Term
|
Definition
cervicogenic
tension type
migraine |
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|
Term
| cervicogenic headache is considered what type of headache |
|
Definition
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|
Term
| anatomic basic for cervicogenic headaches: nervous system (3 nervous, 1 skeletal) |
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Definition
trigeminiocervical nucleus
Dura Mater of upper SC and posterior cranial fossa
Upper 3 cervical nn |
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Term
| anatomic basic for cervicogenic headaches: connective tissue |
|
Definition
| joints and ligaments of upper 3 segments |
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|
Term
| anatomic basic for cervicogenic headaches: muscles |
|
Definition
anterior and posteiror mm
SCM and Upper Trap |
|
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Term
| anatomic basic for cervicogenic headaches: vascular system |
|
Definition
| upper part of the vertebral aa |
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Term
| anatomic basic for cervicogenic headaches: other potential causes (3 nervous) |
|
Definition
irritation of DRG and nerve root betwen posterior arch of C1 and articular process of C2
Compression of the C2 ventral ramus at the articular process of C1 and C2
Entrapment of the Greater Occipitla nerve within the suboccipital mm or triangle |
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|
Term
| Pain Distribution of Cervical Structures: occipital condyles |
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Definition
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|
Term
| Pain Distribution of Cervical Structures: occpital cervical tissues |
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Definition
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|
Term
| Pain Distribution of Cervical Structures: C1 Dorsal ramus |
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Definition
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Term
| Pain Distribution of Cervical Structures: C1-C2 |
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Definition
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|
Term
| Pain Distribution of Cervical Structures: C3 dorsal ramus |
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Definition
| occiput, mastoid, frontal |
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|
Term
| Dx criteria for Cervicogeneic headache: s/s of neck involvement (3) |
|
Definition
precipitaoitn of comparable head pain by neck movement or sustained akward head postures
external pressure over the upper cervicla or occipital region or symptomatic side
restriction of ROM of neck
ipsilateral neck, shoulder, or arm pain |
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|
Term
| Dx criteria for Cervicogeneic headache: how many s/s of neck invovelment need to be present |
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Definition
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|
Term
| Dx criteria for Cervicogeneic headache: unilateral head pain without |
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Definition
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|
Term
| Dx criteria for Cervicogeneic headache: head pain characteristics |
|
Definition
moderate-severe, non-throbbing and non lancinating pain, usually starting in neck
episodes vary in duration
flucutating continuous pain |
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|
Term
| Dx criteria for Cervicogeneic headache: marginal effect or lack of effect with what drug |
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Definition
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|
Term
| Dx criteria for Cervicogeneic headache: gender |
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Definition
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Term
| Dx criteria for Cervicogeneic headache: infrequent hx of what |
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Definition
| not infrequent hx of head or indirect neck trauma, usually more than medium severity |
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|
Term
| Dx criteria for Cervicogeneic headache: how many episodes per month |
|
Definition
| more than 5-15 less severe episodes per month |
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|
Term
| Dx criteria for migraine: 2 types of migraine headaches |
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Definition
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|
Term
| Dx criteria for migraine: which migrain is the common migraine |
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Definition
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|
Term
| Dx criteria for migraine: symptoms of a migraine without aura |
|
Definition
typically unilateral
pulsing quailty of moderate or severe intensity
aggravated by routine physical activity
associated with nausea, photophobia, phonophobia |
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|
Term
| Dx criteria for migraine: symptoms of migraine with aura |
|
Definition
reversible aura symptoms
typically develop gradually over 4 mins
last no longer than 60 mins |
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|
Term
| Dx criteria for migraine: headache attacks lasts how long with what stipulation |
|
Definition
| 4-72 hours untreated or unsuccessfully treated |
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|
Term
| Dx criteria for migraine: headache has at least 2 of the 4 following characteristics |
|
Definition
unilateral location
pulsating quality
moderate or severe pain intensity
aggravation by or causing avoidance of routine physical activity (walking or climbing stairs) |
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|
Term
| Dx criteria for migraine: during headache at least one of the following 2 |
|
Definition
naseau and/or vomiting
photophobia and phonobia |
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|
Term
| Dx criteria for migraine: not attributed to what |
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Definition
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|
Term
| Dx criteria for migraine: how many attacks fulfilling criteria B-D (characteristics, naseau/phobias, differential dx) |
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Definition
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|
Term
| Dx criteria for Tension Headaches: episodes description |
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Definition
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|
Term
| Dx criteria for Tension Headaches: infrequent episodes lasting how long |
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Definition
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|
Term
| Dx criteria for Tension Headaches: pain location |
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Definition
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|
Term
| Dx criteria for Tension Headaches: pain quality |
