Flashcards in Cervical III Deck (17):
1
What are the red flag risk factors?
1. Vessel disease
2. Fracture
3. Infx/instability
4. Radiculopathy
5. Spinal stenosis/stroke
6. Tumor/thrombus
2
What should always be performed with cervical manipulation?
Neurological exam
3
What are the five components of the neuro exam?
1. Inspection
2. AROM
3. Str
4. Reflexes
5. Sensation C5-T1 dermatomes
4
When are fractures of the neck suspected?
Pain in the neck after trauma
5
Relative contraindications to OMM are mainly to what?
HV/LA
6
Can you still treat patients who have contraindications with OMM?
Yes, with non-HV/LA techniques
7
Herniated nucleus pulposus = ok to treat?
Only non-HV/LA
8
What are the side effects of cervical manipulation?
1. Transient dizziness
2. Decrease of symptoms
3. Soreness
4. No change
9
What are the two indications of vascular insufficiency in the carotid or vertebrobasilar vascular disease?
Dizziness with looking up
Carotid bruit
10
Are cervical treatments safe? Why?
Apparently
1. how they are performed
2. Avoidance of complications
11
What did this AOA paper conclude?
1. Small risk of C spine OMM
2. Teach potential risks
3. Continue to teach as before
4. More research is needed
12
What are the two specific diseases that are need f/u prior to HV/LA cervical spine?
RA
Downs
Needs flexion and extension x-rays
13
What is spondylolisthesis, and can you treat it with HV/LA?
Movement of vertebrae on one another.
No
14
Why are ocular lens implants contraindicated for OMM?
lens fall off
15
What is a syringomyelia?
Cavity in the spinal cord due to trauma or tumor
16
What are the things to avoid in HV/LA?
Hyperextension or hyperrotation
Guarding
17