Headaches and Upper Cervical Stretches

Questions and Answers

What is a primary aim of the craniocervical flexion test (CCT)?

To identify muscle strain

To evaluate joint stability

To assess blood circulation

To distinguish between cranio and tension-type headaches (correct)

Which condition might show a normal result in the cervical flexion rotation test (CFRT)?

Hypomobility in neck joints

Tension-type headache with strength loss

Normal cervical range of motion (correct)

Migraine with associated weakness

What would be an expected outcome for someone with cervical dysfunction during active and passive stretching?

Improvement in muscle texture

Resistance to passive movements (correct)

Increased muscle strength

Decreased tenderness in neck muscles

In the context of postural management, which intervention is NOT typically recommended?

Manual resistance exercises Signup and view all the answers

Which postural change is commonly associated with upper cervical dysfunction?

Forward head posture Signup and view all the answers

What type of joint mobilization might be applied to address hypomobility at C0-3?

Unilateral PA for pain reduction Signup and view all the answers

Which muscle group is likely targeted during soft tissue mobilization (STM) for cervical dysfunction?

Upper trapezius Signup and view all the answers

What is a typical management strategy to address abnormal tenderness of neck muscles?

Stress management and relaxation therapy Signup and view all the answers

What indicates a positive neurodynamic test?

Reproduction of the patient's symptoms Signup and view all the answers

Which of the following assessments is specifically aimed at measuring neck flexion strength?

Neck flexion strength test Signup and view all the answers

What is NOT a characteristic of an abnormal neurodynamic test?

Reduced range of motion Signup and view all the answers

Which symptom is most commonly associated with cervicogenic headaches?

Unilateral pain in the forehead or temples Signup and view all the answers

Which of the following tests provides relief when positive?

Shoulder abduction test Signup and view all the answers

What is the focus of the exercise recommendations for individuals with non-specific neck pain?

Restoration of neuromuscular control of deep neck flexors Signup and view all the answers

What is the appropriate interpretation of a positive Arm squeeze test?

Painful in the mid-section of the upper arm Signup and view all the answers

What is a primary characteristic of cervicogenic headache duration?

Short episodes during aggravating activities Signup and view all the answers

Which movement is specifically assessed through cranio-cervical rotation?

Rotation Signup and view all the answers

What is the aim of the sliders treatment technique?

Induce sliding of peripheral nerves with minimal strain Signup and view all the answers

Which physical examination finding is most relevant for diagnosing cervicogenic headaches?

Pain reproduced with overpressure over the affected area Signup and view all the answers

Which of the following techniques is NOT listed as a form of mobilisation for treating neck pain?

Stretch and hold Signup and view all the answers

Which of the following provides a high sensitivity and specificity for assessing nerve pain?

Arm squeeze test Signup and view all the answers

In the physical examination, how should the range of motion (ROM) for neck flexion be assessed?

Measurement from sternal notch to chin Signup and view all the answers

What is one possible underlying issue that could complicate the prognosis of cervicogenic headaches?

Chronic conditions related to neck pain Signup and view all the answers

Which combination of movements is utilized to assess neck range of motion?

Both A and B Signup and view all the answers

Which condition is NOT typically linked to cervical spine radicular pain?

Cervicogenic headaches Signup and view all the answers

What is the expected outcome when performing traction on an arm experiencing pain?

Relief of arm pain Signup and view all the answers

Which assessment focuses on the response of peripheral nerves to mechanical stress?

Neurodynamic test Signup and view all the answers

What should be included in patient education regarding cervicogenic headaches?

Understand how neck position can influence headache occurrence Signup and view all the answers

What does the cranio-cervical extension assessment examine?

The ability to extend the cervical spine Signup and view all the answers

Which treatment strategy is recommended for self-management of non-specific neck pain?

Increasing physical activity Signup and view all the answers

Which of the following regions might be affected by cervicogenic headaches?

Occipital region Signup and view all the answers

What is a common management strategy for cervicogenic headaches?

Education about posture and body mechanics Signup and view all the answers

What does the Cook clinical decision rule NOT include as a criterion?

Presence of unilateral symptoms Signup and view all the answers

Which assessment technique is least likely to reproduce pain in a patient with lumbar stenosis?

Passive lateral flexion Signup and view all the answers

What is the prognosis for patients with lumbar stenosis?

90% remain stable or improve without treatment Signup and view all the answers

Radicular pain differs from radiculopathy in that it typically is characterized by which of the following?

Presents with sharp, shooting sensations Signup and view all the answers

Which of the following tests would likely show decreased reflexes in a patient with lumbar radiculopathy?

Achilles tendon reflex Signup and view all the answers

Which special test would NOT historically be used for assessing lumbar radicular pain?

Lumbar flexion range of motion test Signup and view all the answers

What is a common treatment strategy for a patient with lumbar stenosis?

Implement flexion exercises aimed at lumbar lordosis Signup and view all the answers

What symptom is less characteristic of somatic referred pain compared to radicular pain?

Sharp, shooting pain Signup and view all the answers

Study Notes

Cervicogenic Headaches

Headaches typically associated with cervical spine stiffness or neck pain.
Pain may radiate to the forehead, temples, orbital region, or ears, mostly unilateral.
Decreased cervical range of motion (ROM) observed in patients.
Symptoms can be positional or triggered by specific movements.
Duration of pain can last hours during aggravating activities.

Non-Specific Neck Pain

Physical exam includes measuring range of motion (ROM) via tape measure for flexion, extension, rotation, and lateral flexion.
Focus on cranio-cervical flexion and extension tests to assess neck function.
Education on maintaining active lifestyle and self-management strategies is crucial.
Treatments aim to restore neuromuscular control of deep neck flexors to reduce pain and disability.
Mobilization techniques include central PA, unilateral PA, and cervical distraction.

Neuromechanosensitivity (Upper Limb)

Involves assessing how peripheral nerves respond to mechanical stress through neurodynamic testing.
Abnormal tests reproduce patient symptoms and yield structural differentiation results.
Palpation of nerve sites aids in diagnosis, with focus on median, ulnar, and radial nerves.

Lumbar Stenosis

Characterized by pain reproduction on extension movements.
Patient education emphasizes avoiding extension to prevent symptom exacerbation.
Prognosis indicates 90% of patients remain stable or improve without treatment.
Recommended exercises target lumbar lordosis and core strengthening, such as knee-to-chest maneuvers and pelvic tilts.

Lumbar Spine Radicular Pain

Defined by referred pain from a spinal nerve without nerve root compromise.
Radiculopathy includes signs of nerve root compromise, such as sensory changes and reflex loss.
Pain is typically more severe in the leg than in the back; conditions aggravated by coughing or straining.
Prognosis is favorable, with 85% recovery within 12 months.

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Description

This quiz covers different types of headaches, focusing on diffuse symptoms and less specific characteristics. It also includes techniques for upper cervical stretches and postural assessment methods to help manage and alleviate symptoms.