Term
| Migrane is more prevalent in ___ |
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Definition
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Term
| Prevalence of migraines increases between ages of ___ and ____ |
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Definition
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Term
| What are the three categories of headaches |
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Definition
| tension, migrane, and cervicogenic |
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Term
| to little or to much ___ appears to contribute to headaches |
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Definition
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Term
| Posterior fossa structures are innervated by ___ nerve roots |
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Definition
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Term
| The parasympathetic output is mediated through what three ganglia? |
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Definition
| pterygopalatine, otic, carotid |
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Term
| what ma be the source of chronic headaches in children? |
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Definition
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Term
| ___ may be associated with lower migraine prevalence in pre menstrual women |
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Definition
| low estrogen and high FSH |
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Term
| what are two possible mechanisms for a weight lifters |
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Definition
| increased intracranial pressure from valsalva, stretching or strain of cervical musculature. |
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Term
| a tight mask may cause a headache by |
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Definition
| compressing the supraorbital and supratrochlear nerves |
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Term
| a diver may get a headache by |
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Definition
| skip breathing may lead to increase in PC02 and vasodilation |
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Term
| Stabilizing a mouthpiece may cause a headache from |
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Definition
| tension of the cervical and fascial muscles |
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Term
| dental cavities cause headache by |
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Definition
| sensitivity to barometric pressure changes with deep diving. |
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Term
| its is prudent to check all trauma patients with ___ |
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Definition
| neurological signs and mental status |
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Term
| headaches that are associated with pupillary dilation and sweating with a partial horners syndrome are ___ |
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Definition
| traumatic dysautonomic cephalgia |
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Term
| severe headache that is potentially life threatening associated with trauma is____ |
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Definition
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Term
| this type of headache is found in women and are similar to cluster headache but is less severe |
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Definition
| chronic paroxysmal hemicrania |
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Term
| cluster headache is found primarily in ___ |
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Definition
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Term
| Upper trunk nerve injury, traction injury, loss of C5-6, waiters tip sign |
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Definition
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Term
| Lower trunk injury, traction over head, C8-T1 loss, hypothenar atrophy, loss of ulnar sensation, Horners syndrome, loss of hand and finger extension |
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Definition
| Klumpke Palsy (klumpke the monkey has an ulnar claw) |
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Term
| arm over park bench, crutches, humerus facture, weakness of forearm extensors, hand and fingers, forearm supination, decrease triceps reflex, sensory loss and wrist drop |
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Definition
| saturday night palsy (radial neuropathy) |
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Term
| ___ occurs when a muscle is stretched to its end range |
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Definition
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Term
| ___ is due to elastic tension that develops in the joint |
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Definition
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Term
| pain before end range would call for vigorous therapy |
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Definition
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Term
| Pain felt at the same time as end range and would be amendable to gentle stretching and mobilization |
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Definition
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Term
| Pain felt after end range that respond to aggressive stretching and manipulation |
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Definition
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Term
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Definition
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Term
| the rhomboids are innervated by what nerve root |
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Definition
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Term
| women with migraine are at a higher risk for ischemic stroke if they ____ |
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Definition
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Term
| ___ headaches has to do with horners syndrome |
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Definition
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Term
| inability to move head in any direction, passive ROM increased compared to active |
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Definition
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Term
| when the spinal cord is put into extension it will ___ and ____ |
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Definition
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Term
| when the spinal cord is put into flexion it will ___ and ___ |
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Definition
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Term
| what is the most common thing that is caused from a whiplash that is not treatable for chiropractors |
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Definition
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Term
| What percentage of the cervical canal does C6 take up |
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Definition
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Term
| If a patient comes in with a headache that they have had previously then the doctor needs to |
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Definition
| differentiate the headache between whether its a referral or a non referral case |
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Term
| TOS is of a cervical rib is of what type? |
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Definition
| Type 4- full rib with cartilagenous to 1st rib |
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Term
| dull ache with some hand weakness and moderate relief with hand held behind the head is indicative of |
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Definition
| herniated disc (cervical radiculopathy) |
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Term
| Thyroid cartilage is located at |
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Definition
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Term
| What phase of whiplash causes the most damage |
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Definition
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Term
| What of the following is under-diagnosed |
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Definition
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Term
| Erb Duchene palse is loss of what 2 nerve roots and shows what sign? |
