Neck pain w/ Psychosocial Factors and Cervical Patient Interview

Question 1

What are the strong risk factors for neck pain?

What are other reported risk factors?

Answer 1

Female and prior history of neck pain

Age >40
high job demands
history of smoking
low social or work support
LBP history

Question 2

What tool is used for a high pain catastrophizing construct should be used to help make a prognosis? What is the cut off score?

Answer 2

Pain catastrophizing Scale

cut off score of 20 or greater

Question 3

What tool is used for a high acute posttraumatic stress symptoms construct should be used to help make a prognosis? What is the cut off score?

Answer 3

Impact of events scale-revised

score of 33 or greater

Question 4

What are some common cervical aggravating factors?

Answer 4

looking up
looking over their shoulder
prolonged sitting
use of an outstretched arm
lifting
coughing/sneezing
using pillows or lying with no pillows

Question 5

What are some common thoracic aggravating factors?

Answer 5

rotate trunk
deep inhale/exhale
coughing or sneezing
lifting
neck or UE movements
non-movement (i.e food related)

Question 6

What are some common easing factors for cervical pain?

Answer 6

lying down
changing pillow height
sitting with head/arms supported
bracing
raising arm overhead (arm abduction sign)
-may ease UE SxS with C4 or C5 radiculopathies
-Bakody’s sign