Chapter 14_Management of Cervical and Thoracic Spine Conditions Flashcards
(25 cards)
What are the physical therapy assessment techniques for cervical and thoracic spine conditions?
Assessment techniques for musculoskeletal conditions involving the cervical and thoracic spine and peripheral nerves.
What are red flag signs and symptoms in patients with spinal conditions?
Signs that would result in stopping treatment and initiating communication with the supervising physical therapist or other healthcare providers.
What are common referred pain patterns affecting the cervical and thoracic spine?
Patterns impacting the cervical and thoracic spine.
What are common causes of cervical and thoracic spine pain and dysfunction?
Degenerative disc disease, disk herniation, cervical stenosis, postural dysfunction, cervical radiculopathy.
What are the four treatment categories for cervical pain and dysfunction?
Neck pain with mobility deficits, neck pain with headaches, neck pain with movement coordination impairments, neck pain with radiating pain.
What are the myotome and dermatome distributions for the upper extremities?
- C1-C2: Cervical Flexion
- C3: Cervical Side Flexion
- C4: Shoulder Elevation
- C5: Shoulder Abduction
- C5-C6: Elbow Flexion
- C6: Wrist Extension
- C7: Elbow Extension
- C8: Finger Flexion
- C8: Thumb Abduction
- T1: Finger Abduction
What are the common surgical approaches to manage cervical spine diagnoses?
Anterior Cervical Discectomy and Fusion (ACDF), Posterior Cervical Foraminotomy (PCF), Cervical Disc Arthroplasty (CSA).
Fill in the blank: Neck pain is the ______ leading cause of disability and work loss.
fourth
What are the initial treatment guidelines for neck pain with mobility deficits?
- Gentle ROM exercises
- Gentle stretching of shortened muscles
- Strengthening of scapulothoracic muscles
- Postural education
- DNF strengthening
What are the symptoms of Thoracic Outlet Syndrome?
- Paresthesia
- Weakness
- Neck pain/HA
- Tenderness in muscles of region
What are the types of Thoracic Outlet Syndrome?
- Arterial
- Venous
- Neurogenic
True or False: Cervical surgery is only indicated for traumatic injuries.
False
What are the post-surgical red flags following cervical surgery?
- Persistent fever
- Persistent HA worse when sitting
- Bleeding from incision
- Increased swelling or redness
- New onset bowel/bladder issues
What is the goal of treatment for neck pain with radiating pain?
Centralize the pain
What are common findings associated with headaches?
- Migraine
- Tension
- Cervicogenic
What should be included in the assessment for Temporomandibular Joint Disorder (TMD)?
- Posture
- Breathing
- Speech patterns
- ROM and observation of path of movement
Fill in the blank: Symptoms of TMD include pain with _______.
chewing/talking
What are treatment guidelines for neck pain with headaches (Cervicogenic)?
- Soft tissue mobilization
- Gentle manual traction
- Increase rotation
- Stretches for suboccipital muscles
What is a common surgical procedure for cervical spine issues involving removing disc and stabilizing the segment?
Anterior Cervical Discectomy and Fusion (ACDF)
What are the components of the second phase of post-operative management for cervical surgery?
- Weaned from brace
- Starting AROM
- Posture education
- General stretching
What types of pain can be referred from the thoracic spine?
Pain that does not change with ROM/MMT and does not match musculoskeletal pain patterns.
What is a common non-surgical intervention for Temporomandibular Joint Disorder?
Joint mobilizations
What are the symptoms of Neurogenic Thoracic Outlet Syndrome?
- Paresthesia
- UE weakness
- Raynaud Disease
What is the primary focus during the initial phase post-cervical surgery?
Protection and healing
