MSK treatments and Basic Clinical Exam Cervical Flashcards

(37 cards)

1
Q

what does PEACE and LOVE stand for

A

Protection
Elevation
Avoid anti-inflammatories
Compress
Educate
Load
Optimism
Vascularization
Exercise

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2
Q

hawthorne effect

A

pt performs different when they are being watched

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3
Q

natural history of conditions

A

certain conditions will improve over time based on most cases

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4
Q

contextual factors

A

anything beyond the treatment of PT

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5
Q

cognitive stage of motor learning

A

what to do and how to do it
-guiding pt through ROM

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6
Q

associative stage of motor learning

A

more consistent movement with fewer errors
-pt is more independent

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7
Q

autonomous stage of motor learning

A

performs exercise consistently and automatically while doing other tasks

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8
Q

what does OLD CARTS P stand for

A

Onset, Location, Duration, Character, Aggravating/Alleviating factors, Radiation, Timing, Severity, Prior History

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9
Q

red flags for cervical pain

A

o B/B changes
o Saddle anesthesia
o UE/LE paresthesia
o UE/LE weakness
o Bilateral symptoms
o Hx of trauma to this region of the body
o Significant weight gain/loss
o Night pain

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10
Q

most pain in sagittal plane will be…

A

disc

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11
Q

most pain in frontal plane motion will be….

A

UVJ

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12
Q

most pain in transverse plane will be…

A

ZAJ

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13
Q

most pain with 2D motions will be…

A

UVJ

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14
Q

most pain in 3D motions will be….

A

ZAJ

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15
Q

Horner’s syndrome

A

problem with sympathetic nerve supply to one side of the face

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16
Q

transverse ligament test

A

support occiput, head and C1 are moved anterior as a unit on cervical spine

17
Q

5 D’s And 3 N’s

A

-Dizziness
-Diplopia
-Drop attack
- Dysphagia
-Dysarthria
-Ataxia
-Nystagmus
-Nausea or vomiting
-Neurological symptoms

18
Q

what is a positive spurlings test?

A

radicular pain

19
Q

what is a positive quadrant test

A

provokes facet pain locally

20
Q

axial separation positve test

A

alleviation of symptoms

21
Q

accessory movement supine procedure

A

head and neck flexed up to segment and lateral side flexion glide applied. if you side glide to the left, you side bend and rotate to the right

22
Q

how many seconds should men and women hold for deep neck flexor test

A

m- 38.9
w- 29.4

23
Q

loss of lordosis is what problem

24
Q

alar ligament test

A

spinous process of C2 is stabilized, head and atlas are SB/rotated. C2 spinous process should pop into finger on the side away from lateral flexion. next lock C2 and feel end range of SB for transverse ligament

25
tectorial membrane test
block C2, slightly flex upper cervical, shoulder block pt's head, apply light traction to stretch tectorial membrane
26
sharp-purser test
C2 is held while forehead is pushed posterior. should alleviate symptoms
27
OA joint in supine
C0-C1 segmental mobility examiner. support head and rotate pt's neck 30 degrees to the right. slowly nod head up and down. test is positive if pt reports pain
28
AA joint
testing C1-C2. Contact C1 and wrap hands around to forehead. Head and neck are flexed and slowly turn head to one side. Note pain and mobility. if turned head to the r, r posterior capsule and L anterior capsule tested
29
shoulder abduction relief, Bakody's sign
passively position abducted arm on top of head. positive test is a decrease of symptoms
30
pain with coupled motions will be...
capsule
31
pain with combined motion will be...
cartilage
32
sidenod pain is...
C0-1
33
upper cervical rotation pain will be...
C1-2
34
upper cervical pain with protraction will be...
anterior capsule
35
upper cervical pain with retraction will be....
posterior capsule
36
hinging or wobbling movement
instability and/or disc
37
painful arc with movement is...
muscle, instability, and/or disc