Acute Wry Neck in Pre-pubescent Girls: Symptoms and Characteristics

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Which demographic is the most likely to experience acute wry neck?

Elderly individuals

Pre-pubescent girls (correct)

Middle-aged adults

Adult males

What is the typical onset of acute wry neck according to the text?

Gradual onset over several weeks

Sudden onset during the day

Sudden onset after waking (correct)

Gradual onset over several days

What serious condition should be excluded when a pre-pubescent girl presents with severe neck pain?

Arthritis

Meningitis (correct)

Torticollis

Muscle strain

What is the characteristic adaptive posture of someone with an acute wry neck?

Rotation and lateral flexion away from the side of pain Signup and view all the answers

What serious pathology should be considered when a patient presents with anterolateral neck pain?

Cervical artery dissection Signup and view all the answers

What condition should be considered if a patient presents with temporal pain?

Temporal arteritis Signup and view all the answers

What is the significance of glove distribution of symptoms?

Can differentiate between spinal and peripheral problems Signup and view all the answers

How can the location of pain in the fingers be helpful in diagnosis?

Differentiating between spinal and peripheral issues Signup and view all the answers

Which test evaluates the integrity of ligaments in the upper spine?

Alar Ligament test Signup and view all the answers

What differentiates dynamic instability from structural instability in the upper spine?

Dynamic instability includes ligament laxity and structural involves ligament or bone involvement. Signup and view all the answers

Why is it essential to assess nerve conduction in cases of glove distribution?

To identify anoxia of nerves in the arm Signup and view all the answers

What does a horizontal track of pain typically suggest?

Thoracic origin Signup and view all the answers

Which symptoms are commonly associated with upper cervical instability?

Arm pain and numbness or tingling Signup and view all the answers

'Postural' symptoms in the upper trapezius are usually related to:

'Sustained muscle contraction' Signup and view all the answers

'Structural instability' in the upper spine involves:

'Ligament or bone involvement' Signup and view all the answers

Which area is often felt along the medial border of the scapula?

Cervical spine Signup and view all the answers

What is the key difference between phasic and postural muscles according to the text?

Phasic muscles are more suited to movement, while postural muscles are more easily fatigued. Signup and view all the answers

What is the common clinical presentation described in the text that is known as the 'upper crossed syndrome'?

Weakness of the deep neck flexors and rhomboids, and tightness in the pectoralis, sternocleidomastoid, and upper trapezius muscles. Signup and view all the answers

What is the key principle emphasized for muscle length testing according to the text?

All of the above. Signup and view all the answers

What is the nerve supply of the sternocleidomastoid muscle?

The accessory nerve (11th cranial nerve). Signup and view all the answers

What is the primary focus of the first stage of the rehabilitation approach described in the text?

Managing pain and stabilizing the injured area. Signup and view all the answers

What is the main emphasis of the second stage of the rehabilitation approach described in the text?

Improving strength, endurance, and tissue tolerance through gradually increasing controlled loading. Signup and view all the answers

What is the primary focus of the third and final stage of the rehabilitation approach described in the text?

Promoting dynamic stabilization and functional re-education. Signup and view all the answers

What is the key reason why phasic and postural muscles tend to develop imbalances over time according to the text?

Phasic muscles are more prone to lengthening and weakening, while postural muscles tend to shorten. Signup and view all the answers

What is the main function of the sternocleidomastoid muscle?

All of the above. Signup and view all the answers

What is the key principle emphasized in the text regarding the order of steps for muscle length testing?

The testing must be performed in a specific order, usually involving fixing the origin and moving the insertion. Signup and view all the answers

What is the primary reason for addressing poor proprioception and abnormal motor activity in the treatment of neck pain?

To treat the underlying causes of neck pain, headaches, and sequelae from concussions Signup and view all the answers

Which of the following symptoms is NOT mentioned in the text as potentially resulting from abnormal neural connections between the neck muscles and the central nervous system?

Muscle spasms in the neck region Signup and view all the answers

What is the role of the sub-occipital muscles in relation to the central nervous system?

They are responsible for receiving and sending information to and from the vestibular and visual centers within the brain Signup and view all the answers

What is the primary purpose of laser tracking exercises, according to the text?

