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OPTIM OCS: UQ > Cervical Spine TBC 2 > Flashcards

Cervical Spine TBC 2 Flashcards

1
Q

Cervical radiculopathy: DDx

A
  • RTC
  • peripheral n. entrapment
  • TOS
  • brachial plexus
  • herpes zoster
  • CRPS
  • tumor/abscess
  • cardiac dysfunction
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2
Q

Cervical radiculopathy: typically presumed to involve narrowing of (structure) due to inflammation and/or degenerative changes

A

intervertebral foramen

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3
Q

Cervical radiculpathy: Common diagnosis based clinically on presence of

A
  • neck pain extending into the arm
  • s/s of nerve root compression during PE
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4
Q

Cervical radiculopathy: dysfunction of the nerve root in the cervical spine via

A
  • compression
  • traction
  • irritation
  • lesion
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5
Q

Cervical radiculopathy: causes for nerve root dysfunction in younger patients

A

herniated disc

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6
Q

Cervical radiculopathy: Causes for dysfunction of nerve root in cervical spine in older patients

A
  • foramina narrowing
  • osteophytes
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7
Q

Cervical radiculopathy: People of any age affected, but most frequently seen in this age range

A

40-50

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8
Q

Cervical radiculopathy: prevalence

A

83 in 100,000

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9
Q

Cervical radiculopathy: typically (bilateral/unilateral) symptoms

A

unilateral

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10
Q

Cervical radiculopathy: associated s/s

A
  • radiating arm pain in a dermatomal pattern
  • neck pain
  • myotomal weakness
  • paresthesia/numbness
  • HA
  • scapular pain
  • reflexes
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11
Q

Cervical radiculopathy: symptoms increased with these motions

A
  • rotation
  • extension
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12
Q

Cervical radiculopathy: This is the single best neuro screening test for cervical radiculopathy

A

biceps reflex

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13
Q

Cervical radiculopathy: If the biceps reflex is diminished or absent, the chance of having a cervical radiculopathy increases from 23% to (%)

A

59%

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14
Q

Cervical radiculopathy: Of the cervical radiculopathy cluster, this test has the highest sensitivity

A

ULTT

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15
Q

Cervical radiculopathy: cluster

A
  • ULTT median
  • (+) Spurling
  • (+) distraction
  • Ipsilateral rotation < 60˚
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16
Q

Disc lesions: these types of disc prolapses are relatively rare in the cervical spine

A

posterolateral

17
Q

Disc lesions: posterolateral disc prolapse relatively rare in cx spine. Why?

A

Nucleus take up only 15% of disc

18
Q

Disc lesions: prolapses causing neuro signs are more common in the (upper/lower) cervical spine

A

lower

19
Q

Disc lesions: prolapses causing neuro signs more common in the lower cervical spine due to

A

larger uncinate processes in upper cervical spine

20
Q

Disc lesions: pain is intense and may be (location)

A
  • scapular
  • radiating into arm
21
Q

Disc lesions: disc prolapses in lower cervical spine

This movement is usually limited and the pt may also present with what (positioning)?

A

flexion

torticollis

22
Q

Disc lesions: This treatment modality relieves symptoms

A

traction

23
Q

Disc lesions: XR findings?

A

negative

24
Q

Disc lesions: Central herniation is most common in this age group

A

< 45 yo

25
Q

Disc lesions: central herniation causes these symptoms

A
  • BUE pain
  • multisegmental paresthesias, especially in the hands and later in the feet
26
Q

Disc lesions: central herniation

This movement reproduces symptoms and may also cause these signs

A

neck flexion

UMN signs

27
Q

Disc lesions: central herniation

(%) of pts after MVA who have central posterior prolapse

A

25-40%

28
Q

Disc lesions: Shoulder abduction test

Decrease in symptoms is indicative of

A

C5-6 nerve root compression

29
Q

Radiculopathy treatment cluster: age

A

< 54

30
Q

Radiculopathy treatment cluster: dominant arm (is/is not) affected

A

is not

31
Q

Radiculopathy treatment cluster: looking down (does/does not) worsen symptoms

A

does not

32
Q

Radiculopathy treatment cluster: treatment involves

A
  • manual therapy
  • cervical traction
  • DNF strengthening

at least 50% of visits

33
Q

Level of evidence:

Clinicians should consider the use of mechanical intermittent cervical traction, combined with other interventions such as manual therapy and strengthening exercises, for reducing pain and disability in patients with neck and neck-related arm pain

A

B: moderate evidence

34
Q

Cervical radiculopathy treatment: these are useful for increasing function, AROM, and decreasing pain and disability

A

manual therapy + therapeutic exercise

35
Q

Cervical radiculopathy treatment: manual therapy techniques found to be successful in systematic review

A
  • thrust mobs to cervical and thoracic spine
  • cervical mobs
  • METs
  • neurodynamics
36
Q

Cervical radiculopathy treatment: PT is (more/less/at least as) effective as surgery for treatment

A

at least as effective

OPTIM OCS: UQ (17 decks)

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