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Definition
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|
Term
| Dx criteria for Tension Headaches: pain intensity |
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Definition
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|
Term
| Dx criteria for Tension Headaches: effect of routine physical activity |
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Definition
| does not worsen with routine physical activity |
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Term
| Dx criteria for Tension Headaches: when compared to symptoms of migraines, 1 symptom is not present but 2 may be |
|
Definition
no nausea
photophobia or phonobia may be present |
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Term
| Dx criteria for Tension Headaches: criteria A |
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Definition
| at least 10 episodes occuring on <1 day per month on average (<12 days per year) and fulfilling critera B-D |
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|
Term
| Dx criteria for Tension Headaches: B (duration of headache) |
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Definition
| lasting from 30 min to 7 days |
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|
Term
| Dx criteria for Tension Headaches: criteria C (headache has at least 2 of the following characteristics) [4] |
|
Definition
bilateral location
pressing/tightening (non pulsating) quality
mild or moderate intensity
not aggravated by routine physical acitivty such as walking or climbing stairs |
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|
Term
| Dx criteria for Tension Headaches: criteria D (both of the following) [2] |
|
Definition
no nausea or vomiting (anorexia may occur)
no more than one of photophobia or phonophobia |
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|
Term
| Dx criteria for Tension Headaches: criteria E |
|
Definition
| not attributed to another disorder |
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|
Term
| 2 other caues of head and facial pain |
|
Definition
| hypertensive, post-traumatic |
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|
Term
| hypertensive headaches occur in which population |
|
Definition
diastolic readings above 120 mmHg
intensity does not parallel the height of the BP levels |
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|
Term
| Post-traumatic headaches description |
|
Definition
| more prolonged and enduring headache than chronic daily |
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|
Term
| Post traumati cheadaches may be associated with what (6) |
|
Definition
subdural hematoma
epidural hematoma
intracerebral hematoma
aneurysm
subarachnoid hemorrhage
cerebral contusion |
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|
Term
|
Definition
| behind the forehead and or cheekbones |
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|
Term
| cluster headache location |
|
Definition
| pain in and around one eye |
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|
Term
| tension headache location and description |
|
Definition
| pain is like a band squeezing the head |
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|
Term
| migraine pain and location |
|
Definition
| pain, nausea, and visual changes are typical of classic form on one side of the face |
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|
Term
| Differential dx for head and facial pain: (4) |
|
Definition
meningitis
cerebrovascular disease
intracranial bleed
tumor |
|
|
Term
| an infection of the meninges and subarachnoid space |
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Definition
|
|
Term
| classic triad of meningitis |
|
Definition
| fever, neck stiffness, and an altered mental status |
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|
Term
| head and facial pain d/t cerbrovascular disease is dependent on what |
|
Definition
| size and location of the hemorrhage |
|
|
Term
| what should be looked for if cerebrovascular disease is supsected |
|
Definition
| neurlogical signs and symptoms |
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|
Term
| head and facial pain for an intracranial bleed is dependent on what |
|
Definition
| rate or arterial or venous bleeding |
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|
Term
| red flags for intracranial bleeding |
|
Definition
first headache i have ever had
worst headache I have ever had |
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|
Term
| s/s of tumor causing head and facial pain |
|
Definition
| seziures or presence of neurological signs |
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|
Term
| S/S of headaches requiring neurologic assessment: senses impairment |
|
Definition
visual disturbances
numbness or altered sensation
alteration of smell, taste, or hearing |
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|
Term
| S/S of headaches requiring neurologic assessment: visual disturbances |
|
Definition
blindness
diplopia
distortions
spots
loss of vision to one side |
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|
Term
| S/S of headaches requiring neurologic assessment: MMT results |
|
Definition
| loss of strength or coordination |
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|
Term
| S/S of headaches requiring neurologic assessment: mental impairments |
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Definition
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|
Term
| S/S of headaches requiring neurologic assessment: relating to the heart beat |
|
Definition
| pulsating pain in synchrony with heart beat |
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|
Term
| S/S of headaches requiring neurologic assessment: general sickness symptoms (3) |
|
Definition
associated with projectile vomiting
fever
voice, hoarce, chronic cough |
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|
Term
| S/S of headaches requiring neurologic assessment: interruption of ADL |
|
Definition
| headache that awakens one from sleep |
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|
Term
| diagnostic algorithm for exam of pt with headache pain: 1 of 5 |
|
Definition
| exclude intracranial causes on history and physical exam |
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|
Term
| diagnostic algorithm for exam of pt with headache pain: step 2 of 5 |
|
Definition
| exclude headaches with viral or other infective illness |
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|
Term
| diagnostic algorithm for exam of pt with headache pain: step 3 of 5 |
|
Definition
exclude drug induced headache or those related to alcohol or substance abuse
rebound headaches d/t caffiene or NSAID usage |
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|
Term
| diagnostic algorithm for exam of pt with headache pain: 4 of 5 |
|
Definition
| consider exercise related headache syndrome |
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|
Term
| diagnostic algorithm for exam of pt with headache pain: 5 of 5 |
|
Definition
