Risk factors for neck pain - correct answer ✔✔Non-modifiable risk factors (age, gender (F>M) and
genetics)
Modifiable (smoking, PA
Most common c spine disc herniation - correct answer ✔✔C5/C6
Atlanto-occipital joint (C1-occiput) primarily allows what movement - correct answer ✔✔Flexion/
extension 50% of total neck
Atlanto-axial complex (C1-C2) allows what movement - correct answer ✔✔50% of total neck rotation
Radicular neck pain - correct answer ✔✔Involves compression of the nerve root
(numbness, tingling, weakness, sensory deficits)
Referred neck pain - correct answer ✔✔Pain that is referred to the neck from a different area (somatic or
visceral) - structures with the same embryological origin
poorly localized, may skip areas
Positive prognosis factors - correct answer ✔✔younger age, optimism, self-assurance, less need to
socialize
Concussion red flags - correct answer ✔✔neck pain or tenderness
seizure or convulsion
double vision
LOC
weakness/burning/tingling in more than 1 arm or legs
vomiting
severe/ increasing headache
GCS <15
visible skull deformity
Yellow flags predicting poor outcomes - correct answer ✔✔1. belief that pain is harmful or disabling
2. fear-avoidance behavior
3. tendency to low mood and withdrawal from social interaction (psych symptoms)
4. expectation of passive tx vs active tx
Main components of physical examination - correct answer ✔✔1. Observation
2. gait assessment
3. ROM
4. Orthopedic testing
5. Neurological testing
6. Soft tissue palpation
7. Joint palpation
Neurological exam - correct answer ✔✔1. Sensory
2. Motor
3. Reflex
4. Coordination and cerebellar testing
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