Lecture 6: Neck Classifications and Interventions Flashcards
(46 cards)
What are two types of clinical yellow flags?
- attitudes and beliefs
2. Behaviors
What are examples of attitudes and beliefs which are yellow flags?
pain is disabling, all pain must be gone before beginning activity, expectation of pain with activity, pain is uncontrollable, expecting the worst
What are examples of behaviors which are clinical yellow flags?
extended rest, reduced activity, high pain, poor sleep, reliance on bracing, ETOH/smoking use
What are the four ICD classifications of neck pain?
- cervicalgia
- Headaches or crevice cranial syndrome
- Spain or strain of cervical spine
- Spondylosis with Radiculopathy or cervical disc disorder with radiculopathy
What are the four ICF classifications of neck pain?
- neck pain with mobility impairments
- neck pain with HA
- Neck pain with movement coordination impairments
- neck pain with radiating pain
What neck pain with mobility impairments what are 2 diagnostic criteria?
- Cervical AROM
2. cervical and thoracic segmental mobility
What neck pain with HA what are 3 diagnostic criteria?
- C AROM
- cervical segment mobility
- cranial cervical flexion test
What neck pain with movement coordination impairments what are 2 diagnostic criteria?
- Cranial cervical flexion test
2. deep neck flexor endurance
What neck pain with radiating pain what are 3 diagnostic criteria?
- upper limb tension test
- Spurling’s
- Distraction
What are common clinical findings in patients with mobility deficits?
usually below 50 years old, acute neck pain under 12 weeks, Sx isolated to neck, restricted cervical ROM
What are common clinical findings for patients with neck pain and headaches?
unilateral HA, associated with neck/suboccipital area aggravated by neck movements, restricted C ROM, restricted cervical segment ROM, abnormal CC flexion test
What are common clinical findings for patients with movement coordination impairments?
chronic neck pain over 12 weeks, abnormal CC flexion test, abnormal DNF test, weakness in neck and upper quarter muscles, tight upper quarter muscles, ergonomic inefficiencies
What are common clinical findings for patients with movement coordination impairments?
UE sx referred or radicular pain, decreased cervical rotation toward involved side, signs of nerve root compression, reduction in sx with first tx or intervention
What are interventions for pts with mobility deficits?
C and T spine mobilization/manipulation, AROM exercise
What are potentially 6 variables to identify if a patient is appropriate for a manipulation?
sx less than 30 days, no sx distal to shoulder, looking up does not aggravate sx, FABQPA less than 12, diminished upper thoracic kyphosis, cervical ext ROM less than 30
What are interventions to centralize radiating pain?
repeated movement to centralize sx, Traction
What are the four directions for related movement?
- retraction
- retraction with extension
- Protraction
- Flexion
What happens at C spine with retraction?
upper flexion and lower extension
What happens at c spine with retraction and extension?
upper and lower c spine extension
What happens at c spine with protraction?
upper cervical extension and lower cervical flexion
What is the purpose of repeated movement testing?
way of testing tissue response to loading or unloading by repeating a movement one direction multiple times
10-15 times needed of movement
What is the desirable outcome with repeated movement?
to centralize sx, controlled AROM at end range, may still have pain but peripheral sx should abolish
What are 3 types of cervical traction?
positional, manual, mechanical
What are 2 modes of cervical traction?
- static- joint and nerve root irritability/severe arm pain
2. Intermittent- acute joint derangement or patients need jt mob, duty cycle 1:1, 1:3
