27 Questions
What is the primary cause of Cervical Myelopathy?
Mechanical compression of the spinal canal
Which of the following best describes the key clinical characteristics of Cervical Myelopathy?
Gradual deterioration of neurological functions
What percentage of individuals over 40 are affected by Degenerative Cervical Myelopathy?
Approximately 2%
How does the severity of neurological symptoms in Degenerative Cervical Myelopathy progress?
It worsens with age
What is the significance of the progressive nature of neurological impairment in Cervical Myelopathy for physiotherapists?
It impacts treatment planning
Which structure is primarily affected by Cervical Myelopathy?
Spinal cord and nerve roots
What distinguishes Degenerative Cervical Myelopathy (DCM) from other forms of myelopathy?
Progressive severity with age
What is the primary cause of cervical myelopathy?
Cervical spondylosis (spine degeneration)
Which of the following is NOT a potential cause of cervical myelopathy?
Osteoporosis
What type of spinal cord compression can occur in cervical myelopathy?
Both static and dynamic compression
Which of the following is NOT a frequent symptom of cervical myelopathy?
Severe abdominal pain
What is the significance of the Modified Japanese Orthopedic Association scale in cervical myelopathy?
It determines the severity of cervical myelopathy based on neurological dysfunctions
Which of the following is an intermittent symptom of cervical myelopathy?
Unilateral or bilateral limb or body numbness
What is the purpose of tension and shear forces in the context of cervical myelopathy?
They represent the loading methods that can affect the spinal cord
Which of the following is a sign of upper motor neuron lesion in cervical myelopathy?
All of the above
What is the gold standard measure to confirm the presence of degenerative features and spinal cord compression in cervical myelopathy?
MRI
What is the significance of Lhermitte's sign in cervical myelopathy?
It indicates the presence of spinal cord compression
Which of the following statements accurately describes the correlation between the degree of spinal cord compression and disease severity in cervical myelopathy?
The degree of spinal cord compression correlates poorly with disease severity.
Which of the following is a common medical management approach for people with asymptomatic spinal cord compression without signs or symptoms of radiculopathy?
Patient education targeting improved health literacy
Which of the following is considered a major contraindication in the management of cervical myelopathy?
Cervical spine manipulation and mobilization
Which of the following is NOT included in the multimodal physiotherapy approach for patients with mild to moderate symptoms of cervical myelopathy?
Cervical spine manipulation and mobilization
Which of the following surgical procedures is mentioned for the management of cervical myelopathy?
Both ACDF and posterior cervical laminectomy and fusion
Which of the following statements accurately describes the role of preoperative physiotherapy in the management of cervical myelopathy?
Preoperative physiotherapy should only be advised by specialist spinal services.
Which of the following statements accurately describes the management approach for people with asymptomatic cord compression and evidence of radiculopathy or facet/disc lesions?
They are commonly managed with either surgical or non-surgical intervention.
Which of the following statements accurately describes the role of post-operative physiotherapy in the management of cervical myelopathy?
Post-operative physiotherapy plays an integral role in rehabilitation.
Which of the following statements accurately describes the management approach for people with progressive pain and neurological deficits who do not respond well to conservative management?
They would require surgical management.
Which of the following statements accurately describes the use of electro diagnostics (such as EMG and nerve conduction studies) in the management of cervical myelopathy?
They are commonly used to identify differential diagnosis or comorbid sensory and motor deficits caused by nerve root and peripheral nerve compression.
Learn about cervical myelopathy, a progressive condition affecting the spinal cord and spinal nerve roots. Explore the causes, symptoms, and clinical characteristics of this common disorder in adults.
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