Cervical Spine Manipulation Quiz
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Questions and Answers

Which of the following is NOT part of the CPR criteria for cervical spine manipulation?

  • Age greater than or equal to 55 years
  • Patient does not perform sedentary work > 5 hours/day (correct)
  • Positive Brachial Plexus Test
  • Positive shoulder abduction test

    • A patient with a score of 2 on the CPR criteria has a 89% probability of treatment success.

    False

    What is the recommended initial score on the Neck Disability Index for patients to potentially benefit from cervical spine manipulation?

    < 11.50

    Patients who demonstrate a ______ or higher score on the GROC scale after treatment are deemed to have had a successful outcome.

    <p>5</p> Signup and view all the answers

    Match the predictors with their corresponding values regarding treatment success:

    <p>4+ = 95% probability of treatment success 3 = 79% probability of treatment success 2 = 53% probability of treatment success 1 = 48% probability of treatment success</p> Signup and view all the answers

    Which condition is cervical traction most useful for providing temporary relief of symptoms?

    <p>Cervical Stenosis</p> Signup and view all the answers

    Cervical traction can be effectively used to isolate spinal levels for targeting treatment.

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

    What is one of the key indications for using cervical traction?

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

    Cervical traction can help to ______ tight muscles following immobilization.

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

    Match the cervical traction indications with their effects:

    <p>Derangement = Flattens nuclear protrusion Stenosis = Opens intervertebral foramen Facet Syndrome = Opens and mobilizes facet joints Muscle Spasm = May treat underlying cause of muscle spasm</p> Signup and view all the answers

    Which of the following is a contraindication for cervical traction?

    <p>Joint Hypermobility</p> Signup and view all the answers

    Acute strains and sprains are considered precautions to cervical traction.

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

    What is a limitation of cervical traction regarding symptom relief?

    <p>Temporary relief</p> Signup and view all the answers

    What is the maximum dosage of mechanical traction that should not be exceeded?

    <p>7% of body weight</p> Signup and view all the answers

    Increased cervical spine flexion is contraindicated for vertebral separation in all patient diagnoses.

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

    What is the typical duration for mechanical traction treatment?

    <p>20-30 minutes</p> Signup and view all the answers

    The angle of pull should be decreased to increase patient __________ during traction.

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

    Which type of support is considered superior for decreasing neck pain in patients with cervical radiculopathy?

    <p>Supine mechanical traction with exercise</p> Signup and view all the answers

    Match the type of traction device with its description:

    <p>Pronex Traction = Mechanically controlled traction device Saunders Traction = Patient-controlled traction option Over-the-Door Traction = Home-based traction option Mechanical Traction Machine = Professional clinic use for traction</p> Signup and view all the answers

    A decrease in relaxation can lead to an increase in vertebral separation during mechanical traction.

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

    How many treatment sessions of cervical spine traction did the study define as necessary for a successful outcome?

    <p>six treatment sessions</p> Signup and view all the answers

    Which condition is characterized by narrowing of the vertebral foramen?

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

    Cervical spine stenosis is more common than lumbar spine stenosis.

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

    Name one exercise that should be included in the treatment for patients with cervical spine stenosis.

    <p>Postural education</p> Signup and view all the answers

    Cervical spine stenosis is most likely to occur in athletes who participate in __________ sports.

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

    Match the motion with its corresponding range of motion findings for patients with cervical stenosis:

    <p>Protrusion / Flexion = Nil Retraction / Extension = Min / Mod ERP</p> Signup and view all the answers

    What is one positive test for relief of symptoms in cervical spine stenosis?

    <p>Cervical Distraction Test</p> Signup and view all the answers

    Repeated cervical retraction should always be used with caution in patients with cervical spine stenosis.

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

    What is the typical range of motion finding for repeated cervical spine flexion in patients with cervical stenosis?

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

    What was the initial success rate for considering the treatment outcome successful?

    <p>39%</p> Signup and view all the answers

    The success rate for manipulative therapy increased to 90% for patients meeting at least 3 of the 4 criteria.

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

    List one of the criteria for the clinical prediction rule (CPR) for cervical spine manipulation.

    <p>Symptom duration &lt; 38 days</p> Signup and view all the answers

    Patients receiving _____ spine manipulation showed greater improvement in pain and function.

