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Exam, Eval, and Int of the C Spine
Exam, Eval, and Int of the C Spine
24
Medical
Graduate
11/03/2015

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Cards

Term
Difference between cervical exam and any other examination
Definition
potential for the examinnation itself to be harmful
Term
When examining a cervical patient the first thing the pt should be examined for is what? (3)
Definition
central and peripheral neurological deficit, neurovascular compromise, serious skeletal injury such as fractures or craniovertebral ligamentous instability
Term
If a cervical pt's symptoms show no predictable response to mechanical stimuli, what other possible sinister disorders could the patient have (3)
Definition
central initiation, autonomic, affective nature
Term
The cervical systems review must include questions that will elicit any symptoms that might suggest a (2)
Definition
CNS condition, or a vascular compromise to the brain
Term
oswestry equivalent for the cervical spine
Definition
Neck Disability Index
Term
Alternate questionnaire for the c spine
Definition
northwick park neck pain questionnaire
Term
NDI score: 0-4
Definition
no disability
Term
NDI Score: 5-14
Definition
mild
Term
NDI Score: 15-24
Definition
moderate
Term
NDI Score: 25-34
Definition
severe
Term
NDI Score: 34+
Definition
complete
Term
a major contributor to cervicogenic pain is what?
Definition
lack of postural control d/t poor neuromuscular function
Term
Closing restriction of the cervical spine
Definition
restriction of cervical extension, sidebending, and rotaiton to the same side as the pain
Term
which restriction of the cervical spine is the most common for producing distal symptoms
Definition
closing
Term
cervical opening restriction
Definition
restriction of cervical flexion, side bending, and rotation to the opposite side of the pain
Term
Classification dx of the cervical spine (6)
Definition
stabilization/immobilization
manipulation/mobilization
specific exercises
traction
upper cervical
inconclusive (mechanical)
Term
cervical classification: stabilization/immobilization criteria (6)
Definition
aberrant mvmts
hyper paivm
3+ episodes
increased AROM/PROM
9 Point test (+)
Self manipulates
Term
cervical classification: manipulation/mobilizaiton
Definition
facet pattern
A and P limited same direction
Asymmetric
Pain Pattern
(+) PIVM/PAIVM
Term
cervical classification: specific ex
Definition
directional preference with rep mvmts
centralize/peripheralize
Hx suggets movement/position bias
Term
cervical classification: traction
Definition
signs of nerve root compression
no directional preference
relievied/decreaed with manual traction
Term
cervical classification: upper cervical
Definition
headaches (Frontal/temporal)
Limited rotation
Suboccipital mm tightness/pain
Possible dizziness
(+) PIVM
Facet tenderness (C2-C3)
Term
cervical classification: inconclusive (mechanical)
Definition
muscle lesion/inflammation. No red/yellow flags. Symptoms presentation mechanical but no clear classification
Term
Cervical intervention strategies
Definition
postural re-education
neck-specific strengthening and stretching ex
Ergonomic changes at work
Term
slide 16
Definition
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