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UE 1

  1. Cervicogenic headache pain
    • Ram horn occipital to frontal bone
    • Unilateral without lateralization
    • Intensity mild to severe
    • Pain increase with sustained posture, sometimes head movement
    • Cervical muscle dysfunction
    • ---- Look for neck deficits, ROM/ strength
    • Generally absent associated symptoms
  2. Cervicogenic CPR
    • Sn 100%, Sp 94%
    • 1. Decreased AROM Cervical Extension
    • 2. Probably painful OA-C3/4 joint dysfunctions
    • 3. Deep Cervical Flexor strength impairments w/ Cranio-Cervical Flexion Test (CCFT) (limited side painful)
    • Not with tension or Migraine but tension precursor to cervicogenic
  3. Neck pain with mobility deficits/ Neck pain with movement coordination impairments
    ROM (in 1 or 2 directions), strength (weak/tight), endurance tests problems
  4. Neck pain with radiating pain
    • 1. Cervical AROM <60
    • 2. Spurling’s
    • 3. Distraction
    • 4. ULTT
  5. Shoulder pain and mobility deficits/adhesive capsulitis (frozen shoulder)
    • Limitations in AROM/PROM
    • ----** WILL ALWAYS HAVE DECREASE IN ER (25-50%) compared to contra-lat side
    • Gradual and progressive loss of motion
    • Functional loss of motion
    • Pain > month
    • Inability to sleep on affected side
  6. Shoulder stability and movement coordination impairments/dislocation of shoulder joint, or sprain and strain of shoulder joint (labral tear)
    • Age < 40
    • History of dislocation
    • ----And now have too much motion
    • (+) apprehension test at end range
    • Excessive GH accessory motions
  7. Shoulder pain and power deficits/rotator cuff syndrome (impingement syndrome/ tendinitis/ bursitis)
    • Painful arc
    • Painful resisted ER
    • (+) Hawkins-Kennedy test
    • 2 positive: (+) LR 5.03
    • ----Moderate shift in probability
    • 3 positive: (+) LR 10.6
    • -----Large shift in probability
    • lots of overhead activities
  8. Viscerogenic Neck Pain
    • Cancer
    • CV
    • Pulm
    • GI
    • infection
  9. Cancer presented as Neck Pain
    • 1. Metastatic lesions
    • 2. Cervical bone tumors
    • 3. Cervical cord tumors
    • 4. Lung cancer/Pancoast
    • 5. Esophageal cancer
    • 6. Thyroid cancer
  10. Cancer presentation
    • Age >50
    • PMH of CA
    • Unrelenting Night pain
    • Un-intentional Weight loss 10-15% in 2 wks
  11. Cardiovascular presented as Neck Pain
    • 1. Angina
    • 2. MI
    • 3. Aortic aneurysm
    • 4. Migraine
    • 5. Cervical artery ischemia/dissection
    • 6. Arteritis
    • -----O2 demand not being met
    • ----3-5 min starting or ending activity
  12. S/S of MI in Women
    • Excessive fatigue
    • Nausea
    • For wks
    • Pain in neck/jaw
    • Leading cause of death of females>60
  13. S/S of CV issues
    • Cough
    • SOB
    • Fatigue
    • NO RESPIRATORY PAIN (taking in deep breath)
  14. Pulmonary presented as Neck Pain
    • 1. Lung cancer/Pancoast tumor
    • 2. Tracheobronchial irritation
    • 3, Chronic bronchitis
    • 4. Pneumothorax
    • 5. Pleuritis
Author
jld15
ID
320931
Card Set
UE 1
Description
UE 1
Updated

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