Cervical Spine Subjective Exam

______% of the population will have neck pain some time in their lives

22-70

Cervical spine injuries/pain have common rates of

reoccurrence and chronicity

Atlanto-occipital joint

OA joint C0-C1

Atlas

C1

Antlanto-axial joint

AA joint C1-C2

Cervical spine function

gives us the ability to interact with the world (senses, looking different ways, nodding)

Neck Disability Index (NDI)

used to capture the patients own perception of disability caused by neck pain

Fear-Avoidance Belief Questionnaire (FABQ)

assesses yellow flags

Pain Catastrophizing Scale (PCS)

assesses yellow flags

Spondylosis (osteoarthritis) starts by age

25

85% of adults >______ years will have arthritic changes in the cervical spine (this is normal)

65

Red Flag signs when assessing the cervical spine

significant preceding trauma

severe pain

pain at night

signs of spinal cord compression

Cervical Arterial Dysfunction (CAD)

5 D's and 3 N's

- Diplopia (double vision)

- Dizziness

- Drop Attacks

- Dysarthria (talking)

- Dysphagia (swallowing)

- Ataxia (walking)

- Nausea

- Numbness

- Nystagmus (abnormal eye movements)

Cervical Myelopathy Cluster (compression of spinal cord)

gait deviation

+ Hoffman's test

+ Inverted Supinator sign

+ Babinski test

Age > 45