Neck Pain Management Interventions Quiz

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What is the primary symptom in stroke according to the text?

Weakness and numbness in the limbs

Sudden severe headache

Blurred vision

Pain (correct)

Where does the internal carotid artery enter the skull?

Through the jugular foramen

Through the foramen magnum

Through the optic foramen

Through the carotid canal (correct)

What is the leading cause of injuries to the arteries in the neck according to the text?

Genetic factors

Trauma to the outer layer of the artery

Aging and atherosclerosis (correct)

High blood pressure

What is a possible consequence of trauma to the inner layer of the artery according to the text?

Rise in tissue that can occlude blood flow Signup and view all the answers

What is the 3rd leading cause of death in the US according to the text?

Stroke Signup and view all the answers

For this class, what type of stroke should one be most aware of according to the text?

Vertebral artery strokes Signup and view all the answers

Which of the following is NOT listed as a major risk factor for stroke?

Cervicogenic Headache Signup and view all the answers

What is the most common age of onset for cervicogenic headaches?

30-39 years Signup and view all the answers

Which test showed a significant difference in C1-2 range of motion between control/migraines aura and cervicogenic headaches?

Cervical Flexion-Rotation Test Signup and view all the answers

Which of the following is an effective intervention for patients with cervicogenic headaches based on the text?

Neck exercise (low intensity endurance training) Signup and view all the answers

What is the prevalence range of cervicogenic headaches according to the provided text?

0.5-3.5% Signup and view all the answers

Which manipulation or mobilization technique is recommended for chronic neck pain with mobility deficits according to the CPG Intervention Guidelines?

Cervical or cervicothoracic manipulation or mobilizations Signup and view all the answers

What is the estimated rate of occurrence of all strokes?

269 per 100,000 Signup and view all the answers

What are the common symptoms of internal carotid artery dissection?

Ipsilateral carotid bruit Signup and view all the answers

What is a suggested sequence for using manual therapy interventions in an individual with new onset neck complaints?

Thoracic manipulation & ROM → reassess at visit 2, if better → cervical mobilization/manipulation Signup and view all the answers

What is the estimated risk assessment for 'Adverse Events' related to chiropractic manipulation and stroke?

1 in 3,020 to 1 in a million Signup and view all the answers

What are the potential signs of intracranial pathology for a patient with suspected cervicogenic headaches?

Weight loss and fever Signup and view all the answers

What are the common symptoms of vertebral artery dissection?

Horner’s syndrome Signup and view all the answers

Which of the following is considered a poor prognostic factor for chronic whiplash-associated disorders?

High initial pain and disability Signup and view all the answers

What is a potential involved structure in whiplash that can contribute to long-term signs/symptoms?

Muscles and ligaments Signup and view all the answers

What is a common symptom of chronic whiplash-associated disorders?

Ringing in the ears Signup and view all the answers

What treatment approach is recommended for mild symptoms of chronic whiplash-associated disorders?

Gradual introduction of graded activity and exposure Signup and view all the answers

What is cervicogenic dizziness thought to originate from?

Dysfunction within the cervical spine Signup and view all the answers

What type of impairments have been found in association with persistent neck pain?

Postural stability impairments Signup and view all the answers

What is the appropriate intervention for neck pain with mobility deficits in the chronic phase?

Thoracic manipulation & cervical manipulation or mobilization Signup and view all the answers

What test is used to assess the endurance of the deep neck flexor muscles?

Deep neck flexor endurance test Signup and view all the answers

Why is training deep neck flexors not independent from a well-rounded motor control, strength, & endurance program?

Increased activation of superficial muscles Signup and view all the answers

Which type of exercises should be included in those with neck pain to train the eccentric/concentric function of the cervical extensors?

Prone on elbows exercises Signup and view all the answers

What is the procedure for performing the craniocervical flexion test?

Inflate pressure unit to 20mmHg, perform 5 different pressures, hold for 10 seconds at each pressure Signup and view all the answers

What is the appropriate intervention for neck pain with mobility deficits in the sub-acute phase?

Provide neck & shoulder girdle endurance exercises Signup and view all the answers

What test is used to assess the cervical-ocular reflex by having the patient hold their head still and fixate their gaze while moving their trunk from side to side?

