Contraindications

Question 1

Cauda Equina

Answer 1

Absolute CI, call 911

Question 2

Spondyloisthesis

Answer 2

Relative CI, but no posterior-anterior thrust or lumbar roll

Question 3

Pregnancy

Answer 3

Relative, gentle soft tissue mobilization & stretching

Question 4

6 Ways to be extra safe

Answer 4

Do not perform adjustment
Thrust lightly
Soft Tissue Mobilization
Long axis Distraction (arthritis)
Adjust above and below segment (fused bone)
Adjust way from instability/pathology

Question 5

Rheumatoid Arthritis

Answer 5

relative - perform long axis distraction, , absolute CI if atlantoaxial instability

Question 6

Down’s Syndrome

Answer 6

Absolute CI due to atlantoaxial instability

Question 7

Marfan’s

Answer 7

Absolute due to atlantoaxial instability

Question 8

MVA or history of head trauma/injury

Answer 8

Absolute is there is atlantoaxial instability

Question 9

Congenital laxity or absence of transverse ligament

Answer 9

Absolute due to atlantoaxial instability

Question 10

Atlantoaxialoccipital osteoarthritis

Answer 10

relative CI unless atlantoaxial instability

Question 11

Ankylosing spondylitis

Answer 11

relative CI, adjust above or below fused bone

Question 12

Inflammatory arthritis

Answer 12

Relative CI - preform long axis distraction

Question 13

Avascular necrosis

Answer 13

Absolute CI

Question 14

malignant bone tumours

Answer 14

Absolute CI

Question 15

fracture

Answer 15

Absolute CI

Question 16

dislocation

Answer 16

Absolute CI

Question 17

Infection of the bone at the joint

Answer 17

Absolute CI

Question 18

Aplasia of the posterior arch of atlas

Answer 18

Absolute CI

Question 19

Os odontoideum

Answer 19

Absolute CI

Question 20

Neuro deficits after cervical spine high velocity thrust

Answer 20

Absolute CI

Question 21

recent TIA

Answer 21

absolute CI

Question 22

Vertebral basilar insufficiency

Answer 22

absolute CI for cervical manip

Question 23

Aneurysm involving major blood vessel in the general area of manip

Answer 23

absolute CI

Question 24

Calcification of vertebral artery

Answer 24

absolute CI

Question 25

Lack of consent, drugged/drunk

Answer 25

absolute CI

Question 26

Recent surgery near area

Answer 26

Absolute CI

Question 27

Osteoporosis, osteopenia

Answer 27

relative

Question 28

long term steroid use

Answer 28

relative

Question 29

previous radiation therapy

Answer 29

relative

Question 30

congenital malformation

Answer 30

relative

Question 31

benign bone tumors

Answer 31

relative

Question 32

calcification of the ligaments of the upper cervical spine

Answer 32

relative

Question 33

Neurological deficits as a result of discopathy

Answer 33

relative

Question 34

An aneurysm involving a major blood vessel

Answer 34

relative

Question 35

anti coagulation therapy

Answer 35

relative

Question 36

Blood dyscrasias

Answer 36

relative

Question 37

calcification abdominal aorta

Answer 37

relative

Question 38

discopathies: acute and chronic

Answer 38

relative

Question 39

lateral stenosis of lumbar spine

Answer 39

relative CI

Question 40

Fused vertebrae

Answer 40

relative CI - adjust above or below

Question 41

manipulative treatment exacerbates patient's condition

Answer 41

relative CI

Question 42

Acute HA and/or neck pain of unknown etiology with no abnormal exam findings except pain

Answer 42

relative CI