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

    Match the following inclusion criteria with their description:

    <p>Symptom duration &lt; 38 days = Duration of symptoms considered for manipulation Positive expectation = Belief that treatment will be helpful Bilateral difference in cervical rotation &gt;10 degrees = Measure of cervical mobility Pain with posteroanterior spring test = Assessing pain in the mid-cervical spine</p> Signup and view all the answers

    How many patients in the study compared thoracic spine manipulation to cervical spine manipulation were assigned to each group?

    <p>24 patients</p> Signup and view all the answers

    Both cervical and thoracic spine mobilization were found to be more effective than manipulation.

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

    At what follow-up times were patients assessed for improvement in pain and function?

    <p>1 week, 4 weeks, and 6 months</p> Signup and view all the answers

    Study Notes

    Cervical Spine Traction Treatment Guidelines

    • Cervical traction is used to treat various cervical spine conditions.
    • It can help flatten nuclear protrusion, treat anterior and posterior derangements, and open intervertebral foramina for stenosis.
    • Traction can provide temporary relief of symptoms associated with cervical stenosis and conditions causing hypomobility in spinal segments.
    • Sufficient force is required to separate joint surfaces and increase intervertebral space, but affects multiple joints rather than isolating one.
    • Mobilization is more effective for isolating a single spinal level.
    • Traction can open and mobilize facet joints.
    • It may help treat underlying muscle spasm.
    • Spinal conditions and acute conditions like sprains and strains where movement is not recommended should avoid traction.
    • Traction is contraindicated for joint hypermobility, malignancy, tumor, or infection.
    • Traction should be treated with caution for TMJ dysfunction and osteoporosis.
    • Decreased symptoms from traction are typically temporary.
    • There are no researched treatment protocols for traction, and it does not isolate spinal levels.

    Basic Cervical Traction Procedures

    • Manual traction should be performed initially to assess effectiveness and appropriateness.
    • Determine appropriate traction based on patient conditions (manual or mechanical).
    • The patient's position should be optimized to maximize benefit based on diagnosis and treatment goals.
    • Treatment duration should be based on the selected method, typically 20-30 minutes.
    • Maximum dosage should not exceed 7% of the patient's body weight and dosage should be increased gradually.

    Factors Influencing Vertebral Separation

    • Increased flexion increases vertebral separation.
    • 35 degrees of flexion is suitable for posterior vertebral separation.
    • Patient comfort and relaxation leads to increased vertebral separation.
    • Cervical spine is most relaxed in supine positions.
    • 20-30 minutes of mechanical traction is usually required for relaxation.
    • Maximum force should be 7% of body weight.

    Pronex Traction, Over-The-Door and Mechanical Traction

    • Mechanical traction combined with exercises, especially in a supine position, has shown evidence in decreasing cervical pain and improving function.

    CPR for Traction to Treat Cervical Spine Pain

    • Criteria for successful treatment include age over 55, peripheralization of symptoms, positive shoulder abduction test, positive Brachial Plexus Test (Elvey's Test), and a Positive Cervical Distraction Test.
    • A successful clinical outcome is defined as a 6 + change in the GROC scale.
    • The chart shows predictive factors for successful treatment and probability of success associated with each factor.

    Cervical Spine Manual Therapy Research

    • Initial Neck Disability Index score less than 11.5, bilateral involvement, no sedentary work over 5 hours, moving cervical spine is preferred, and no worsening with cervical extension are key indicators of immediate benefit from manipulative therapy.
    • Patients meeting 4 or more of these predictors have an 89% probability of successful outcome from manipulative therapy.
    • Treatment for cervical spine pain with manipulative therapy demonstrated greater improvement in pain and function compared to exercise alone at various follow-up times.

    Cervical Spine Stenosis

    • Cervical spine stenosis is less common than lumbar stenosis due to different weight-bearing demands.
    • It results from repeated trauma causing narrowing of the vertebral foramen.
    • Athletes in collision sports are more susceptible due to frequent trauma.
    • Symptoms are more likely to increase with extension and less with retraction in severe cases.

    Treatment for Cervical Spine Stenosis

    • Treatment should include postural education.
    • Repeated cervical flexion range of motion exercises are key.
    • Strengthening of cervical spine flexors, extensors, and scapular stabilizers and muscular endurance training.
    • Cervical retraction exercises may help some peripheral symptoms.
    • Retirement from impact sports may be necessary to prevent spinal cord damage.

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    Related Documents

    Cervical Spine Traction Treatment Guidelines PDF

    Description

    Test your knowledge on the CPR criteria for cervical spine manipulation and related concepts. This quiz covers treatment success predictors, the Neck Disability Index, and indications for cervical traction. It is essential for those studying physical therapy and rehabilitation.

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