CLINICAL PRACTICE GUIDELINES: NECK PAIN GUIDELINES
STUDY GUIDE WITH COMPLETE SOLUTION!!
higher C spine vs lower C spine
Answers:upper: C1-2
lower: C3-7
lordotic curve, more mobile than T/L spine
open and closed pack position for C spine
Answers:opp: midrange btwn flexion and extension
cpp: full extension
passive ligament support in the C spine is relevant especially when there is ____ or
_____
Answers:trauma or systemic disease
AO vs AA
Answers:AO: synovial articulation btwn occiput and C1; aka the "yes" joint
AA: nonsynovial articulation btwn dens of C2 and anterior arch of C1; aka the
"no" joint
T/F nerve entrapment may result in radiculopathy
Answers:T
,falls under radiating pain CPG bucket
patient presents to your clinic w neck pain, what steps do you take??
Answers:1. medical screening
2. neck pain category
- classify conditions thru evaluation of findings
3. condition stage and biopsychosocial factors
- acute, subacute, irritability
4. intervention
differential diagnosis
Answers:determine appropriateness of PT and need for referral by performing
assessments and utilizing existing imaging studies to determine presence of serious
pathology (fracture, unexplained CN dysfunction, cancer, ligamentous instability,
arterial insufficiency, infection)
how do we ensure we're not missing anything when ruling in patients diagnosis?
Answers:screen them!
facets, vertebra, ms. ligaments, etc can all be sources of neck pain
screen for C myelopathy, C lig instability, fracture, neoplasms, vascular system
disease, arterial insufficiency, upper C ligament insufficiency, unexplained CN
dysfunction, etc
, T/F direct pathoanatomic causes of mechanical neck pain are rarely identifiable
Answers:T
most do not have a clearly defined dx criteria
prevalence of imaging findings in people w/o neck pain?
Answers:14-87% of people have pathology but no neck pain
exceptions: neuro signs w/ positive imaging, fx
therefore, rule-out serious medical pathology & identify impairments in an attempt
to classify based on clinical characteristics and likely beneficial management
strategies
CPRs
Answers:recommend:
- canadian C spine rule
- NEXUS (national emergency x-ray utilization study)
- american college of radiology (ACR) suspected spine trauma appropriateness
criteria
canadian C spine rule
STUDY GUIDE WITH COMPLETE SOLUTION!!
higher C spine vs lower C spine
Answers:upper: C1-2
lower: C3-7
lordotic curve, more mobile than T/L spine
open and closed pack position for C spine
Answers:opp: midrange btwn flexion and extension
cpp: full extension
passive ligament support in the C spine is relevant especially when there is ____ or
_____
Answers:trauma or systemic disease
AO vs AA
Answers:AO: synovial articulation btwn occiput and C1; aka the "yes" joint
AA: nonsynovial articulation btwn dens of C2 and anterior arch of C1; aka the
"no" joint
T/F nerve entrapment may result in radiculopathy
Answers:T
,falls under radiating pain CPG bucket
patient presents to your clinic w neck pain, what steps do you take??
Answers:1. medical screening
2. neck pain category
- classify conditions thru evaluation of findings
3. condition stage and biopsychosocial factors
- acute, subacute, irritability
4. intervention
differential diagnosis
Answers:determine appropriateness of PT and need for referral by performing
assessments and utilizing existing imaging studies to determine presence of serious
pathology (fracture, unexplained CN dysfunction, cancer, ligamentous instability,
arterial insufficiency, infection)
how do we ensure we're not missing anything when ruling in patients diagnosis?
Answers:screen them!
facets, vertebra, ms. ligaments, etc can all be sources of neck pain
screen for C myelopathy, C lig instability, fracture, neoplasms, vascular system
disease, arterial insufficiency, upper C ligament insufficiency, unexplained CN
dysfunction, etc
, T/F direct pathoanatomic causes of mechanical neck pain are rarely identifiable
Answers:T
most do not have a clearly defined dx criteria
prevalence of imaging findings in people w/o neck pain?
Answers:14-87% of people have pathology but no neck pain
exceptions: neuro signs w/ positive imaging, fx
therefore, rule-out serious medical pathology & identify impairments in an attempt
to classify based on clinical characteristics and likely beneficial management
strategies
CPRs
Answers:recommend:
- canadian C spine rule
- NEXUS (national emergency x-ray utilization study)
- american college of radiology (ACR) suspected spine trauma appropriateness
criteria
canadian C spine rule