To test joint position error testing in the neck, a surrogate measure for proprioception Signup and view all the answers

What is the primary reason for using sensorimotor retraining exercises in the treatment of neck pain?

To address issues related to poor proprioception and abnormal motor activity Signup and view all the answers

Which of the following is NOT mentioned in the text as a potential symptom associated with long-lasting neck pain?

Muscle atrophy in the neck region Signup and view all the answers

What is the primary role of motor relearning exercises in the treatment of neck pain?

To address poor motor control or inadequate muscle activation Signup and view all the answers

Which of the following statements about exercise interventions for neck pain is NOT supported by the text?

Exercise should always be the first line of treatment for neck pain, regardless of the underlying cause Signup and view all the answers

What is the primary reason for using a framework like the one by de Rosa and Porterfield (1992) in the rehabilitation of acute musculoskeletal disorders of the cervical spine?

To use an impairment-based approach to rehabilitation Signup and view all the answers

What is the primary role of the deep stabilizing muscles of the neck in relation to smooth coordinated movement?

They work in synergy with the larger global muscles to facilitate smooth coordinated movement Signup and view all the answers

What is the primary goal of dynamic stabilization exercises in rehabilitation?

To enhance the coordination, control, and strength of muscles and joints involved in functional movements Signup and view all the answers

What is the focus of functional re-education in rehabilitation?

Integrating the rehabilitated area into complex movements and restoring normal movement patterns Signup and view all the answers

Which of the following exercises are typically included in the functional re-education phase of rehabilitation?

Plyometrics, agility drills, and sport-specific drills Signup and view all the answers

What is the ultimate goal of the staged approach to rehabilitation?

To improve overall functional capacity, performance, and resilience to prevent future injuries Signup and view all the answers

What is the primary difference between the thoracic spine and other spinal regions?

The thoracic spine includes the ribs, which affects its mobility Signup and view all the answers

How do the principles of assessment and treatment for the thoracic spine compare to other spinal regions?

They are basically the same, with the exception of considering the ribs Signup and view all the answers

What is the primary purpose of Mobilizations With Movement (MWMs) in relation to the elbow and shoulder?

To apply a translational movement prior to and during an active physiological movement Signup and view all the answers

What is the primary purpose of Upper Limb Neural Tension Tests (ULNTT)?

To assess the neurodynamic components of the upper limb Signup and view all the answers

Which statement is true regarding the administration of neurodynamic tests?

They can be quite provocative, so they must be performed with sensitivity Signup and view all the answers

What is the primary purpose of neurodynamic treatment techniques?

To reduce the sensitivity of nerve movement Signup and view all the answers

Which of the following is NOT a potential source of nociception in the neck region?

Bone deformities Signup and view all the answers

What is the difference between sliders and tensioners in neurodynamic treatment techniques?

Sliders are analogous to Grade I or II treatment techniques, while tensioners are similar to Grades III and IV Signup and view all the answers

Which statement is true regarding the reassessment process after neurodynamic treatment techniques?

Active and/or functional movements need to be reassessed to ensure the relevance of the treatment Signup and view all the answers

Which of the following statements is true regarding muscle structure and function in relation to neck pain?

Muscles and joints can be sources of nociception in neck pain Signup and view all the answers

What is the relationship between force and control in muscle function?

Force and control work together when performing functional activities Signup and view all the answers

Which of the following statements is true regarding the assessment of neurodynamic components?

The assessment of neurodynamic components is an important part of the overall assessment process Signup and view all the answers

What is the primary focus during Stage 1 of the rehabilitation framework outlined in the text?

Managing pain through afferent treatments Signup and view all the answers

Which of the following is NOT a consideration when assessing soft tissue characteristics prior to motion palpation of the cervical spine?

Range of motion Signup and view all the answers

What is the primary purpose of performing Passive Accessory Intervertebral Movements (PAIVMs) in the cervical spine?

To assess the quality of joint motion and determine if further assessment with Passive Physiological Intervertebral Movements (PPIVMs) is necessary Signup and view all the answers

Which type of exercise is discouraged during the initial stages of rehabilitation for whiplash?

Dynamic movements across multiple planes Signup and view all the answers

Which of the following statements about Passive Physiological Intervertebral Movements (PPIVMs) in the cervical spine is TRUE?