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Definition
| Loss of C5, C6 and shows waiter tip sign |
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Term
decrease or absence of the neurovascular bundle by a spastic hypertophied scalenus anterior muscle
rotation compresses the subclavian artery and brachial plexus |
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Definition
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Term
| forcing the ribs posterior will decrease the space between the clavicle and the 1st rib. Axillary vein and neurovascular bundle runs through the clavicle and the 1st rib |
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Definition
| Edens costoclavicular test |
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Term
| axillary artery/vein, and the three cords of the plexus run under pectoralis minor and the coracoid process and compresses with this test |
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Definition
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Term
| traction will pull the NV bundle over the 1st rib, extension of the neck will tighten the scalene muscle, decrease pulse indicates 1st rib subluxation or cervical rib |
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Definition
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Term
| narrowing of the costoclavicular interval with a tightened anterior scalene muscle will cause impingement and weakness |
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Definition
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Term
| coracoid pressure syndrome causes costoclavicular membrane pressure with pectoralis minor |
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Definition
| Shoulder compression test |
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Term
| end feel pain prevents full ROM |
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Definition
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Term
| Mechanical blockage end range occurs before full ROM as seen in a torn labrum, OA |
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Definition
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Term
| Acute painful process prevents end range as seen in bursitis |
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Definition
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Term
| End feel with a + ligament stability test where there is capsular ligament damage |
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Definition
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Term
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Definition
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Term
| pain at the same time as end range (stretch, mobilization) |
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Definition
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Term
| pain felt after end range (stretch, manipulation) |
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Definition
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Term
| end range stretch is not painful but contraction is painful what structure is involved |
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Definition
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Term
| radial tunnel damage will cause |
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Definition
|
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Term
| resisting pronation or finger flexion and passive elbow flexion will test the |
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Definition
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Term
| resisting supination or wrist extension will test the |
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Definition
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Term
| passive elbow flexion will test the |
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Definition
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Term
| wrist drop will test the ___ nerve |
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Definition
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Term
| claw hand will show deficient |
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Definition
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Term
| ape hand or non opposed thumb will be a deficiency in |
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Definition
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Term
| sensory loss of the upper half of the medial forearm and the medial portion of the upper arm is referring to what neurologic level |
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Definition
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Term
| sensory loss that is from the lateral arm from the shoulder to the elbow is referring to an HNP from |
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Definition
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Term
| sensory loss Lateral forearm, thumb, index finger and one half of the middle finger. |
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Definition
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Term
| sensory loss Middle finger |
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Definition
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Term
| sensory loss Ring and little fingers of the hand and distal half of the forearm. |
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Definition
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Term
| An older patient presents with a new unilateral headache. The patient is also complaining of generalized aching and muscular fatigue in the upper trunk area, and also be complains of visual dysfunction or blindness of sudden onset. What is the diagnosis? |
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Definition
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Term
| Intra articular swelling with have a ___ end feel |
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Definition
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Term
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Definition
| fracture of the anterior and posterior arch |
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Term
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Definition
fracture produced by typical whiplash injury
unstable |
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Term
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Definition
| Type 2 is the most common at the base |
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Term
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Definition
congenital
RA-Invagination |
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Term
indicates that there is no lesion of the muscles being tested regardless
of how tender the muscles may be when they are touched |
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Definition
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Term
| indicates a local lesion of the muscle or tendon that is usually a muscle strain – typically there is no limitation of passive movement unless a hematoma is present |
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Definition
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Term
| indicates a severe lesion around tat join such as a facture or neoplasm the weakness that develops I due to reflex inhibition of the muscles |
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Definition
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Term
| indicates a rupture of the muscle or involvement of the corresponding nerve. |
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Definition
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Term
| what are the 4 cardinal signs of instability of the upper cervical spine |
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Definition
1. Overt loss of balance in relation to head movements
2. Facial lip paresthesia, reproduced by active or passive head movement always do active first and then passive
3. Bilateral or quadrilateral limb paresthesia either constant or reproduced by neck movements
4. Nystagamus produced by active or passive neck movements |
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Term
| ___From rheumatoid arthritis is due to loss of axial supporting structures in the upper cervical spine. It is estimated that about 10% of patients with rheumatoid arthritis are at risk for sudden death. |
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Definition
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Term
| Active ROM – variable, Passive ROM pain on stretch, Resisted movement painful when contracted in stretched position indicate what? |
