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CPR for Cervical Mobilization/Manipulation
4 or more predictors increases probability of success with Manipulation from 60%-89%
NDI < 11.5
Bilateral Involvement Pattern
Not performing sedentary work > 5 hours/day
Feeling better while moving the neck
Did not feel worse while extending the neck
Diagnosis of Spondylosis without radiculopathy
CPR Thoracic Mobilization/Manipulation for Neck Pain
Sx < 30 days
No sx distal to the shoulder
Looking up does not aggravate sx’s
Diminished upper thoracic spine kyphosis (T3-5)
Cervical extension < 30 degrees
CPR for Traction for Cervical Spine
Peripheralization with C4-7 mobility testing
Positive Shoulder Abduction sign
Age > or = 55
Positive ULTT
Positive Cervical Distraction Test
CPR for Diagnosing Cervical Radiculopathy
Positive Spurling’s Test
Positive ULLT
Positive Distraction (sx’s improve)
Ipsilateral neck rotation less than 60 degrees