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Cervical Spine
Classification
| Question | Answer |
|---|---|
| Symptom onset < 30 days is an indicator for which classification? | Thoracic manipulation |
| No symptoms distal to the shoulder is an indicator for which classification? | Thoracic manipulation |
| FABQ <12 is an indicator for which classification? | Thoracic manipulation |
| Looking up does not aggravate symptoms is an indicator for which classification? | Thoracic manipulation |
| Cervical ext < 30 is an indicator for which classification? | Thoracic manipulation |
| Flat T3-T5 is an indicator for which classification? | Thoracic manipulation |
| Recent onset (< 4 weeks) is an indicator for? | Cervical mobility classification |
| Rarely have upper quarter symptoms (AROM does not peripheralize Sx, No signs of nerve root compression) is an indicator for? | Cervical mobility classification |
| AROM discrepancy (SB, Rot) is an indicator for? | Cervical mobility classification |
| Referral of pain into the upper extremities\hand is an indicator for? | Cervical centralization category |
| Radiculopathy is an indicator for? | Cervical centralization category |
| Referral to mid-scapular area is an indicator for? | Cervical centralization category |
| Peripheralization with AROM is an indicator for? | Cervical centralization category |
| Increased symptoms with closing pattern (<60 deg SB,Rotipsilateral) is an indicator for? | Cervical centralization category |
| + Spurling, ULTT A, Distraction test is an indicator for? | Cervical centralization category |
| Higher level of pain and disability is an indicator for? | pain control classification |
| Very recent onset of symptoms is an indicator for? | pain control classification |
| Referred or radiating symptoms into upper quarter is an indicator for? | pain control classification |
| Cervicogenic headaches (possibly) is an indicator for? | pain control classification |
| Difficult exam due to exacerbation of symptoms is an indicator for? | pain control classification |
| Poorly tolerates manual or movement interventions is an indicator for? | pain control classification |
| Trauma is an indicator for? | pain control classification |
| Lower pain and disability scores are indicators for? | exercise and conditioning classification |
| Longer duration of symptoms is an indicator for? | exercise and conditioning classification |
| No signs of nerve root compression is an indicator for? | exercise and conditioning classification |
| No peripheralization\centralization with AROM is an indicator for? | exercise and conditioning classification |
| Unilateral headache “ram’s horn”(Onset preceded by neck pain, Triggered by neck movement or positions, Reproduced by pressure on posterior neck) are indicators for? | Reduce headache classification |
| What are the four characteristics of the exercise and conditioning classification? | 1.Lower pain and disability scores 2.Longer duration of symptoms 3.No signs of nerve root compression 4.No peripheralization/centralization with AROM |
| What are the seven characteristics of the pain control category? | 1.Higher level of pn and disability,2. recent onset of symptoms,3.Referred or radiating symptoms into upper 1/4, 4.Cervicogenic headaches (possibly) 5.Difficult exam due to exacerbation of symptoms,6.Poorly tolerates manual or mvmt interventions,7.Trauma |
| What are the six characteristics of the centralization category? | 1.Referral of pain into the upper extremities/hand 2.Radiculopathy 3.Referral to mid-scapular area 4.Peripheralization with AROM 5.Increased symptoms with closing pattern (<60 deg SB,Rotipsilateral) 6.+ Spurling, ULTT A, Distraction test |
| What are the characteristics of the mobility category? | 1.Recent onset (< 4 weeks) 2.Rarely have upper quarter symptoms 3.AROM does not peripheralizeSx 4.No signs of nerve root compression 5.AROM discrepancy (SB, Rot) |
| Which two of the thoracic manipulation predictors are particularly useful? | no symptoms distal to the shoulder, and looking up doesn't aggravate symptoms. |
Created by:
txst spr 2009
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