, pec minor, pe major

Question 4

Intervention- coordination, strenghtening, and endurance exercises

Answer 4

• A
  
  • consider use of coordination, strengthening, and endurance exercises to reduce neck pain and headache

Question 5

Intervention- Traction

Answer 5

• B
  
  • consider traction combined with other interventions such as manual therapy and strengthening exercises, for reducing pain and disability in pts with neck and neck-related arm pain

Question 6

Interventions- Patient education and counseling

Answer 6

• A
  
  • to improve recovery in patients with whiplash associated disorder
  • educate patient on prognosis and provide reassurance

Question 7

Intervention- Upper quarter and nerve mob procedures

Answer 7

• B
  
  • to reduce pain and disability in patients with neck and arm pain

Question 8

Examination- Outcome measures

Answer 8

• A
  
  • should use validated self report questionnaires for patients with neck pain
  • Neck Disability Index and Patient Specific Functional Scale

Question 9

Risk factors

Answer 9

• B
  
  • age > 40
  • coexisting LB pain
  • long hx of neck pain
  • cycling as regular activity
  • loss of strength in hands
  • worrisome atttitude
  • poor QOL

Question 10

Neck spain and strain test

Answer 10

• cranial cervical flexion test
• deep neck flexor endurance

Question 11

Neck pain with radiating pain test

Answer 11

• ULNTT
• Spurling’s test
• Distraction test

Question 12

Neck pain with headaches test

Answer 12

• cervical AROM
• cervical segmental mobility
• Cranial Cervical flexion test

Question 13

Cervicalgia or pain in thoracic spine

Answer 13

• younger individual (age <50 yrs)
• acute neck pain (duration < 12 weeks)
• symptoms isolated to neck
• restricted cervical ROM

Question 14

headaches, or cervicogenic syndrome

Answer 14

• unilat HA
• restricted cervical ROM
• restricted cervical segmental mobility
• cranial cervical flx test, abnormal substandard performance

Question 15

spondylosis with radiculopathy or cervical disc disorder with radiculopathy

Answer 15

• UE symptoms, usually radicular or referred pain, that are produced or aggravated with spruling’s maneuver and ULNTT, and reduced with neck distraction
• signs of nerve root compression
• success with reducing UE symptoms with initial exam