Cervical manipulation

Question 1

what is a tribonucleation

Answer 1

describes the formation of vapour and gas bubbles withing the fluid thru a local reduction in pressure

when the low pressure eaualizes with the higher pressure an adible pressure wave is created

-cavitation is a collapse of a bubble

Question 2

what has been found to reduce the refractory period bw pops

Answer 2

applying compression to the jt.

Question 3

what were the specificity and sensitivity of finding congenital block vert

Answer 3

98% specificity

74% sensitivity

Question 4

are there any gold standards to determine smt thrust loc in cervical spine

Answer 4

no

Question 5

does endplay restriction contribute to same day neck pain and stiffness outcomes

Answer 5

no

-thus decreased pain may not be associated with motion restrictions

Question 6

best evidence things to use to find site of care

Answer 6

tenderness
orthotests
ROM
mackenzie
painfull arch
prone instability

Question 7

what has some evidence for determining site of care

Answer 7

static/mot palp

leg length inequality

Question 8

Clinical prediction rules for LBP SMT and how many do u need to raise it to 95%

Answer 8

4 to reach 95%

1. Segmental hypomobility, pain
2. Acute onset <16days
3. no pain distal to knee
4. at least 1 hip int rot > 35deg
5. Low fear avoidence beliefs score FABQ<19

Question 9

what is the small clinical prediction rule for LBP (and what percentage will u capture that responds well)

Answer 9

93%

1. duration<16days
2. No symptoms distal to knee

Question 10

4 predictors of stabalization excersice regime

Answer 10

1. age <40
2. Avergae SLR >91
3. Abberant movement present
4. Positive prone intability test

Question 11

Clininical prediction rules to diagnose cervical radiculopathy (how many do u need)

Answer 11

1. Pos spurlings
2. Pos neck distraction
3. Pos upper n tension test (median)
4. less than 60 rot

3/4 present 94 specificity

Question 12

Clinical predication rules to identidy immediate response to cerv mapip

Answer 12

Inital NDI <11.5
Bilat involvment pattern
No sedentary work >5h
Feel better while moving neck
not feeling worsse when extending neck
diagnosis of spondylosis

Question 13

CPR to identidy neck pain likely to respond to thoracic manip

Answer 13

Symptoms <30 days
No symps distal to shoulder
Looking up doesnt aggrevate symptoms
FABDQp <12
Diminished upper thoracic kyphosis
cervical ext <30

Question 14

where does gapping occur in CS manipulation in relation to rot and flex

Answer 14

Gapping occurs on the contralat side to flex and ipsilat to rot