Neck Pain Management Interventions Quiz

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Questions and Answers

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?

<p>Rise in tissue that can occlude blood flow (B)</p> Signup and view all the answers

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

<p>Stroke (C)</p> Signup and view all the answers

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

<p>Vertebral artery strokes (A)</p> Signup and view all the answers

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

<p>Cervicogenic Headache (D)</p> Signup and view all the answers

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

<p>30-39 years (A)</p> 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?

<p>Cervical Flexion-Rotation Test (C)</p> Signup and view all the answers

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

<p>Neck exercise (low intensity endurance training) (D)</p> Signup and view all the answers

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

<p>0.5-3.5% (B)</p> 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?

<p>Cervical or cervicothoracic manipulation or mobilizations (B)</p> Signup and view all the answers

What is the estimated rate of occurrence of all strokes?

<p>269 per 100,000 (D)</p> Signup and view all the answers

What are the common symptoms of internal carotid artery dissection?

<p>Ipsilateral carotid bruit (D)</p> Signup and view all the answers

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

<p>Thoracic manipulation &amp; ROM → reassess at visit 2, if better → cervical mobilization/manipulation (A)</p> Signup and view all the answers

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

<p>1 in 3,020 to 1 in a million (B)</p> Signup and view all the answers

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

<p>Weight loss and fever (D)</p> Signup and view all the answers

What are the common symptoms of vertebral artery dissection?

<p>Horner’s syndrome (A)</p> Signup and view all the answers

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

<p>High initial pain and disability (D)</p> Signup and view all the answers

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

<p>Muscles and ligaments (C)</p> Signup and view all the answers

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

<p>Ringing in the ears (C)</p> Signup and view all the answers

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

<p>Gradual introduction of graded activity and exposure (A)</p> Signup and view all the answers

What is cervicogenic dizziness thought to originate from?

<p>Dysfunction within the cervical spine (B)</p> Signup and view all the answers

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

<p>Postural stability impairments (C)</p> Signup and view all the answers

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

<p>Thoracic manipulation &amp; cervical manipulation or mobilization (B)</p> Signup and view all the answers

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

<p>Deep neck flexor endurance test (C)</p> Signup and view all the answers

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

<p>Increased activation of superficial muscles (B)</p> 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?

<p>Prone on elbows exercises (A)</p> Signup and view all the answers

What is the procedure for performing the craniocervical flexion test?

<p>Inflate pressure unit to 20mmHg, perform 5 different pressures, hold for 10 seconds at each pressure (C)</p> Signup and view all the answers

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

<p>Provide neck &amp; shoulder girdle endurance exercises (C)</p> 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?

<p>Smooth pursuit neck torsion test (B)</p> 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?

<p>Vestibulo-ocular reflex (A)</p> Signup and view all the answers

What kind of impairments can result in dysfunctional cervical afferents?

<p>Impairments due to direct trauma or alterations in afferent feedback (D)</p> Signup and view all the answers

What is a commonly used test to assess postural stability?

<p>Rhomburg's test (C)</p> Signup and view all the answers

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

<p>Physical examination of the central nervous system (D)</p> 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?

<p>Manual therapy for cervical spine (C)</p> Signup and view all the answers

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

<p>Joint position error (D)</p> Signup and view all the answers

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

<p>$&gt; 4.5°$ (B)</p> Signup and view all the answers

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

<p>$\text{Craniocervical Flexion Test}$ (A)</p> Signup and view all the answers

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

<p>1.3 per 100,000 (D)</p> Signup and view all the answers

What are the common symptoms of vertebral artery dissection?

<p>Scalp tenderness (B)</p> Signup and view all the answers

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

<p>1 in 3,020 to 1 in a million (A)</p> Signup and view all the answers

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

<p>C2-C6 cervical root impairment (D)</p> Signup and view all the answers

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

<p>Thoracic manipulation &amp; ROM → reassess at visit 2, if better → cervical mobilization/manipulation (C)</p> Signup and view all the answers

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

<p>Cervicogenic headache (D)</p> Signup and view all the answers

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

<p>Development of a rise in the tissue that occludes blood flow (A)</p> Signup and view all the answers

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

<p>Stroke (B)</p> Signup and view all the answers

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

<p>Pain (D)</p> Signup and view all the answers

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

<p>Reduced ability to discriminate neck positions (D)</p> Signup and view all the answers

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

<p>Vertebral artery stroke (C)</p> 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?

<p>Vascular system (B)</p> Signup and view all the answers

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

<p>Diagnostic blocks (C)</p> Signup and view all the answers

What is a major risk factor for cervicogenic headaches?

<p>Blood clotting disorders (D)</p> Signup and view all the answers

What is the average age of onset for cervicogenic headaches?

<p>42 (A)</p> Signup and view all the answers

What is the efficacy of spinal manipulation for cervicogenic headaches?

<p>Effective in the short term compared to placebo spinal manipulation (C)</p> Signup and view all the answers

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

<p>Neck exercise (low intensity endurance training) (D)</p> Signup and view all the answers

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

<p>Provide cervical manipulation &amp; mobilization combined with shoulder girdle &amp; neck stretching, strengthening, &amp; endurance exercise (A)</p> Signup and view all the answers

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

<p>Restricted neck movement (C)</p> Signup and view all the answers

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

<p>Fear of movement (C)</p> Signup and view all the answers

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

<p>Depression and anxiety (D)</p> Signup and view all the answers

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

<p>Tinnitus (A)</p> Signup and view all the answers

What does cervicogenic dizziness originate from?

<p>Dysfunction within the cervical spine (B)</p> Signup and view all the answers

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

<p>Impairment in postural stability (D)</p> Signup and view all the answers

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

<p>Patient supine in hook-lying position, tuck &amp; lift the chin isometrically, head lifted 1 inch off table while keeping chin retracted (A)</p> Signup and view all the answers

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

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

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

<p>To improve proprioceptive abilities of the neck (C)</p> Signup and view all the answers

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

<p>Prone on elbows or 4 point kneeling (A)</p> 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?

<p>Use of stabilizer pressure biofeedback device (D)</p> Signup and view all the answers

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

<p>To enhance inner-range concentric &amp; eccentric performance of all cervical flexor muscles (C)</p> Signup and view all the answers

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

<p>Stabilizing images on the retina during head movements and controlling eye movement (D)</p> Signup and view all the answers

Which test is used to assess postural stability?

<p>Rhomberg’s test (C)</p> Signup and view all the answers

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

<p>The endurance of the deep neck flexor muscles (D)</p> 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?

<p>Manual Therapy for Cervical Spine (C)</p> Signup and view all the answers

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

<p>Greater than 4.5° angular difference (C)</p> 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?

<p>Joint mobilization with range of motion exercises (B)</p> Signup and view all the answers

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

<p>Cervical proprioception (D)</p> Signup and view all the answers

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

<p>Balance and Neck Pain (A)</p> Signup and view all the answers

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

<p>'Shoulder abduction' and 'Shoulder retraction' (D)</p> 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?

<p>Cervicogenic Dizziness (A)</p> Signup and view all the answers

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