Cervical spine list

Question 1

must

Answer 1

observation: swelling, cervical posture as loss of cervical lordosis is a sign of WAD chen et al 2009,nystagamus, unilateral sweating

neural integrity test as it is a spinal cord injury we want to rule out any serious pathologies eg a lower motor neurone lesion if there are any dull reflexes

Question 2

should

Answer 2

Quebec scale assessements (ROM, SA, dermatomal assessment)
- suspect grade 2 whiplash but testing to rule out grade 3

Kemp test: suspect facet joing syndrome due to lack of pain upon extension and rotation from mechanical injury. schofferman et al 2008 facet join injury is the must cause of neck pain after whiplash.

norkin et al 2016 for muscle length as this assessment can help identify if changes in muscles extensibility are contributing to a movement impairment

Question 3

could

Answer 3

cluster if wainer: spurlings, distraction, ULLT, rotation less than 60 degress (wainner et al 2003 all 4 are posititve in presence of cervical radiculopathy)

PAIVM: to reproduce symptoms, assess end feel and prepare a treatment for a specific vertebrae

Question 4

ranges in the neck

Answer 4

flexion 60
hyperextension 75
lateral flexion 45
rotation 80

Question 5

for neuro integrity testing what vertebral level will you do

Answer 5

C7/8
reflex - triceps reflex
derm -2 mid fingers
mytom - elbow extension