Cervical 2B

Question 1

What are the 4 buckets of neck pain classification

Answer 1

Mobility Deficit

Movement Coordination deficit

Neck pain with headache

Neck pain with radiating pain

Question 2

What are the 5Ds

Answer 2

Dizziness
Diplopia
Dysarthria
Dysphagia
Drop Attacks

Question 3

What are the 3Ns

Answer 3

Nystagmus
Numbness
Nausea

Question 4

What is the basis of Cyriax Construct

Answer 4

intervention based on treating pathological cause

Question 5

What is the basis of Mckenzie and Maitland

Answer 5

interventions based solely on response to tissue loading and symptom response

Question 6

When someone presents wit forward head posture what are some issues that could occur

Answer 6

GH and AC instability
T spine extension hypomobility
Shoulder complex hypomobility
RC Tendinopathy

Question 7

Neurologic deficits correspond w the disc level in _____ %

Answer 7

80 %

Question 8

What percent of ppl experience neck pain during the lifespan

Answer 8

20-50%

Question 9

Symptoms of instability of c spine

Answer 9

Hx of major trauma

Reports of catching, locking, giving way

Unpredictability of symptoms

“Head feels heavy”

alerted ROM

neck pain w/ or w/o muscle spasms

Headache

Question 10

How will a patient with facet joint dysfunction typically present?

Answer 10

unilateral neck pain

will report “crick in their neck” or that they slept wrong”

Imaging typically unremarkable

Question 11

What are the 6 predictors of whether or not T spine manip will help a C spine facet dysfunction?

Answer 11

1. Symptoms < 30 days
2. No symptoms distal to shoulder
3. Looking up does NOT aggravate symptoms
4. FABQ < 12
5. Diminished Upper T spine kyphosis
6. Cervical extension range under 30

Question 12

If you get more than 3 test correct out of the Cleland CPG what is the probability that the patient will benefit from a T spine HVLAT

Answer 12

86%

Question 13

Cervical radiculopathy is usually ________

Cervical myelopathy is usually __________

Combined Myelopathy and radiculopathy usually presents how?

Answer 13

Unilateral

Bilateral

Unilateral in UE and bilateral in LE

Question 14

How will a C4 disc herniation present?

Answer 14

posterior neck and medial scapular border pain

Question 15

How can a herniated disc in the C spine affect breathing?

Answer 15

Difficulty breathing can indicate C3-C5 disc herniation because of diaphragm involvement

Question 16

How will a C5 disc herniation present?

Answer 16

Numbness on superior aspects of shoulders

Question 17

How will a C6 disc herniation present?

Answer 17

radiating pain from neck to lateral aspect of upper arm, forearm, and hand

Question 18

How will a C7 disc herniation present?

Answer 18

Radiating pain from posterior neck, scapula, posterior upper arm, forearm and hand

Question 19

how will a C8 disc herniation present?

Answer 19

radiating pain from neck to medial aspect of upper arm, forearm, and hand

Question 20

what is the most common site for cervical radiculopathy

Answer 20

C7- Radiating pain from posterior neck to scapula, posterior upper arm, forearm, and hand

Question 21

C5 radicular symptoms will cause what motor deficits

Answer 21

Deltoid and bicep

Question 22

C6 radicular symptoms will cause what motor deficits

Answer 22

wrist extensors and biceps

Question 23

C7 radicular symptoms will cause what motor deficits

Answer 23

wrist flexors

triceps

finger extensors

Question 24

C8 radicular symptoms will cause what motor deficits

Answer 24

finger flexors and hand intrinsic

Question 25

T1 radicular symptoms will cause what motor deficits

Answer 25

hand intrinsic

Question 26

The disc between C6-C7 will compress what nerve root?

Answer 26

C7 nerve root (it's the C6 disc)

Question 27

When are acute disc herniations typically seen?

Answer 27

Mostly seen over 50 not commonly seen under 30

Question 28

Cervical radiculopathy is commonly seen following what kind of injury?

Answer 28

hyperextension injury with combined sidebending and rotation of neck

Question 29

What is neck pain called when its NOT caused by: Trauma Cervical radic non-MSK causes

Answer 29

mechanical neck pain (can transition to become chronic neck pain

Question 30

When is mechanical neck pain most common?

Answer 30

30s and 40s

Question 31

Forward head posture mobility deficits: OA Flexion: AA Rotation: OA extension: Thoracic Extension: Shoulder complex: GH and AC joint:

Answer 31

Forward head posture mobility deficits: OA Flexion: Hypo AA Rotation: Hypo OA extension: Hyper Thoracic Extension: Hypo Shoulder complex: Hypo GH and AC joint: Unstable

Question 32

How does forward head posture affect the TMJ

Answer 32

TMJ overcloses

Question 33

What cervical conditions must be ruled out before an exam?

Answer 33

Ligamentous instability Myelopathy Malignancy Spinal Fx Vascular Pathologies (VBI)

Question 34

Cervical myelopathy is due to

Answer 34

Spinal cord Compression and or injury

Question 35

Radiculopathy is due to

Answer 35

Some form of stenosis on the nerve root

Question 36

What are the 4 types of HA that PT focus on

Answer 36

Migraine Tension Cluster Cervicogenic

Question 37

Cervicogenic HA in what formation if it is caused due to neck involvement

Answer 37

RAM HORN PATTERN