Cervical Spine TBC 3 Flashcards
Neck pain with mobility deficits: age
< 50 yo
Neck pain with mobility deficits: acuity
Acute < 12 weeks
Neck pain with mobility deficits: restricted cervical ROM, especially where
endrange
Neck pain with mobility deficits: referred pain?
may be present
Neck pain with mobility deficits: segmental hypomobility where
cervical/thoracic spine
Neck pain with mobility deficits: more than (%) of pts presenting to a pain clinic with neck pain suffer from facet-related pain
50%
Neck pain with mobility deficits: dysfunction arising from the joint (facet/uncovertebral) d/t
- high density of mechanoreceptors
- increased proprioception
- increased nociceptive function
With foraminal stenosis, what symptoms will you likely see? (neuro)
- paresthesia
- myotomal weakness
- hyporeflexia
- increased likelihood of LMN dysfunction
Neck pain with mobility deficits: joint stiffness worst when?
morning
Neck pain with mobility deficits: likely decreased ___ strength
postural
Neck pain with mobility deficits: dx accuracy of segmental mobility (PA assessment)
Sn
0.82
Neck pain with mobility deficits: dx accuracy of segmental mobility (PA assessment)
Sp
0.79
Neck pain with mobility deficits: Lateral stenosis is common due to
small foramen
osteophytes from 2 joints (uncovertebral/facet)
Neck pain with mobility deficits: arthritic conditions
s/s of lateral stenosis
- vague mild/moderate ache in arm/neck
- severe paresthesia in affected dermatome
Neck pain with mobility deficits: lateral stenosis
What increases/decreases symptoms?
- Closing foramina increases symptoms
- Opening foramina decreases symptoms
Neck pain with mobility deficits: referral pattern
pink
C5/6
Neck pain with mobility deficits: referral pattern
red
C4/5
Neck pain with mobility deficits: referral pattern
green
C3/4
Neck pain with mobility deficits: referral pattern
purple
C2/3
