CPR spine

Question 1

Age > 65

Dangerous MOI (fall > 1 m or 5 stairs, axial load to head, high-speed MVA, etc)

Paresthesia’s in extremities

Answer 1

Canadian C-Spine Rules-Coffey F, et al.

Developed in order to determine the need for radiographs after acute head/neck injury secondary to the risk of fracture

Question 2

· Gait deviation
· Positive Hoffmann’s test
· Positive inverted supinator sign
· Positive Babinski test
· Age > 45 years

Answer 2

Cervical Myelopathy-Cook CE, et al.

To diagnose patients with cervical myelopathy so that patients can be treated with the appropriate interventions and/or referred for further radiological/surgical procedures.

Question 3

positive upper limb tension test A
involved cervical rotation < 60 degrees
positive distraction test
positive spurlings

Answer 3

Cervical radiculopathy

to diagnosis patients with cervical radiculopathy so that patients can be treated with appropriate interventions

Question 4

intervention for c/s pain

Thoracic Manipulation-Cleland, et al. Phys Ther. 2007

Answer 4

· Neck pain < 30 days
· No symptoms distal to shoulder
· Looking up does not aggravate
· FABQPA < 12
· Decreased upper thoracic kyphosis
· Cervical Extension < 30 degrees
· **86% success if 3/6 are present

Question 5

intervention for c/s pain

cervical manipulation

Answer 5

Puentedura, et al.,
· Symptom of <38 days
· Positive expectation that manipulation will help
· Side-to-side difference in cervical rotation ROM of 10 degrees or more
· Pain with posteroanterior spring testing of the middle cervical spine

Tseng YL, et al.,
· NDI < 11.5
· Bilateral involvement
· Not performing sedentary work > 5hr a day
· Feeling better while moving neck
· Did not feel worse with cervical extension
· Diagnosis of spondylosis without radiculopathy