Cervical Spine Treatment Flashcards
What are the 5Ds and 3Ns
Dizziness Drop Attacks Dysphagia Dysarthria Diplopia
Ataxia
Anxiety
Nausea
Numbness
Nystagmus
Important findings to gather in the history
Nature of injury Previous neck trauma Any feelings of a heavy head 5Ds and 3Ns Pain scale Meds Diagnostic tests already performed
The Upper Quarter Screen can help rule out…
Shoulder pathology
TMJ
Thoracic Outlet
Cervical radiculopathy
What items can you assess in the functional movement assessment
Head and neck posture Transfers (sit to stand, etc) Gait Upward Reaching Donning or doffing clothing
T/F: The spine is the most common area for cancers to metastasize to.
True
Which test should you typically do first before continuing on the with examination?
Sharp-Purser
What is the special test to differeniate between cervicogenical headaches and migranes?
Cervical flexion-rotation test (CFRT)
It has a high sensitivity and specificty
How do you assess deep neck flexor endurance
Have the pt hold their head in the correct position about 1 inch off the table. Stop timing the test once the head touches the table or your fingertips
How many pounds of pressure should be applied when administering Spurling’s Test?
7 kg or 15 pounds of pressure
What tests should be performed if the patient has radiating arm pain?
Upper Quarter Screen Median, Ulnar, and Radial nerve tests Myotomes Dermatomes Deep Tendon Reflexes
What are the tests for cervical myelopathy?
Hoffmans sign Babinski Sign Clonus Romberg Finger Escape Sign Grip and Release Test Inverted Supinator Reflex (brachioradialis)
What should you always do before performing a cervical manipulation?
Pre-manipulative hold
Positive Sharp-Purser
Symptoms are relieved. DO NOT DO ANY OTHER TESTS IF POSITIVE!!!!
Positive Transverse Ligament Test
Bilateral leg or arm pain, numbness, tingling
Sensation of a lump in the throat
Presence of a cardinal sign or symptom
Positive Alar Ligament Test
Affected side: C2 will take longer to bump into the examiner’s finger on the contralateral side.
30% incidence after having a whiplash injury
May have more rotation or sidebend or both in once side compared to the other