Smooth pursuit neck torsion test Signup and view all the answers

Which reflex stabilizes images on the retina during head movements and sends information to the central nervous system to control eye movement?

Vestibulo-ocular reflex Signup and view all the answers

What kind of impairments can result in dysfunctional cervical afferents?

Impairments due to direct trauma or alterations in afferent feedback Signup and view all the answers

What is a commonly used test to assess postural stability?

Rhomburg's test Signup and view all the answers

Which examination includes testing for smooth pursuit, gaze stability, and head thrust?

Physical examination of the central nervous system Signup and view all the answers

What type of manual therapy focused on self-SNAG and passive joint mobilization with range of motion exercises showed benefits for patients with cervicogenic dizziness?

Manual therapy for cervical spine Signup and view all the answers

What does JPE stand for in the context of cervicogenic dizziness?

Joint position error Signup and view all the answers

What is considered abnormal cervical proprioception in relation to the Joint Position Error test?

$> 4.5°$ Signup and view all the answers

What does CCFT stand for in the context of cervicogenic dizziness?

$\text{Craniocervical Flexion Test}$ Signup and view all the answers

What is the estimated rate of occurrence of chiropractic manipulation and stroke?

1.3 per 100,000 Signup and view all the answers

What are the common symptoms of vertebral artery dissection?

Scalp tenderness Signup and view all the answers

What is the estimated risk assessment for 'Adverse Events' related to chiropractic manipulation and stroke?

1 in 3,020 to 1 in a million Signup and view all the answers

What is a potential involved structure in whiplash that can contribute to long-term signs/symptoms?

C2-C6 cervical root impairment Signup and view all the answers

Describe a suggested sequence for using manual therapy interventions in an individual with new onset neck complaints.

Thoracic manipulation & ROM → reassess at visit 2, if better → cervical mobilization/manipulation Signup and view all the answers

What type of headache is primarily occipital and radiates into the head and face unilaterally?

Cervicogenic headache Signup and view all the answers

What is a possible consequence of trauma to the inner layer of the artery according to the text?

Development of a rise in the tissue that occludes blood flow Signup and view all the answers

What is the 3rd leading cause of death in the US according to the text?

Stroke Signup and view all the answers

What is the primary symptom in stroke according to the text?

Pain Signup and view all the answers

What is considered abnormal cervical proprioception in relation to the Joint Position Error test?

Reduced ability to discriminate neck positions Signup and view all the answers

For this class, what type of stroke should one be most aware of according to the text?

Vertebral artery stroke Signup and view all the answers

What is the potential involved structure in whiplash that can contribute to long-term signs/symptoms according to the text?

Vascular system Signup and view all the answers

What is considered the gold standard for the diagnosis of cervicogenic headache?

Diagnostic blocks Signup and view all the answers

What is a major risk factor for cervicogenic headaches?

Blood clotting disorders Signup and view all the answers

What is the average age of onset for cervicogenic headaches?

42 Signup and view all the answers

What is the efficacy of spinal manipulation for cervicogenic headaches?

Effective in the short term compared to placebo spinal manipulation Signup and view all the answers

Which exercise intervention has shown effectiveness for patients with cervicogenic headaches?

Neck exercise (low intensity endurance training) Signup and view all the answers

What intervention is recommended for chronic neck pain with mobility deficits according to the CPG Intervention Guidelines?

Provide cervical manipulation & mobilization combined with shoulder girdle & neck stretching, strengthening, & endurance exercise Signup and view all the answers

What is a potential factor that can influence chronicity in whiplash-associated disorders?

Restricted neck movement Signup and view all the answers

What is a poor prognostic factor for chronic whiplash-associated disorders?

Fear of movement Signup and view all the answers

What is a common symptom of chronic whiplash-associated disorders?

Depression and anxiety Signup and view all the answers

What type of symptoms are highly variable and non-specific in whiplash-associated disorders?

Tinnitus Signup and view all the answers

What does cervicogenic dizziness originate from?

Dysfunction within the cervical spine Signup and view all the answers

What type of sensorimotor function disturbance can be associated with persistent neck pain?

