Week 3: Neck Pain Mobility Classification Flashcards
1
Q
Common symptoms for neck pain w/ mobility deficits
A
- Central and/or unilateral neck pain
- Limited ROM that reproduces symptoms
- Referred shoulder girdle or UE pain
2
Q
Expected exam findings for neck pain w/ mobility deficits
A
- Limited cervical ROM
- Pain reproduced at end AROM and PROM
- Restricted cervicothoracic mobility
- Deficits in cervicoscapulothoracic strength and motor control
3
Q
Interventions for acute neck pain w/ mobility deficits
A
- Thoracic manipulation
- Cervical mob/manip
- Cervical ROM, stretching, and isometric strengthening exercise
- Stay active
4
Q
Interventions for subacute neck pain w/ mobility deficits
A
- Cervical mob/manip
- Thoracic manip
- Cerevicoscapulothoracic endurance exercise
5
Q
Interventions for chronic neck pain w/ mobility deficits
A
- Thoracic manip
- Cervical mob
- Cervicoscapulothoracic exercise + mob/manip
- Exercise/stay active
6
Q
Clinical prediction rule for cervical manipulation
A
- Symptoms <38 days
- Positive expectation
- Cervical rotation ROM side-to-side difference of 10 degrees or greater
- Pain w/ PA testing mid-cervical spine
7
Q
How does cervical manipulation compare with thoracic manipulation?
A
Manipulate thoracic spine on initial visit, cervical manipulation should be used when appropriate
8
Q
How does cervical thrust compare with cervical non-thrust?
A
No difference in short or long term outcomes
9
Q
What exercise interventions might we include in treating neck pain w/ mobility deficits?
A
AROM for neck and shoulder girdle
