Cervical Myelopathy Overview
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Questions and Answers

What is the primary cause of Cervical Myelopathy?

  • Damage to spinal nerve roots
  • Inflammation in the spinal cord
  • Neurological dysfunction
  • Mechanical compression of the spinal canal (correct)

    • Which of the following best describes the key clinical characteristics of Cervical Myelopathy?

  • Sudden onset of symptoms
  • Gradual deterioration of neurological functions (correct)
  • Stabilization of neurological symptoms
  • Rapid improvement in neurological functions

    • What percentage of individuals over 40 are affected by Degenerative Cervical Myelopathy?

  • Less than 1%
  • Over 25%
  • Around 10%
  • Approximately 2% (correct)

    • How does the severity of neurological symptoms in Degenerative Cervical Myelopathy progress?

    <p>It worsens with age</p> Signup and view all the answers

    What is the significance of the progressive nature of neurological impairment in Cervical Myelopathy for physiotherapists?

    <p>It impacts treatment planning</p> Signup and view all the answers

    Which structure is primarily affected by Cervical Myelopathy?

    <p>Spinal cord and nerve roots</p> Signup and view all the answers

    What distinguishes Degenerative Cervical Myelopathy (DCM) from other forms of myelopathy?

    <p>Progressive severity with age</p> Signup and view all the answers

    What is the primary cause of cervical myelopathy?

    <p>Cervical spondylosis (spine degeneration)</p> Signup and view all the answers

    Which of the following is NOT a potential cause of cervical myelopathy?

    <p>Osteoporosis</p> Signup and view all the answers

    What type of spinal cord compression can occur in cervical myelopathy?

    <p>Both static and dynamic compression</p> Signup and view all the answers

    Which of the following is NOT a frequent symptom of cervical myelopathy?

    <p>Severe abdominal pain</p> Signup and view all the answers

    What is the significance of the Modified Japanese Orthopedic Association scale in cervical myelopathy?

    <p>It determines the severity of cervical myelopathy based on neurological dysfunctions</p> Signup and view all the answers

    Which of the following is an intermittent symptom of cervical myelopathy?

    <p>Unilateral or bilateral limb or body numbness</p> Signup and view all the answers

    What is the purpose of tension and shear forces in the context of cervical myelopathy?

    <p>They represent the loading methods that can affect the spinal cord</p> Signup and view all the answers

    Which of the following is a sign of upper motor neuron lesion in cervical myelopathy?

    <p>All of the above</p> Signup and view all the answers

    What is the gold standard measure to confirm the presence of degenerative features and spinal cord compression in cervical myelopathy?

    <p>MRI</p> Signup and view all the answers

    What is the significance of Lhermitte's sign in cervical myelopathy?

    <p>It indicates the presence of spinal cord compression</p> Signup and view all the answers

    Which of the following statements accurately describes the correlation between the degree of spinal cord compression and disease severity in cervical myelopathy?

    <p>The degree of spinal cord compression correlates poorly with disease severity.</p> Signup and view all the answers

    Which of the following is a common medical management approach for people with asymptomatic spinal cord compression without signs or symptoms of radiculopathy?

    <p>Patient education targeting improved health literacy</p> Signup and view all the answers

    Which of the following is considered a major contraindication in the management of cervical myelopathy?

    <p>Cervical spine manipulation and mobilization</p> Signup and view all the answers

    Which of the following is NOT included in the multimodal physiotherapy approach for patients with mild to moderate symptoms of cervical myelopathy?

    <p>Cervical spine manipulation and mobilization</p> Signup and view all the answers

    Which of the following surgical procedures is mentioned for the management of cervical myelopathy?

    <p>Both ACDF and posterior cervical laminectomy and fusion</p> Signup and view all the answers

    Which of the following statements accurately describes the role of preoperative physiotherapy in the management of cervical myelopathy?

    <p>Preoperative physiotherapy should only be advised by specialist spinal services.</p> Signup and view all the answers

    Which of the following statements accurately describes the management approach for people with asymptomatic cord compression and evidence of radiculopathy or facet/disc lesions?

    <p>They are commonly managed with either surgical or non-surgical intervention.</p> Signup and view all the answers

    Which of the following statements accurately describes the role of post-operative physiotherapy in the management of cervical myelopathy?

    <p>Post-operative physiotherapy plays an integral role in rehabilitation.</p> Signup and view all the answers

    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?

    <p>They would require surgical management.</p> Signup and view all the answers

    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?

    <p>They are commonly used to identify differential diagnosis or comorbid sensory and motor deficits caused by nerve root and peripheral nerve compression.</p> Signup and view all the answers

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