Cervical Spine Manipulation Quiz

Cervical traction is a treatment that uses force to stretch the neck, aiming to reduce pain and improve function. It can help with conditions like disc herniation, spinal stenosis, muscle spasms, and facet syndrome.

Cervical traction helps to 'flatten' a bulging disc by creating space between vertebrae, reducing pressure on the nerve root.

Cervical traction can open up the spaces (foramen) where nerves exit the spinal cord, relieving pressure for patients with spinal stenosis.

Cervical traction can provide temporary relief, but the benefits are often short-lived. There are no standardized protocols, and it cannot target specific spinal levels.

Cervical traction shouldn't be used if someone has a spinal condition where movement is risky, recent neck injury, hypermobility, cancer, infection, or severe TMJ dysfunction.

Cervical traction can be used for disc herniation, spinal stenosis, muscle spasms, facet syndrome, and sometimes hypomobility in the neck.

Before using mechanical traction, a manual traction assessment is performed to test for effectiveness and determine the best type of traction for the patient.

Manual traction allows for a more personalized approach, as the therapist can adjust the force and positioning based on the patient's needs.

A set of indicators used to determine if a patient is likely to benefit from cervical spine manipulation.

A test where pain is increased when the arm is lifted away from the body, indicating potential involvement of the shoulder joint or surrounding structures.

A test where pulling the head gently upwards relieves neck pain, suggesting involvement of the cervical spine.

A questionnaire used to assess the impact of neck pain on a patient's daily life.

A scale used to measure the overall improvement in neck pain and function after treatment.

A narrowing of the vertebral foramen in the neck, often caused by repeated trauma.

A measurement used to assess the risk of cervical stenosis, particularly in athletes.

Pain, numbness, tingling, or weakness in the arms or hands, especially with neck extension.

A special test that involves extending the neck to see if it causes pain.

Exercises to strengthen the muscles that bend the neck forward.

Moving the head backward, often used in treatment of cervical stenosis.

A combination of exercises including flexion, extension, and strengthening to improve neck health.

The percentage of patients who experienced successful treatment outcomes after receiving cervical spine manipulation.

A set of criteria used to identify patients who are most likely to benefit from a specific treatment, in this case, cervical spine manipulation.

The four criteria used to identify patients who are good candidates for cervical spine manipulation: symptom duration less than 38 days, positive expectation of benefit, bilateral cervical rotation difference exceeding 10 degrees, and pain with the posteroanterior spring test in the mid-cervical spine.

A study comparing the effectiveness of manipulating the thoracic spine versus the cervical spine in treating patients with cervical spine pain.

Cervical spine manipulation showed greater improvement in pain and function compared to thoracic spine manipulation for patients with cervical spine pain who met specific criteria.

A study comparing the effectiveness of mobilization versus manipulation of both the cervical and thoracic spine in treating patients with mechanical neck pain.

Both mobilization and manipulation were found to be effective treatments for mechanical neck pain, with no significant difference in outcomes between the two techniques.

Refers to neck pain caused by mechanical issues, such as muscle strain, ligament injury, or joint dysfunction.

The amount of weight used during cervical traction is limited to a maximum of 7% of the patient's body weight. The initial treatment typically uses a lower dosage than needed for vertebral separation. The dosage is gradually increased over subsequent treatments to achieve desired outcomes.

The duration of cervical traction is typically between 20-30 minutes. The specific duration is determined by the type of traction being used and the treatment goals. For instance, mechanical traction usually involves longer durations compared to over-the-door traction.

The position of the spine influences vertebral separation during cervical traction. Increased flexion of the cervical spine can increase vertebral separation. However, consider patient diagnosis as cervical flexion may be contraindicated in some cases.

Patient relaxation is crucial for effective cervical traction. Increased relaxation leads to increased vertebral separation. A decreased angle of pull can promote relaxation and the supine position provides optimal relaxation for the cervical spine.

A clinical prediction rule has been developed to identify patients with cervical spine pain who are likely to benefit from mechanical cervical traction. This rule is based on the effectiveness of traction combined with exercise in improving neck pain, arm pain, and neck disability scores.

Research suggests that supine mechanical traction combined with exercise is more effective in reducing neck pain, arm pain, and neck disability compared to seated over-the-door traction or exercise alone for patients with cervical radiculopathy.

A simple traction method using a strap or device that hooks over a door. The patient applies gentle force by pulling on the strap.

A specialized machine providing controlled and adjustable traction force to the cervical spine. It often incorporates features for precise positioning and comfort during treatment.