Week 2- Neck Pain Centralization Classification

Question 1

What kind of patients experience neck pain w/ radicular pain?

Answer 1

• Herniated disc in c-spine
• Peripheralization/centralization
• Dermatomal, myotomal, DTR changes
• Pain w/ cervical rotation (<60 deg)
• Adverse neurodynamic mobility

Question 2

4 variables that increase likelihood of cervical radiculopathy to 90%

Answer 2

• Ipsilateral cervical rotation <60 degrees
• ULTTA
• Distraction test
• Spurling’s test A

Question 3

Who will benefit most from treatment for neck pain w/ radicular symptoms?

Answer 3

• Age <54
• Dominant arm not affected
• Looking down doesn’t aggravate symptoms
• Multi-modal Rx for >50% of visits

Question 4

Position for intermittent traction

Answer 4

Supine, w/ legs supported

Question 5

On/off cycle for intermittent traction

Answer 5

60 sec pull/20 sec relaxation (50% of pull force)

Question 6

Force of pull for intermittent traction

Answer 6

12 lbs

Question 7

Angle of pull for intermittent traction

Answer 7

• If less than full flexion AROM: 15 deg

- If full flexion AROM: 24 deg