PPIVMs are only assessed in the cardinal axes of rotation and lateral flexion. Signup and view all the answers

What is the purpose of biomechanical counselling in Stage 1 of the rehabilitation framework?

To educate the client on reducing forces through the affected area Signup and view all the answers

Which exercise is specifically mentioned for neural activation of neck muscles during Stage 2 of the rehabilitation framework?

Pressure biofeedback unit activation in supine Signup and view all the answers

Which of the following statements about Passive Articular Intervertebral Movements (PAIVMs) and Passive Physiological Intervertebral Movements (PPIVMs) in the cervical spine is TRUE?

PAIVM treatment techniques are performed in the same way as PAIVM assessment techniques. Signup and view all the answers

What is the primary purpose of using exercises to improve articular function in the cervical spine?

To directly target and improve the quality of joint motion Signup and view all the answers

What is a key characteristic of exercises in Stage 3 of the rehabilitation framework?

Increased level of challenge in functional positions Signup and view all the answers

Which of the following statements about the McKenzie Method or Mechanical Diagnosis and Therapy (MDT) is TRUE?

It is primarily used for assessment and treatment of the lumbar spine. Signup and view all the answers

Why is disassociation of movement important in Stage 1 of the rehabilitation framework?

To require activation of deep stabilizing muscles Signup and view all the answers

Which of the following statements about the assessment of the cervical spine is TRUE?

If sufficient information is obtained from PAIVMs, PPIVM assessment may not be necessary. Signup and view all the answers

What does the transition to functional activities in Stage 3 aim to achieve?

Improved motor control related to specific goals Signup and view all the answers

Which exercise example involves integration of head, neck, and shoulder motion in a functional context?

Isometric extension exercises Signup and view all the answers

Which of the following statements about the treatment of articular motion limitations in the cervical spine is TRUE?

The general principles for treatment are the same as those described for the lumbar spine. Signup and view all the answers

Which of the following statements about the assessment of soft tissue characteristics in the cervical spine is TRUE?

Soft tissue characteristics should be evaluated by palpation prior to motion palpation. Signup and view all the answers

Why is low shear and compression forces emphasized in Stage 2 exercises?

To ensure gentle loading and avoid exacerbating symptoms. Signup and view all the answers

Which aspect distinguishes Stage 3 exercises from earlier stages?

Introduction of complexity and challenge in more functional positions. Signup and view all the answers

Which of the following statements about the assessment of Passive Physiological Intervertebral Movements (PPIVMs) in the cervical spine is FALSE?

PPIVM assessment is always necessary, regardless of the information obtained from PAIVMs. Signup and view all the answers

What is the primary purpose of the Craniocervical Flexion Test (CCFT)?

To assess the strength and endurance of the deep neck flexors (Longus capitis and Longus colli) Signup and view all the answers

What is the recommended baseline pressure for the inflatable pressure sensor during the CCFT?

20 mmHg Signup and view all the answers

During the CCFT, which of the following muscles should the patient be instructed to relax?

Sternocleidomastoid and Anterior Scalene Signup and view all the answers

What is the primary purpose of the Cervical Spine Joint Position Error Assessment?

To measure proprioceptive dysfunction and altered sensorimotor control Signup and view all the answers

What is considered a positive result (indicating dysfunction) in the Cervical Spine Joint Position Error Assessment?

A difference of more than 6.5 cm between the start and end position Signup and view all the answers

Which of the following is NOT a recommended progression for sensorimotor (proprioception) retraining exercises?

Performing the exercises while simultaneously solving mathematical equations Signup and view all the answers

What is the primary characteristic that distinguishes posture muscles from phasic muscles?

All of the above Signup and view all the answers

Which of the following statements about the Cervical Spine Joint Position Error Assessment is FALSE?

A positive test result indicates a normal level of proprioceptive function Signup and view all the answers

During sensorimotor (proprioception) retraining exercises, what is the recommended initial progression for the patient's vision?

Start with unrestricted vision and progress to restricted peripheral vision Signup and view all the answers

Which of the following statements about the Craniocervical Flexion Test (CCFT) is TRUE?

The movement should be performed slowly and gently as a head-nodding action Signup and view all the answers