Neck Pain With Mobility Deficits (2)

Question 1

What are the indications to see if cervical manipulation will be most effective?

Answer 1

Symptom duration <38 days

Asymmetry in cervical rotation > 10 degrees

Cervical PA reproduces symptoms

Positive expectation HVLAT will help

Question 2

When do you move to impaired based maxims?

Answer 2

When the care from your buckets has plateaued

Question 3

What are the impairment based maxims?

Answer 3

If it’s stiff, manipulate it

If it’s tight, lengthen it

If it’s weak, strengthen it

Question 4

What should always be done in the treatment approach?

Answer 4

Test-treat-retest

Question 5

When is it best to educate on lifestyle factors?

Answer 5

After you have gotten your patient to buy in (if you make them feel better and they buy in they will listen to more advice)

Question 6

What are symptoms in neck pain with mobility deficits?

Answer 6

Central or unilateral neck pain

Limitation in neck motion that reproduces symptoms

Referred shoulder, girdle, and UE pain

Question 7

What is important to do on the first visit with neck pain with mobility deficits?

Answer 7

Thoracic manipulation (cervical manipulation done next when appropriate)