| differntiate between vascular, tension type, or cervicogenic |
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|
Term
| Common Clinical Exam Findings associated with Cervicogenic headache: posture |
|
Definition
|
|
Term
| Common Clinical Exam Findings associated with Cervicogenic headache: neural allodynia meaning what |
|
Definition
| pain to a non painful stimulus |
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|
Term
| Common Clinical Exam Findings associated with Cervicogenic headache: this postive test |
|
Definition
| cervical flexion rotation test |
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|
Term
| Common Clinical Exam Findings associated with Cervicogenic headache: decreased control of what muscles |
|
Definition
deep cervical flexors
longus colli and capitus |
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|
Term
| Common Clinical Exam Findings associated with Cervicogenic headache: painful cervical jt especially which facet |
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Definition
|
|
Term
| Types of movement limitation in upper cervical spine: rotation |
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Definition
|
|
Term
| Types of movement limitation in upper cervical spine: which movement limitation is key to ID upper cervical pathology |
|
Definition
|
|
Term
| Types of movement limitation in upper cervical spine: flexion |
|
Definition
|
|
Term
| Types of movement limitation in upper cervical spine: extension |
|
Definition
|
|
Term
| Types of movement limitation in upper cervical spine: sidebending |
|
Definition
|
|
Term
| Types of movement limitation in upper cervical spine: decreased mobility of these structures |
|
Definition
| suboccipital muscle/facia |
|
|
Term
| Types of movement limitation in upper cervical spine: tx |
|
Definition
| ID jt restriction and direct manual tx or specfic exercise direction appropriately |
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|
Term
| Types of movement limitation in upper cervical spine: note about tx |
|
Definition
| no disc from C0-C1 or C1-C2 but may see rapid lasting changes if ID appropriate tx direction |
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|
Term
| how is hypermobility ID'd (3) |
|
Definition
mechanism of injury
hx of systemic disease processes
mechanical exam |
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|
Term
| radiographic exam of hypermobility |
|
Definition
| atlanto-ondontiod ratio/interval (ADI) |
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|
Term
| With teh ADI what motion increases the ratio |
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Definition
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|
Term
| With the ADI what motion decreases the ratio |
|
Definition
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|
Term
| ADI that suggests hypermobility: adults |
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Definition
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|
Term
| ADI that suggests hypermobility: children under 12 |
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Definition
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|
Term
| increased ADI associated with injury to transverse ligament d/t (6) |
|
Definition
trauma
RA
Neoplastic disease
Down's syndrome
Ehler's danlos syndrome
prolonged corticosteroid use |
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|
Term
| Intervention principles for specfic exercise category: exercises (2) |
|
Definition
co-contraction
muscle lengthening |
|
|
Term
| Intervention principles for specfic exercise category: control (2) |
|
Definition
deep cervical flexor
scapular |
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|
Term
| Intervention principles for specfic exercise category: training (3) |
|
Definition
kinesthetic
proprioceptive
balance |
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|
Term
| 3 potential causes for dizziness |
|
Definition
systemic
central
peripheral |
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|
Term
| Systemic causes for dizziness (3) |
|
Definition
pharmocologic
hypotension
disease of endocrine system |
|
|
Term
| central causes for dizziness (4) |
|
Definition
reflex vertigo
vestibular neuritis
Ramsay hunt syndrome
VBI dysfunction |
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|
Term
| Peripheral causes of dizziness (2) |
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Definition
|
|
Term
| most common cause of dizziness in the elderly and incidience increases with age |
|
Definition
| benign paroxysmal positional vertigo |
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|
Term
| BPPV is associated with changes in what |
|
Definition
|
|
Term
| BPPV is most commonly associated with accumulation of what within the posterior semicircular canals |
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Definition
|
|
Term
| BPPV is is most commonly associated with accumulation of debris (otoconia) moving within what |
|
Definition
| posterior semicircular canals |
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|
Term
| symptoms associated with BPPV other than dizziness (2) |
|
Definition
|
|
Term
|
Definition
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|
Term
| common clinical symptom in pts with cervicl and upper quadrant pain |
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Definition
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|
Term
| cervicogenic dizziness is thought to be related to disturbance of what reflex |
|
Definition
|
|
Term
| cervicogenic dizziness is thought to be related to disturbance of the tonic reflex input from what to what |
|
Definition
| neck to the vestibular nucleus |
|
|
Term
| cervicogenic can be a result of a disturbance by dysfunction of what |
|
Definition
|
|
Term
| cervicogenic dizziness can abe a result of misperception in processing of information from what |
|
Definition
| proprioceptive afferents of cervical mechanoreceptors |
|
|
Term
| cervicogenic dizziness can abe a result of misperception in processing of information from proprioceptive afferents of cervical mechanoreceptors d/t what |
|
Definition
|
|
Term
| how to ID cervicogenic dizziness |
|
Definition
| head stabilized body rotated test |
|
|
Term
| cervicogenic dizziness intervention |
|
Definition
| address articular and muscular impairments |
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|
Term
| Upper Cervical fx: 3 clinical findings |
|
Definition
painful neck splinting
neck and occipital numbness
pain and stiffness in neck with reluctance to move |
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|
Term
| Upper Cervical fx: 60% of all fracture |
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Definition
|
|
Term
| Upper Cervical fx: how is a ondontoid fx dx |
|
Definition
|
|
Term
| Upper Cervical fx: how is a ondontoid fx dx |
|
Definition
|
|
Term
| Upper Cervical fx: jefferson fx |
|
Definition
| fracture of lateral mass, burst fracture of C1 |
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