Cervical Examination & Intervention Flashcards Preview

PT 514 Musculo Rehab > Cervical Examination & Intervention > Flashcards

Flashcards in Cervical Examination & Intervention Deck (64):
0

neck pain affects blank percent of individuals in their lifetime

70

1

neck pain is almost as prevalent as blank

low back pain

2

neck pain makes up about blank percent of patients seen in pt

25

3

like low back pain, the origin of pain is often blank

indefinablee

4

some elements of subjective exam

nature of disorder, area of symptoms, behavior of symptoms, questionnaires

5

pain that is constant and high level... recent onset

chemical pain

6

pain that is intermittent, variable levels of pain, usually local, can be chronic

mechanical pain

7

mechanical pain can be reduced by blank

changes in position

8

some special questions for cervical pain

dizziness? trouble talking/swallowing? change in vision? change in gait? hard to hold onto small objects?

9

5 d special questions

double vision, dysarthria (difficulty speaking), dizziness, dysphagia (difficulty swallowing), drop attacks

10

10 item condition specific self report questionnaire

neck disability index (NDI)

11

ndi is on a scale of

0-50

12

minimal detectable change with ndi

5 points

13

blank scores on ndi are more desirable

lower

14

concordant sign is the patients blank

chief complaint

15

normal AROM of cervical flexion

45 degrees

16

normal arom cervical extension

45

17

normal lateral flexion cervical

45

18

normal arom rotation cervical

60

19

movements used for the purpose of assessment and management of pain

repeated movement testing

20

three types of repeated movement testing

postural, dysfunction, derangement

21

pain during movement is characteristic of blank

derangement

22

pain at end range is more characteristic of blank

dysfunciton

23

repeated movements have no effect on this syndrome

postural

24

PROM cervical is usually performed in the blank position for relaxation

supine

25

PROM examiner uses blank hold or blank hold to move patient's head into desired ROM

chin cradle, cradle

26

during cervical PROM, examiner is looking for whether or not blank is present

gapping

27

this test provides clinician with information regarding tissue reactivity

resisted isometric testing

28

this test provides clinician with information regarding strength

MMT

29

most people with cervical pain have weakness in blank

neck flexors

30

special UMN lesion tests

babinski, hoffman, rhomberg, lhermitte

31

rhomberg is a blank test

balance

32

lhermittes sign is a blank pain down spine with blank cervical movement

lightning, retraction

33

ULNT is a special test that looks at the blank and physiologic ability of the blank system

mechanical, nervous

34

ULNT results that reproduce pain, alters pain, difference from side to side in ROM

positive results

35

three peripheral nerves tested by ULNT testing

median, radial, ulnar

36

alar ligament test, transverse ligament test, modified sharp pursers, aspinalls, tectorial membrane tests are provocative for blank

cervical instability

37

these tests test for vascular signs and consist of different movements of the neck to see if there is dizziness

vertebral artery tests

38

how many visits for appreciable change observation

6

39

following a MVA or a fall from a height or down stairs, the clinician should be suspicious of serious injury in the presence of blank sings

vague

40

canadian c spine rules are supposedly blank

100% sensitive

41

pt should determine if headaches are blank or blank

cervicogenic, icad

42

icad means

internal carotid artery dissection

43

pts can treat this headache

cervicogenic

44

cervicogenic headaches originate from cervical spine and symptoms change with blank testing, and symptoms in the suboccipital region, temporal, frontal, or orbital region

movement

45

icad is a sudden intense headache in the blank region unilaterally

temporal

46

icad also presents blank pain on the same side of headache

neck pain

47

icad may present with blank signs and as the worst headache of a patient's life

upper motor neuron (check CN)

48

an icad is a medical blank

emergency

49

cervical radiculopathy is blank by pt but blank thoracic outlet syndrome

treatable, not

50

cervical radiculopathy is usually blank pain

referred

51

thoracic outlet syndrome have symptoms with blank and is characterized by blank arms or blank hands

activity, heavy, cold

52

four criteria to identify Wainners CPR for cervical radiculopathy

c spine rotation less than 60 degrees, spurlign's test, distraction test, upper limb nerve tension test

53

three of five basic managing principles

stage of recovery, exam findings, patient beliefs, evidence to support what you're doing, test then treat then retest then treat

54

intervention when patient responded favorably to repeated movement testing

directional preference

55

directional preference should use movements in the blank direction of pain

opposite?

56

directional preference should always exhaust movements in this plane

sagittal

57

directional preference should ideally be performed in this position

sitting

58

evidence for thoracic manipulation is blank

weak

59

manual therapy that controls inflammation/pain should be blank cervical traction for less than five mins

intermittent

60

this intervention is used in the presence of radicular symptoms or peripheral neurogenic symptoms

neuromobilization

61

neuromobilization, the test is the blank

treatment

62

passive neuromobilizations should be blank

graded

63

neuromobilizations can be done blank or blank depending on the nature of the disorder

active, manually