Test

Question 1

What is the clinical prediction rule for thoracic manipulation - which was not validated?

Answer 1

symptoms < 30 day, no symptoms distal to the shoulder, subject reports that looking up does not aggravate symptoms, FABQ PA < 12, Diminished upper thoracic kyphosis, cerv ext < 30 degrees

Question 2

What indication would lead to recommending cerv spine x-rays A. Patient can sit upright B. Patient is older than 50 y/o C. patient’s ROM limited to 30 degrees D. Patient tripped over a toy?

Answer 2

C

Question 3

What are the Canadian Cerv Spine Rules

Answer 3

< 65 years old, no major trauma like a MVA at a high rate of speed or fall from a height - No x-ray is warranted BUT if the patient Is limited to 45 degrees or less of rotation x-rays should be taken

Question 4

If a patient has a bilateral cervical rotation limitation < 45 degrees what is the likely cause?

Answer 4

stiffness at C1-2 because it accounts for 50% of the rotation of the cervical spine

Question 5

A patient has long standing headaches and neck pain. What is the best tx for this pt?

Answer 5

manipulative therapy with strengthening

Question 6

What is the minimal detectable change with the NDI

Answer 6

12% = 6 points