SMT-1 Manual, pgs 66-72 Flashcards
- Who had more cardiovascular risk factors between the controls & dissection in Thomas 2011 study?
Controls
- What were the most common complaints of symptoms for ICA according to Thomas et al 2011 study?
Headache, ptosis, facial palsy, UE/LE weakness
- For UCS integrity, what did Ross & Cheeks 2008 report to use as a screening test?
Canadian C-spine Rules
- What patient presentation was studied by Ross & Cheeks 2008?
MVA –> neck pain with decreased AROM in all planes
- What should Physical Therapists be most alert for when seeing a patient with c/o of neck pain following trauma?
Cervical fracture; even weeks after the trauma occurred.
- What cervical fractures are common in individuals over the age of 65?
Odontoid fracture
- What percent sensitivity is the Canadian C-spine Rules?
100%
- What percent specificity is the Canadian C-spine Rules?
43%
- What are the Canadian C-spine Rules according to Stiell et all 2001?
- > 65 years old
- paresthesia in extremities (dermatome changes)
- dangerous mechanism of injury (MVA/ fall/ trauma)
- AROM less than 45 degrees rotation bilaterally
- history of long term steroid use or osteoporosis
- What are the 3 types of odontoid fracture?
- ) oblique fracture - upper portion
- ) fracture at base as it attaches to base of C2 (most common
- ) fracture line extends through the axis of odontoid
- What type of exam needs to be performed when screening for cervical spine fractures?
Neurological (myotome/ dermatome/ DTRs/ bowel & bladder dysfunction/ UMN/ LMN)
- According to Mintken 2008, is there evidence to support the transverse ligament test?
No evidence exists that an anterior shear test is valid.
- When a transverse ligament test was perform in supine in the Mintken 2008 study, what occurred?
Paresthesia in both feet and toes
- What is os odontoideum?
Dens is separated from the body of axis
- What are the signs of craniovertebral instability?
1) . Occipital numbness due to C2 nerve irritation given the anterior translation of C1.
2) . Neck-tongue syndrome (paresthesia of ipsilateral 1/2 tongue with contralateral rotation –> RR = left tongue parsthesia)
3. ) headache with sustained flexion/ lump in throat/ UMN or cord signs
196.What are you looking for with open mouth X-ray?
- ) Is the SP of C2 in midline (off midline = alar rupture)
- ) Are periodontoid spaces equal? (ipsilateral narrow or lateral shift?)
- ) Are the articular margins of C1 and C2 lined up?
- Is a craniovertebral instability test valid according to Mintken et al 2008?
No, very little evidence to establish validity
- Is craniovertebral instability testing reliable according to Cattrysse et al 1997?
Inter-examiner reliability of transverse ligament test, alar ligament test, and sharp-purser have all been found to be “poor to unacceptable”