Reliability and validity studies were included if they reported at least one measurement tool concerning cervical strength, endurance, rom and proprioception. Pdf provocative tests in cervical spine examination. Trauma clinical guideline cervical spine injury evaluation. The guideline was endorsed by both the emergency medical services and. A complete examination of the cervical spine is comprised not only of neck. Illustrated essentials in orthopedic physical assessment. The fearavoidance beliefs questionnaire fabq is a tool to assess yellow flags. Rescuers should not apply traction to the cervical spine, as this may cause distraction at the site of injury. Cervical orthopedic tests page 4 of 31 sources evans rc. Neck disability index this questionnaire has been designed to give us information as to how your neck pain has affected your ability to manage in everyday life. Ascertain which is the worst symptom and record where the patient feels the symptoms are coming from. Cervical spine radiograph are most commonly utilized to assess for fractures. Back pain is one of the most common presentations to accident and emergency and general practice.
Please answer every section and mark in each section only the one box that applies to you. Computed tomography is a good diagnostic tool for bony disorders, such as. Traction in a cervical spine with ligamentous injury can result in excessive distraction and subluxation that can. To do this there are three essential elements of the examination. Summary of exam procedures to perform for suspected cervical.
Nationalathletictrainersassociationposition statement. Typically, patients with upper cervical spine disorders have neck pain high up around the occiput and pain over the head andor face. This will minimize motion during the management of the injury. Areas relevant to the region being examined clear all other areas relevant to the region being. A component of this decision is determining whether the patient is, in fact, appropriate for physical therapy management1. The fear avoidance beliefs questionnaire fabq is a tool to assess yellow flags. Recommendations are based on current evidence pertaining to prevention strategies to reduce the incidence of cervical spine injuries in sport. Photographic manual of regional orthopedic and neurological tests, 3rd ed. Pdf although cervical spine trauma is more common following high velocity mechanisms of injury resulting in multiple injuries, falls and low. A primary goal of diagnosis is to match the patients clinical presentation with the most efficacious treatment approach.
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