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Spine and Pelvis

CPRs/CPGs/short lists from the slides

TermDefinition
Neck Pain CPG Classifications (Neck pain with...) Mobility Deficits Movement Coordination Impairment Headache Radiating Pain
Neck Pain w/Movement Coordination Impairment - S&Sx (CPG) MOI linked to trauma or whiplash Referred shoulder or UE pain + Neck Flexor Endurance muscle test p! with mid-range, worse at end ROM Point-tenderness, +/- myofascial trigger points
Neck Pain w/Headache - S&Sx (CPG) Unilateral neck pain w/headache, precipitated or agggravated by neck movement and/or sustained positions + Cervical Flexion-Rotation Test HA w/provocation of involved upper cervical segments Limited cervical ROM and segmental mobility
Neck Pain w/Radiating Pain - S&Sx (CPG) Neck p! w/radiating (lancinating) p! in UE UE dermatomal & myotomal impairments + Radiculopathy Testing Cluster (ULTT, Spurling's, Distraction, ROM)
(Cook's) CPR for Myelopathy (3 positives is the clinically significant cut-off) Gait deviation + Hoffman's Test + Inverted Supinator Sign + Babinski's Test Age >45 y/o
(Gillard's Cluster) CPR for TOS + Wright's Test + Adson's Test + Hyperabduction Test + Roos Test + Tinel's Test (at supraclavicular fossa)
Cervical Radiculopathy CPR (Wainner et al.) (4 positives is the clinically significant cut-off) + ULTT (median N, r/u if negative) + Distraction Test + Spurling's Test C-spine rotation <60 degrees
Neck Pain Screening (red flag things per CPG) VBI Myelopathy Ligamentous instability Fracture Neoplasm
Neck Pain w/Mobility Deficits - S&Sx (per CPG) Central and/or unilateral neck p! Limited ROM w/sx reproduction Restricted CT segmental mobility
Created by: Mikayla.
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