Articles
Anatomy
Exam
Intervention
Name Game
100
T/ F According to Brismee et. al. 2004 The release phenomenon is due to decompression of the nerve root causing return of symptoms.
FALSE : The release phenomenon is due to the decompression of trunk/cords. The nerve root when compressed has constant symptoms that are relieved with the relief of pressure.
100
Name 5 muscles that would be lengthened in a whiplash scenario.
Platysma Infrahyoid Thyrohyoid Omohyoid ( Craigs Favorite) Sternohyoid Sternothyroid Longus Capitis Longus Colli Anterior and middle scalene Sternocleidomastoid
100
What is the Sharp - Purser test used for ? Is it used to rule in/out ?
Its used to rule IN AA instability
100
Your patient has limited and painful ( 7/10) ipsilateral lateral flexion. What intervention technique would you use first? Technique and grade
Cervical Down Glide ( Gr I-II)
100
Im a British orthopaedic physician who thinks that pain has an anatomical source and interventions should target the anatomical source. An intervention that I agree with would be injections.
CYRIAX
200
According to Wainner et al. 2003 what is the best test to rule out cervical radiculopathy? A-ULTT A B-Ipsilateral cervical rotation < 60 C-Distraction D-Spurling A
ULTTA is the best to rule out
200
What is a structural component that is designed to resist longitudinal compression. Perform opposite function of a tie
Strut
200
Name one way to test for length of the levator scapulae
Quadruped rock back, looking for capital extension with upward rotation of the scapula.
200
Can the patient apply over pressure at end range when the PT is performing a SNAG?
Yes, just make sure you pause to appreciate the end range. Ask the patient to apply overpressure with ipsilateral hand for a few seconds as long as it is pain free.
200
I believe that disorders are related to a mechanical diagnosis and treatment. I also believe in patient self management and treatment.
McKenzie
300
What did Bronfort et al 2012 find about spinal manipulation compared to medication, compared to advice and exercise? * What was unique about this study ?
Spinal Manipulation is BETTER than meds, BUT exercise and advice also yielded similar results at most time points. * Patients reported at 2,4,8,12,26 and 52 weeks
300
What is the surface anatomy landmark for C 3 ( Anterior) ?
Hyoid bone
300
Your patient comes in complaining of neck pain but also has (+) Hoffmanns Test Gait deviations 7 steps on step test Inverted supinator sign What is one possibility for these findings ?
Cervical Myelopathy ( Cook et. al. 2010)
300
When stretching the upper trapezius what position should the head be in, and how do we want to position the scapula and why ?
Head : Contralateral lateral flexion, slight flexion and ipsilateral rotation. Scapula: Downwardly rotated ( to lengthen the muscle)
300
My philosophy revolves around the patient. I believe in clinical reasoning and assessing / reassessing. One of my Key Constructs is oscillatory mobilization grades I - IV
Maitland
400
Was the Cleland et al 2010 article able to validate the CPR (Cleland 2007)? What was the conclusion of the article when it came to neck pain benefiting from T-sp manipulation and exercise. A: Exercise and education is best B: T-sp manipulation alone is best C: T-sp manipulation and exercise is best D: T-sp manipulation and education is best
It was unable to validate the CPR, but it did find that T-sp manipulation and exercise was better than just exercise alone ( decreased pain and disability).
400
If you have a positive Sharp-Purser test what component of panjabi's modes of spinal stability has failed ?
Passive Subsystem
400
Your patient is a 17 year old hockey player who comes into the clinic complaining of numbness/tingling in his R UE. You asked him when this began and he said it happened after he got hit head first into the boards during a game a few days ago and has not gotten any better. According to the Canadian C- Spine Rule what is the best course of action? Why ? A : Continue with the exam B: Refer out for X-Ray C: Continue with exam but recommend getting X-Rays D:Call 911
Refer out for radiographs due to the " dangerous mechanism" of being hit head first into the boards ,and also the paresthesias in his extremities.
400
Your patient has a positive neck distraction test, and doesn't want you to stop the test. What intervention strategy might we be thinking that this patient would respond well to?
Cervical Traction
400
I believe that loss of joint motion leads to serious joint dysfunction/ pathology. My key construct is Joint play .
Mennell
500
In the study by Walker et. al. 2008 which therapy group had a patient perceived success of 62% ? ( Minimal Intervention Vs. Manual PT and Exercise)
Manual PT and Exercise! Clinically significant ST and LT improvements in pain, disability and patient perceived recovery.
500
What is happening arthrokinematically with C-sp flexion?
Inferior articulation process of superior vertebrae glides superior and anterior on articular process of vertebrae below.
500
Name 2 methods of " screening" for VBI before a cervical manipulation.
General Vascular Risk assessment ( HTN, diabetes, etc) Premanipulative hold --> Sustain position and see how the patient tolerates it. Diagnostic ROM is actually worse for VBI.
500
A patient has a positive cervical flexion rotation test, pain and the AA joint and headaches. What intervention strategy might you start with ?
AA Muscle energy technique
500
My key concepts include : MWM, SNAG and Pain release phenomenon
Mulligan
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