Head and Neck Anatomy/CPG overview Flashcards
(13 cards)
What sections of the cervical spine are considered upper, middle, and lower?
Upper: C1-3
Mid: C3-5
Lower: C4-7
What is the articular pillar?
- where all the facets are stacked up
What is considered the C-T junction?
- C6-T1
What motions open and close the intervertebral foramen?
Open:
- flexion
- contralateral lat flexion
- contralateral rotation
Close:
- extension
- ipsilateral lat flexion
- ipsilateral rotation
What motions are coupled in the cervical spine?
- lateral flexion and rotation are coupled together
What are some risk factors for neck pain?
- female
- prior neck pain
- older age
- high demand jobs
- smoking history
- low work/society support
- LBP history
What is the common clinical course for neck pain?
- Most rapid recovery in first 6-12 weeks
- little recovery after 12 months
What are the 3 types of chronic neck pain?
- stable
- fluctuating
- recurrent
What are some prognostic indicators for a less favorable outcome?
- high pain
- high reported self-disability
- high pain catastrophizing
- cold hyperalgesia
- age
What are some prognostic tools used?
- NPRS
- Neck Disability Index (NDI)
- Pain catastrophizing scale
What is the Canadian Cervical Spine rule?
2 Categories that help determine imaging:
Low Risk (imaging not required):
1) able to sit in the ED OR
2) Simple rear-end MVA OR
3) ambulatory any time OR
4) had delayed onset of neck pain OR
5) do not have midline spine tenderness WITH
6) are able to rotate head 45 degrees each direction
High risk (need imaging):
1) greater than 65 years old OR
2) dangerous MVA OR
3) have paresthesia’s in extremities
What is the Sn, Sp, +LR, -LR of the Canadian Cervical Spine rule?
Sn: 99-100
Sp: 43-91
+LR: 1.81-10.7
-LR: .01
What are the categories to classify neck pain?
Neck pain with:
- mobility deficits
- movement coordination impairments
- headache (cervicogenic)
- radiating pain
