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term described with neck pain
non specific
manipulation for cervical spine
high velo low amp
Positive likelihood ratio (PLR) is calculated as
sensitivity/specificity
neck pain is first or second reason for chiropractic visits
second to LBP
What are the 11 NRS scale points
1) pain/stiffness at treated area
2) pain/stiffness at another treatment site
3)headache
4) sleeplessness/tiredness'
5) radiating pain
6)dizziness
7) nausea
8 ringing of ears
9) confusion
10) depression or fear
11) any other symptoms
most common nerve roots compressed
C6 and C7
Most consistent finding in systemic reviews (SR)
poor prognostic value of high initial pain intensity or high aggregate scores on self reported disability
high baseline pain intensity and high baseline self reported neck disability are what
new universal predictors of prolonged recovery
patients with acute or chronic pain have better results?
acute
Contraindications for cervical adjustments
fracture/dislocation
spinal cord damage
myelopathy
cancer
Precautions for cervical adjustments
long term roids use
history of cancer'
RA, AS
hypermobility
osteoporosis
signs of VAD
dizziness
occipital headaches
diplopia’
drop attacks
dysarthria
Internal carotid artery dissection (ICAD)
Ipsi front temporal headache
upper/mid cervical pain
Vertebral artery dissection (VAD)
Ipsi posterior upper cervical pain
occipital headache