Neck pain radicular symptoms

Question 1

what types of patients?

Answer 1

Patients with herniated disc and C spine
Peripheral centralization
Present with dermatomal or reflex changes
cervical rotation pain less than 60°
Patients with adverse neurodynamic mobility

Question 2

four variables that increase likelihood patient has cervical radiculopathy to 90%

Answer 2

Ipsilateral cervical rotation less than 60°
ULTT A- upper limb tension test
Distraction test
Spurlings test a

Question 3

Spurlings test

Answer 3

compression in side bending

Question 4

ULTT A

Answer 4

median bias
Neurodynamic test

Question 5

Who benefits the most for interventions for radicular symptoms

Answer 5

Age is greater than 54 years
Dominant arm is not affected
Looking down, doesn’t aggravate symptoms
Multimodal approach for a greater than 50% of visits

Question 6

intermittent traction

Answer 6

Supine position
Combine this with exercise to get a clinically significant change

Question 7

Intermittent instruction parameters

Answer 7

supine
Intermittent mechanical traction
On off cycle - 60 seconds pull force 20 seconds relaxation force

Force- 12 pounds

angle of pull- if less than flexion AROM- 15 degrees
If full flexion AROM- 24°

duration - 15 minutes, two minutes before getting up

Question 8

exercise for radiculopathy looks for

Answer 8

Centralization

Question 9

strengthening which muscles

Answer 9

deep neck, flexors
Lower and middle trapezius