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Definition
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Term
| what are the 4 characteristics a patient must have 3 of to classify migraine with aura |
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Definition
1. There are one or more resolved aura symptoms
2. At least one aura symptom that develops gradually over 5-20 min and lasts for less than 60 min, or 2 or more aura symptoms occur in sequence
3. Aura does not last more than one hour
4. The headache follows the aura or same time |
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Term
| what are the 4 characteristics of a migraine without and aura that a patient must have at least 2 of |
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Definition
1. unilateral location (59%)
2. pulsating quality (85%)
3. moderate to severe intensity that inhibits or prohibits daily activity
4. aggravated by or causing avoidance of routine physical activities such as climbing stairs or comparable activity. |
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Term
| To classify a migraine a person MUST have one of what two symptoms |
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Definition
| nausea (73%) or photophobia (80%)/phonophobia (76%) |
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Term
| Women with migraine are at a higher risk for ischemic stroke if they do these two things |
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Definition
use oral contraceptives or hormone replacement therapy
smoke |
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Term
| Chronic migraine is categorized by ___ headaches per month for at least ___ months |
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Definition
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Term
| What is the 3 symptoms that categorize a cervicogenic headache |
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Definition
1. Restricted Neck movements
2. Change in neck muscle contour, texture, tone or response to active or passive stretching or contraction
3. abnormal tenderness of neck muscles |
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Term
| Radiographic findings of a cervicogenic headache are |
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Definition
1. movement abnormalities
2. abnormal posture
3. fracture, congenital anomalies, bone tumor, RA, other pathology |
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Term
| What headache falls under the grouping of trigeminal autonomic cephalagias. |
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Definition
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Term
| What is the duration of a cluster headache |
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Definition
| pain that peaks in 10-15 min; lasting 15-180 min with pain resolving rapidly |
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Term
| Where is the locations of a cluster headache |
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Definition
| severe unilateral, orbital, supraorbital, or temporal pain |
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Term
| Cluster headache tends to occur at ___ |
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Definition
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Term
| This patient describes a headache with frequent occurance that is often worse in the afternoon or early evening. The pain is usually bilateral, often supraorbital or sub occipital. The headaches last for days or weeks. |
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Definition
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Term
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Definition
| may be related to chronic abuse of medication and associated tender trigger points. |
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Term
| The patient is a middle-aged male complaining of incredibly painful headaches that are orbital in location. The headaches last on an average 30 minutes and are the most painful feeling the patient has felt. The patient has a history of smoking and possibly alcohol abuse. What is the diagnosis? |
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Definition
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Term
| This headache may have a horners sign (ptosis, miosis, anhydrosis) and has a high suicide rate |
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Definition
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Term
| The patient is above 50 complaining of a unilateral headache of the temporal region. The headache is associated with a tender nodule at the superficial temporal artery on the side of the forehead. The patient may be experiencing aching and muscular fatigue in the upper trunk area. There may also be complaints of the visual dysfunction or blindness of sudden onset |
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Definition
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Term
| Patient presents with unbearable face pain, sharp electrical pain, and twitch these symptoms are typical of |
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Definition
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Term
| Classification of TOCS involves what what cervical areas for upper and lower |
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Definition
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Term
| Stretching the joint through the normal passive restraint of the ligaments and muscles places the joint in the |
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Definition
|
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Term
| stretching the joint past the normal passive restraint of the ligaments is the |
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Definition
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Term
| This test for meningeal irritation from disc, tumor, or spinal stenosis |
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Definition
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Term
| The examiner places both hands at the base of the occiput and c2, the examiner gently lifts the head off the table |
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Definition
| transverse ligament stress test |
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Term
| premorbid shallowness of the central canal represents a predisposing factor for the development of |
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Definition
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Term
| referral of pain through the trigeminocervical nucleus is associated with what type of headache |
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Definition
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Term
| Head in full flexion locks out the vertebrae below ___ for assessment during rotation |
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Definition
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Term
| A ___ gait is seen with stenosis |
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Definition
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Term
| ROM at the cervical spine has ___ extension at C0 and C1 |
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Definition
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Term
| ROM at the cervical spine has ___ rotation at C1, C2 |
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Definition
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Term
| A major concern of headache with exertion is underlying pathology of ___ |
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Definition
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Term
| ___ is loss of the axial supporting structures in the upper cervical spine by RA |
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Definition
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Term
| based on the neck pain task force what grade would have neck pain with neurologic signs of nerve compression |
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Definition
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Term
| based on the neck pain task force what grade is no signs of serious pathology but interference with ADL |
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Definition
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Term
| what helps treat migranes by increasing serotonin levels |
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Definition
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Term
| what is a metabolic cause of a headache |
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Definition
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