OPP Lect 19
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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
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