Christina - Beast Mode!!! > Cervical Lab > Flashcards

Cervical Lab Flashcards

(58 cards)

Study These Flashcards
1
Q

Presence of pain in neck while coughing indicates what

A

Possible disc pathology

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2
Q

If a patient has had trauma in the past ____, we need to know about it as it can be the cause of their problem even if onset is delayed

A

6 weeks

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3
Q

What age is spondylosis most common

A

60+

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4
Q

What are the 3 mandatory questions for cervical screen

A

any dizziness or have you found yourself on the floor recently and don’t know why?

Do you have any history of RA? Or any other inflammatory arthritis, or have you taken into systemic steroids?

Any neurological symptoms in leg?

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5
Q

The Canadian c spine rule says anybody over ____ gets imaging if there’s a traumatic injury

A

65

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6
Q

The Canadian c spine rule says anybody experiencing what symptom gets imaging if there’s been a traumatic injury?

A

Paresthesia in extremities

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7
Q

The Canadian C spine rule says that what mechanisms will automatically have someone get imaging?

A

dangerous mechanism:

Fall from over 3 feet

Axial load to head

high speed MVC crash

Motorized recreational vehicle collision

Bicycle collision

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8
Q

What low risk factors mechanisms will allow someone to have their ROM screened under the Canadian c spine rule?

A

Simple rear end MVC

Sitting up in ED

ambulatory at any time

Delayed onset of neck pain

Absence of midline c spine tenderness

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9
Q

If someone has a low risk factor under the Canadian c spine rule, what should you assess next to determine if they need imaging

A

If they can actively rotate neck 45 degrees each direction

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10
Q

When is the Canadian c spine rule not applicable

A

Non trauma

Under 15 Glasgow coma

Unstable vitals

Under 16

Acute paralysis

Known vertebral disease

Previous c spine injury

Pregnant

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11
Q

To clear the cervical spine, what 3 structures should you test?

A

Transverse ligament

Alar ligament

Vertebral basilar arteries

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12
Q

The modified sharp purser test is for what ligament at what joint?

A

Transverse ligament at AA (c1 and c2)

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13
Q

What is considered a positive sharp purser test?

A

A clunk felt, or symptoms reproduced (symptoms should resolve when you apply pressure to forehead in a positive test )

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14
Q

If the first cervical spine clearing test comes back positive what should you do

A

Complete the other 2 tests so you know what to tell the doctors

The person have someone drive them to ED

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15
Q

Is a positive C spine clearing test urgent or emergent

A

Urgent

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16
Q

The supine lift off test is for what ligament at what joint

A

Transverse ligament at AA (c1 and c2)

*secondary test

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17
Q

What does a positive supine liftoff test feel like?

A

Boggy and squishy with excessive mobility of that joint

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18
Q

Where do you put your pincer grip for a sharp purser test?

A

C2 SP

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19
Q

To test the alar ligament, what movement of the head are you testing

A

Rotation or side bending

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20
Q

Testing the alar ligament is testing what joint?

A

OA joint (C0 and C1)

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21
Q

Where should you palpate for testing the alar ligament?

A

SP of C2

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22
Q

What is considered a positive alar ligament test

A

If you can rotate and side bend a persons head without feeling movement at the SP of C2

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23
Q

What should a patient do with their eyes while testing VBI

A

Pick a spot on the wall and stare, keeping eyes open

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24
Q

what motions should you take the pt through when screening VBI

Study These Flashcards
A

Extension (20-30 degrees) → rotation (30-40 degrees) → extend + rotate

25
How long do you hold the position of extension and rotation for the VBI test
Until the person is done counting back from the 10, unless they start showing any symptoms of the 5Ds or 3Ns
26
PROM is assessed in _______ if AROM deficits present
supine
27
C0-C1 ROM norms: Flex/extension rotation SB
Flex/extension: 5/10 rotation: minimal SB: 5
28
C1-C2 ROM norms: Flex/extension rotation SB
Flex/extension: 5/10 rotation: 35-45 SB: 0
29
C2-C7 ROM norms: Flex/extension rotation SB
Flex/extension: 35-70, 55-60 rotation: 30-45 SB: 15-40
30
Total C-spine ROM norms: Flex/extension rotation SB
Flex/extension: 80-90/60-70 rotation: 75-90 SB: 20-45
31
cervical MMT is tested in a ________ positon
neutral
32
flexion MMT tests ____ spinal level
C1-2, CN XI
33
Side bending MMT tests ____ spinal level
C3, CN XI
34
Rotation MMT tests _____ spinal level
C2
35
How to test upper trap muscle length
flexion + contralateral SB + **ipsilateral rotation**
36
How to test elevator scapulae muscle length
flexion + **contralateral rotation** + contralateral SB
37
How to test SCM muscle length
contralateral SB + extension → stabilize ipsilateral should + ipsilateral rotation
38
How to test scalenes muscle length
extension + contralateral SB (stabilize shoulder)
39
What movement and Which way do you glide the OA joint in order to open on the R
CV Flexion and gliding to R
40
What movement and which way do you glide the OA joint to open on the L
Flexion w glide to the left
41
What movement and which way do you glide the OA joint to close on the R
Extension and to the left
42
What movement and which way do you glide the OA joint to close on the L
Extension and to right
43
How do you perform joint mobility of the AA joint?
Flex neck to take up slack first Then rotate L and R
44
To perform side glides on C2 to T1, what angle do you push at
45 degrees to target facets
45
To perform side glides in flexion for C2-T1, which way do you go to open on the R?
To the R
46
When sidegliding in ext for C2 to T1, which way do you go to close on the L?
To the R
47
How long do you maintain compression/distraction pressure for the compression test
5-8 seconds
48
Pain reproduced with distraction could indicate what pathologies
Spinal ligament tear Tear or inflammation of annulus fibrosis Muscle spasm Large disc herniation Dural irritability
49
Spurling Test
compresses foramina to test for cervical radiculopathy SB head and apply force straight down on top of head
50
The cervical radiculopathy CPR includes what ULTT
Median nerve
51
The cervical radiculopathy CPR includes which: compression or distraction test
Distraction test should relieve symptoms
52
The cervical radiculopathy CPR includes: C spine rotation painful at under ___ degrees
60
53
4 things in the cervical radiculopathy CPR
1: c-spine rotation painful side < 60 degrees 2: + spurling test 3: + ULLT #1 4: + cervical distraction test (relieves symptoms) 4/4 = 90%, 3/4 = 65%
54
Cranio-cervical flexion test
assesses activation/endirance of deep cervical neck flexors **activation score**: max pressure achieved/held for 10 seconds **performance index**: max pressure achieved/held for 10 secs x reps that max pressure was maintained for 10 seconds
55
what do you inflate the cuff to for the CCFT
20 mmHg attempt to increase pressure 2 mmHg at a time
56
Neck Flexor endurance test norms
+ test for men: <38.9 seconds + test for women: <29.4 seconds
57
Cervical Flexion-Rotation test
assesses for presence of cervicogenic HA - both a ROM and symptom provocation test - **+ test**: rotation ROM loss to 1 side > 10 degrees compared to opposite side and/OR reproduction of symptoms
58
should abduction test
assesses for radicular symptoms + Test: pts symptoms reduced with hand resting on head
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