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msk 3 > Cervical Spine Exam & Intervention > Flashcards

Cervical Spine Exam & Intervention Flashcards

1
Q

Factors associated w/ development of chronic neck pain

A
  • less baseline pain and disability intensity
  • age (> 40)
  • headache
  • bicycling
  • worse QoL
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2
Q

upper cross syndrome

A
  • Inhibited neck flexors and inhibited rhomboids and serratus anterior
  • tight upper trapezius and levator scapula and tight pectorals
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3
Q

C1 myotome

A

capital flexion

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4
Q

C2 myotome

A

capital extension

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5
Q

C3 myotome

A

neck lateral flexion

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6
Q

C4 myotome

A

shoulder (scapular) elevation

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7
Q

C5 myotome

A

shoulder abduction

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8
Q

C6 myotome

A

elbow flexion and wrist extension

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9
Q

C7 myotome

A

elbow extension and wrist flexion

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10
Q

C8 myotome

A

thumb abduction

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11
Q

T1 myotome

A

finger adduction

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12
Q

biceps DTR

A

C5

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13
Q

brachioradialis DTR

A

C6

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14
Q

triceps DTR

A

C7

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15
Q

special tests for ruling out cervical arterial dysfunction (CAD)

A
  • end-range rotation test
  • VBI test
  • Modified VBI test
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16
Q

upper cervical stability ruling out tests

A
  • modified sharp purser test
  • upper cervical flexion test
  • A-O membrane test
  • tectoral membrane test
  • alar ligament stability test
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17
Q

How to perform modified sharp purser test

A
  • slightly flex neck
  • palpate C2 spinous process
  • provide posterior force through forehead with contralateral hand
    • if symptoms produced during neck flexion and reduced with posterior force on forehead
18
Q

What test is good for confirming upper cervical instability but not good for screening?

A

modified sharp purser test

19
Q

How to perform tectoral membrane test

A
  • stabilize spinous process of cervical spine and under occiput
  • provide traction and posterior translation force
    • test is excessive motion
20
Q

How to perform posterior A-O membrane test

A

Stabilize cervical spine at transverse process of C1 and under occiput to provide translation force
- Excessive motion is + test

21
Q

How to perform alar ligament stability test

A

Palpate spinous process of C2 and rotate head and lateral flex head until feel C2 spinous process moving
If no movement occurs = + test
Repeat in slight flexion and extension

22
Q

The alar ligament stability test is good for _______ but not as good for ________

A

good for confirming but not as good for screening

23
Q

ruling out test for cervicogenic headaches

A

cervical flexion-rotation test

24
Q

ruling out test for radicular pain/radiculopathy

A

upper limb tension test

25
Q

How to perform cervical flexion rotation test

A
  • full neck flexion and maintain chin tuck
  • rotate R and L
    • test if symptoms produced or difference of 10 deg ROM from side to side
26
Q

CPA testing aka spring testing

A
  • find spinous process and provide anterior force
  • want to have snot drip straight down
  • looking for provocation of radicular symptoms
27
Q

UPA testing

A
  • same as CPA but done on articular pillars
28
Q

cervical tests for confirming

A
  • spurling’s compression test
  • cervical distraction test
  • valsava maneuver
  • brachial plexus compression test
  • cervical compression test
  • Wainner’s test item cluster
29
Q

items in Wainner’s test item cluster

A
    • spurling’s test
    • cervical distraction test
    • ULTT
  • c-spine rotation AROM < 60 deg
30
Q

MDC for neck flexor muscle endurance test

A

17.8 sec

31
Q

Grade 1 mobilization

A

small amplitude at beginning of range

32
Q

Grade 2 mobilization

A

large amplitude within range but not end range

33
Q

Grade 3 mobilization

A

large amplitude performed up to the limit of the range

34
Q

Grade 4 mobilization

A

small amplitude performed at the limit of the range

35
Q

manual therapy absolute contraindications for PROM and manipulations

A
  • malignancy of targeted region
  • cauda equina syndrome
  • red flags - neoplasm, fracture, or systemic disturbance
  • rheumatoid collagen necrosis
  • upper c-spine instability
  • concern for CAD (dizziness, nausea, hearing disturbances, unsteadiness)
36
Q

relative contraindications for PROM and manipulations

A
  • acute nerve root irritation
  • blood clotting disorder
  • acute inflammation, stiffness, systemic disease, irritability, osteoporosis
37
Q

absolute contraindications for manipulations

A

same as PROM as well as:
- practitioner lack of ability
- spondylolisthesis
- gross foraminal encroachment
- children/teenagers
- pregnancy
- fusion
- psychogenic disorders
- immediately postpartum

38
Q

cervical thrust and non-thrust techniques for mechanical neck pain are part of which POC?

A

acute, subacute, and chronic neck pain

39
Q

cervical mobilization/manipulation in combo w/ exercises is good for what diagnosis?

A

cervicogenic headaches
- evidence for pain reduction and functional improvement

40
Q

Thoracic thrust and non-thrust techniques for mechanical neck pain are better for ________ results

A

short-term

41
Q

mobilization and manipulation of c-spine w/ targeted neck strengthening is good for which muscles?

A

cervical deep flexors

42
Q

cervical mobilization with movement for which diagnosis?

A

cervical dysfunction
- cervicogenic headaches and dizziness

msk 3 (13 decks)

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