Impairment in postural stability Signup and view all the answers

What is the procedure for performing the deep neck flexor endurance test?

Patient supine in hook-lying position, tuck & lift the chin isometrically, head lifted 1 inch off table while keeping chin retracted Signup and view all the answers

Which type of training should be used to restore the functional deficits related to deep neck flexors?

Low load endurance training (load at 20% or less of MVC), longer duration training Signup and view all the answers

What is the primary purpose of incorporating axioscapular muscles into craniocervical flexion exercises?

To improve proprioceptive abilities of the neck Signup and view all the answers

What is the recommended position for training deep lower cervical extensor muscles?

Prone on elbows or 4 point kneeling Signup and view all the answers

What type of exercise progression is used to train cervical flexor muscles with an emphasis on coordinated action & low-endurance of deep and superficial cervical flexor muscles?

Use of stabilizer pressure biofeedback device Signup and view all the answers

What is the purpose of using a stabilizer pressure biofeedback device during exercise progression for cervical flexor muscles?

To enhance inner-range concentric & eccentric performance of all cervical flexor muscles Signup and view all the answers

What is the vestibulo-ocular reflex (VOR) responsible for?

Stabilizing images on the retina during head movements and controlling eye movement Signup and view all the answers

Which test is used to assess postural stability?

Rhomberg’s test Signup and view all the answers

What does the deep neck flexor endurance or craniocervical flexion test assess?

The endurance of the deep neck flexor muscles Signup and view all the answers

What intervention showed benefits for patients with cervicogenic dizziness, focusing on dizziness intensity & frequency, Dizziness Handicap Inventory, pain intensity, and balance?

Manual Therapy for Cervical Spine Signup and view all the answers

What is considered abnormal cervical proprioception in relation to the Joint Position Error test?

Greater than 4.5° angular difference Signup and view all the answers

Which manipulation technique was focused on in an intervention study for cervicogenic dizziness, showing long term benefits for patients?

Joint mobilization with range of motion exercises Signup and view all the answers

What should be retrained if the Joint Position Error test indicates abnormal cervical proprioception?

Cervical proprioception Signup and view all the answers

What is implicated in likely dysfunction in cervicogenic dizziness according to the provided text?

Balance and Neck Pain Signup and view all the answers

What type of exercises are suggested for training deep neck flexors in cervicogenic dizziness?

'Shoulder abduction' and 'Shoulder retraction' Signup and view all the answers

'Self-SNAG' and 'passive joint mobilization with ROM exercises' were part of an intervention study focused on which condition?

Cervicogenic Dizziness Signup and view all the answers

Neck Pain Management Interventions Quiz

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Questions and Answers

What is the primary symptom in stroke according to the text?

Where does the internal carotid artery enter the skull?

What is the leading cause of injuries to the arteries in the neck according to the text?

What is a possible consequence of trauma to the inner layer of the artery according to the text?

What is the 3rd leading cause of death in the US according to the text?

For this class, what type of stroke should one be most aware of according to the text?

Which of the following is NOT listed as a major risk factor for stroke?

What is the most common age of onset for cervicogenic headaches?

Which test showed a significant difference in C1-2 range of motion between control/migraines aura and cervicogenic headaches?

Which of the following is an effective intervention for patients with cervicogenic headaches based on the text?

What is the prevalence range of cervicogenic headaches according to the provided text?

Which manipulation or mobilization technique is recommended for chronic neck pain with mobility deficits according to the CPG Intervention Guidelines?

What is the estimated rate of occurrence of all strokes?

What are the common symptoms of internal carotid artery dissection?

What is a suggested sequence for using manual therapy interventions in an individual with new onset neck complaints?

What is the estimated risk assessment for 'Adverse Events' related to chiropractic manipulation and stroke?

What are the potential signs of intracranial pathology for a patient with suspected cervicogenic headaches?

What are the common symptoms of vertebral artery dissection?

Which of the following is considered a poor prognostic factor for chronic whiplash-associated disorders?

What is a potential involved structure in whiplash that can contribute to long-term signs/symptoms?

What is a common symptom of chronic whiplash-associated disorders?

