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  • Created by: evedav223
  • Created on: 26-12-17 14:34
How does Cervical radiculopathy present?
irradiating arm pain corresponding to a dermatomal pattern, neck pain, parasthesia, muscle weakness in a myotomal pattern, reflex impairment/loss, headaches, scapular pain,
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What is the mechanism of Cervical radiculopathy ?
The two main mechanisms of the nerve root irritation or impingement are: Spondylosis leading to stenosis or bony spurs - more common in older patients Disc herniation - more common in younger patients
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What pathophysiology is involved in Cervical radiculopathy?
Most of the time cervical radiculopathy appears unilaterally, however it is possible for bilateral symptoms to be present if severe bony spurs are present at one level, impinging/irritating the nerve root on both sides. most common C7- Kuijper 2009
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Subjective assesment- What information do you require about Cervical radiculopathy?
Symptoms- Pain type- Refferal patterns- Follow dermatones SIN FACTOR- Pain scale- 24 hr- Altered sensation
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What information do you require about the history of Cervical radiculopathy ?
History? Gradual? Traumatic? Mechanism? Age related? degenerative
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What information do you require about the past medical history of Cervical radiculopathy ?
5D'S- VBI- Rule out- Cauda Equina- Previous head injury- THREAD- OA/RA - tumour
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What medications do you need to be aware about in Cervical radiculopathy ?
Medication- Type? Frequency? over counter/prescribed
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Objective assesment- What observations would you make in Cervical radiculopathy ?
Facial expression? Pained? Sitting/Standing posture? is this altered due to pain, symptoms? Levels- Superficial touch- signs of imflammation-
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What myotome test could you use for Cervical radiculopathy ?
Most commonly involved are C6 resisted elbow flexion- C7- Elbow extension Resisted-
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What is involved in cervical radiculopathy?
Symptoms are generally amplified with side flexion towards the side of pain and when an extension or rotation of the neck takes place because these movements reduce the space available for the nerve root to exit the foramen causing impingement
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What dermatone test could you use for Cervical radiculopathy?
C6- Tip of thumb, radial side of wrist C7- tip of middle finger
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What reflex test can you use for Cervical radiculopathy ?
c6- Brachioradialis C7-Triceps
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What special test can you use for Cervical radiculopathy ?
Spurlings Test- A positive test of pain radiating into the upper extremity towards the same side that the head is laterally flexed
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Other cards in this set

Card 2

Front

What is the mechanism of Cervical radiculopathy ?

Back

The two main mechanisms of the nerve root irritation or impingement are: Spondylosis leading to stenosis or bony spurs - more common in older patients Disc herniation - more common in younger patients

Card 3

Front

What pathophysiology is involved in Cervical radiculopathy?

Back

Preview of the front of card 3

Card 4

Front

Subjective assesment- What information do you require about Cervical radiculopathy?

Back

Preview of the front of card 4

Card 5

Front

What information do you require about the history of Cervical radiculopathy ?

Back

Preview of the front of card 5
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