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OPP Lect 19

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Question
Answer
Strains   show
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show Ligamentous stretch injury  
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show 1.Posterior muscle strain. 2.Interspinous lig sprain (vertical b/w spinous processes that maintain stability, prevent slipped vertebrae: spondelocentesis). 3.Anterior vertebral body compression fracture. 4.Disc Herniation. 5.Spinal Stenosis.  
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show 1.Anterior muscle strain. 2.Brachial plexopathy. 3.Dens fracture (atlantoaxial subluxation due to rapid extension of occiput)  
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How do Shearing Injuries occur?   show
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show 1.Contusions (facet joint). 2.Sprains. 3.Fractures.  
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When do you order X-Rays?   show
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Head and neck symptoms with Whiplash?   show
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show TIME OF INJURY. 1.56% asymptomatic @ 3 months. 2.82% recovered @ 2 years.  
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show 1.Age. 2.Female. 3.initial pain in neck. 4.higher initial pain intensity.  
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What can be used to distinguish b/w asymptomatic and chronic myofascial pain?   show
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What would a reduced cervical ROM at 3 months indicate?   show
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When testing the cervical spine, do you test active or passive ROM first?   show
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show 1.Early physical activity (C-collar can make things worse if worn for too long). 2.Physical therapy and emotional therapy.  
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What is the major prognostic indicator at 3 months?   show
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will exercise alone improve cervical ROM?   show
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What type of techniques would you use for the first 2 weeks after whiplash (Acute)   show
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show 1.DIRECT techniques. 2.Home flexibility.  
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show 1.Injections (trigger point and facet point)  
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show AWAY from tenderpoint.  
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C2-7, side-bending and rotation occur   show
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show Flex/Ext and sidebend INTO restiction, rotate AWAY from restriction (this limits other joints).  
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Starting position for rotation Muscle Energy C2-7   show
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show 1.Not neutral or non-neutral (will be restricted in flex or ext). 2.only reversing 2 planes of restriction (taking the other into position of ease). **Works best for Cervical Muscle energy, articulatory, and HVLA  
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show 1.Extend. 2.Sidebend Left. 3.Rotate Right (into position of ease)  
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Somatic dysfunction: FRS Right. Treat with cervical rotation muscle energy   show
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Why would you choose b/w sidebending or rotation treatment?   show
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show 1.Joint inflammation. 2.Acute sprain. 3.Acute fracture. 4.Undiagnosed cervical radiculopathy. 5.Vertebral Artery insuffiency. 6.Joint hypermobility.  
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What is the difference b/w neuritis and radiculopathy?   show
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Created by: WeeG
Popular Osteopathic Principl sets