What treatment approach is recommended for mild symptoms of chronic whiplash-associated disorders?

What is cervicogenic dizziness thought to originate from?

What type of impairments have been found in association with persistent neck pain?

What is the appropriate intervention for neck pain with mobility deficits in the chronic phase?

What test is used to assess the endurance of the deep neck flexor muscles?

Why is training deep neck flexors not independent from a well-rounded motor control, strength, & endurance program?

Which type of exercises should be included in those with neck pain to train the eccentric/concentric function of the cervical extensors?

What is the procedure for performing the craniocervical flexion test?

What is the appropriate intervention for neck pain with mobility deficits in the sub-acute phase?

What test is used to assess the cervical-ocular reflex by having the patient hold their head still and fixate their gaze while moving their trunk from side to side?

Which reflex stabilizes images on the retina during head movements and sends information to the central nervous system to control eye movement?

What kind of impairments can result in dysfunctional cervical afferents?

What is a commonly used test to assess postural stability?

Which examination includes testing for smooth pursuit, gaze stability, and head thrust?

What type of manual therapy focused on self-SNAG and passive joint mobilization with range of motion exercises showed benefits for patients with cervicogenic dizziness?

What does JPE stand for in the context of cervicogenic dizziness?

What is considered abnormal cervical proprioception in relation to the Joint Position Error test?

What does CCFT stand for in the context of cervicogenic dizziness?

What is the estimated rate of occurrence of chiropractic manipulation and stroke?

What are the common symptoms of vertebral artery dissection?

What is the estimated risk assessment for 'Adverse Events' related to chiropractic manipulation and stroke?

What is a potential involved structure in whiplash that can contribute to long-term signs/symptoms?

Describe a suggested sequence for using manual therapy interventions in an individual with new onset neck complaints.

What type of headache is primarily occipital and radiates into the head and face unilaterally?

What is a possible consequence of trauma to the inner layer of the artery according to the text?

What is the 3rd leading cause of death in the US according to the text?

What is the primary symptom in stroke according to the text?

What is considered abnormal cervical proprioception in relation to the Joint Position Error test?

For this class, what type of stroke should one be most aware of according to the text?

What is the potential involved structure in whiplash that can contribute to long-term signs/symptoms according to the text?

What is considered the gold standard for the diagnosis of cervicogenic headache?

What is a major risk factor for cervicogenic headaches?

What is the average age of onset for cervicogenic headaches?

What is the efficacy of spinal manipulation for cervicogenic headaches?

Which exercise intervention has shown effectiveness for patients with cervicogenic headaches?

What intervention is recommended for chronic neck pain with mobility deficits according to the CPG Intervention Guidelines?

What is a potential factor that can influence chronicity in whiplash-associated disorders?

What is a poor prognostic factor for chronic whiplash-associated disorders?

What is a common symptom of chronic whiplash-associated disorders?

What type of symptoms are highly variable and non-specific in whiplash-associated disorders?

What does cervicogenic dizziness originate from?

What type of sensorimotor function disturbance can be associated with persistent neck pain?

What is the procedure for performing the deep neck flexor endurance test?

Which type of training should be used to restore the functional deficits related to deep neck flexors?

What is the primary purpose of incorporating axioscapular muscles into craniocervical flexion exercises?

What is the recommended position for training deep lower cervical extensor muscles?

What type of exercise progression is used to train cervical flexor muscles with an emphasis on coordinated action & low-endurance of deep and superficial cervical flexor muscles?

What is the purpose of using a stabilizer pressure biofeedback device during exercise progression for cervical flexor muscles?

What is the vestibulo-ocular reflex (VOR) responsible for?

Which test is used to assess postural stability?

What does the deep neck flexor endurance or craniocervical flexion test assess?

What intervention showed benefits for patients with cervicogenic dizziness, focusing on dizziness intensity & frequency, Dizziness Handicap Inventory, pain intensity, and balance?

What is considered abnormal cervical proprioception in relation to the Joint Position Error test?

Which manipulation technique was focused on in an intervention study for cervicogenic dizziness, showing long term benefits for patients?

What should be retrained if the Joint Position Error test indicates abnormal cervical proprioception?