Cervical Spine TBC Flashcards
4 classifications of neck pain per TBC
- neck pain with mobility deficits
- neck pain with radiating pain
- neck pain with movement coordination impairments
- neck pain with headache
TBC algorithm:
If no s/s of nerve root compression, no symptoms distal to elbow, no HA, symptom duration < 30 days, and the pt is > 60 yo, what group do they fall in?
exercise and conditioning
TBC algorithm:
If no s/s of nerve root compression, no symptoms distal to elbow, no HA, symptom duration < 30 days, and the pt is < 60 yo, what group do they fall in?
mobility
TBC algorithm:
If no s/s of nerve root compression, no symptoms distal to elbow, no HA, symptom duration > 30 days, what group do they fall in?
exercise and conditioning
TBC algorithm:
Pt belongs in centralization group if they have these characteristics
- (+) signs of nerve root compression
- (+) symptoms distal to elbow
TBC algorithm:
If no s/s of nerve root compression, no symptoms distal to elbow, (+) HA that is not affected by neck movement and/or pt has a diagnosis or symptoms of migraine, what group do they fall in?
noncervicogenic HA
TBC algorithm:
If no s/s of nerve root compression, no symptoms distal to elbow, (+) HA that is affected by neck movement without a diagnosis or symptoms of migraine, what group do they fall in?
headache
TBC algorithm for patients with neck pain: pain control category
MOI
MVA or other whiplash mechanism
TBC algorithm for patients with neck pain: pain control category
symptom duration
< 30 days
TBC algorithm for patients with neck pain: pain control category
initial pain rating
> 7/10
TBC algorithm for patients with neck pain: pain control category
NDI
score > 52
TBC for neck pain: mobility
These interventions must BOTH be received within the first 3 sessions
- cervical or thoracic mobs/manips
- strengthening exercises for DNF
TBC for neck pain: centralization
Either of these interventions must be received
- mechanical or manual cervical traction (at least 50% of sessions)
- cervical retraction exercises (at least 50% of sessions)
TBC for neck pain: exercise and conditioning
These interventions must both be received in at least 50% of sessions
- strengthening exercises for UQ muscles
- strengthening exercises for neck or DNF muscles
TBC for neck pain: pain control
These interventions must BOTH be received within the first 3 sessions
- cervical spine mobilization
- cervical ROM exercises
