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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

Pain with cervical manipulation usually indicates what?

other parts of the spine should be treated first