MSK Tut 1

• MUST ASK THE 5 D'S AND 3 N'S TO ANYONE WITH NECK PAIN
• 5 D'S:

  • dizziness
  • dysarthria
  • diplopia
  • drop attacks
  • dysphasia
• 3 N's:

  • nausea
  • numbness
  • nystagnus
• • Must check for yellow flags - can affect signs and symptoms
• need to ask pts pain before doing AROM to see if the AROM brings on symptoms or if the pain was just there beforehand
• need to ask pts whats stopping them from going further in AROM
• after AROM you can add overpressure, combined movements, sustained positions, repeated movements to see if symptoms are brought on - only if pts are low SIN
• C0 to C1 is convex so there is flexion and extension

  C1 to C2 is more flat so there is rotation
• you want to isolate the upper cervical spine for pts with symptoms such as headahces
• you want to isolate the upper cervical spine for pts with symptoms such as headahces
• if someone has tight cervical extensors e.g. when doing a nod, it can indicate the headache is brought on by tight extensors and not a red flag