C-Spine Examination Lab Refined Flashcards
PART 1: INTRO
PART 1: INTRO
Factors Associated with Development of Chronic Neck Pain:
- Less baseline pain and disability intensity
- Hx ________ and ________ symptoms (pain)
- Age (>___ years)
- Longer symptom duration
- Decreased _______ strength (disability)
- Headache
- Concomitant LBP
- Previous _________
- Bicycling as regular activity
- Worse health perceptions
- Worse ____
- More worrying
- neck and shoulder
- 40 years
- hand
- trauma
- QoL
The lifetime risk of developing neck pain is __-__%.
Approximately __-__% of individuals develop persistent pain and disability.
- 22-70%
- 20-44%
It is important in the patient interview to ask ______________ when patients present with neck pain for things such as:
- Cervical Arterial Dysfunction
- Structural Instability (upper cervical ligament, Frx)
- Pain referral from cardiopulmonary systems
- TMD
- UE Radiculitis/ Radiculopathy
- Central neurologic system
- Screening for other non-musculoskeletal health condition or musculoskeletal condition where referral is indicated
screening questions
It is important in the patient interview to ask their _________ limitations such as:
- Checking blind spot
- Prolonged static positioning (computer work, driving, etc.)
- Scanning ground for safety (older adults)
- Looking over head
- Lifting/ pushing/ pulling with UEs (heavy doors, etc.)
functional
- What is the most common outcome measure used?
- What are some others?
- PSFS (Patient-Specific Functional Scale)
- Neck Disability Index (NDI), Whiplash Disability Questionnaire, QuickDASH, Dizziness Handicap Inventory (DHI)
PART 2: VISUAL INSPECTION AND SYSTEMS REVIEW
PART 2: VISUAL INSPECTION AND SYSTEMS REVIEW
What are we looking for in our visual inspection?
- Gross abnormalities
- Alertness
- Integumentary
- Posture Assessment (resting vs ability to correct)
What is our goal with the systems review?
Identify impairments for continued tests and measures.
What are the 5 parts of the systems review?
- Cardiopulmonary
- Integumentary
- MSK
- Neuromuscular
- Cognition/Affect
PART 3: ELIMINATION TESTS
PART 3: ELIMINATION TESTS
What parts are included in elimination testing?
- UQ Screen
- Neuro Screening Tests
- Other Screening Tests
- Special Tests
Describe the UQ Screen.
- ) C-Spine AROM is done (flexion/extension, lateral flexion, rotation)
- ) C-Spine Resistance is done
- ) UE AROM is done (shoulder flexion and abduction, reach behind head, reach behind back, elbow flexion/extension, wrist flexion/extension, fist/open hand)
- ) UE Resistance is done (shoulder flex/abd/ER/IR, elbow flex/ext, wrist flex/ext, grip)
What is applied at the end of each AROM during the UQ Screen?
Overpressure is applied to stress joint structures
Describe the myotome screening for each nerve root.
C1= capital flexion C2= capital extension C3= lateral flexion C4= shoulder elevation C5= shoulder abduction C6= elbow flexion/wrist extension C7= elbow extension/wrist flexion C8= thumb abduction T1= finger adduction
What elimination tests are used for CAD?
- End Range Rotation Test
- VBI Test
- Modified VBI Test
What elimination tests are used for Upper Cervical Stability?
- Modified Sharp Purser Test
- Upper Cervical Flexion Test
- A-O Membrane Test
- Tectoral Membrane Test
- Alar Ligament Stability Test
What elimination test is used for Cervicogenic Headaches?
Cervical Flexion-Rotation Test
What elimination test is used for Radicular Pain/ Radiculopathy?
ULTT
PART 4: STRUCTURAL STRESS TESTING
PART 4: STRUCTURAL STRESS TESTING
With structural stress testing we are trying to better understand what?
The patients MSK pattern via active, passive, resistive testing
With stress testing what 4 things are we looking for?
- Quality
- Quantity
- Willingness
- Provocation
With structural stress testing, we might also want to look at contractile unit ________.
length
Why is resistive testing done in mid range?
Helps to decide whether it is a contratile or inert tissue issue.
