Chief complaint: pain and paresthesia in a dermatomal UE pattern, may have neck pain, may have UE weakness in a myotomal pattern
neurological deficits in a segmental pattern, sxs ^ w SB/rot toward symptomatic side (acute phase) or away from symptomatic side (subacute/chronic phase), + compression test (Spurlings RI), + distraction test (pain relief), sxs change w flx/ext
Sxs tend to __ w flx and __ w ext.
What is centralization?
Sxs move up arm w ext
What is peripheralization?
Sxs move down arm w flx
Test item cluster
ULTT A, Spurling A, Distraction, active cervical rotation <60 degrees.
If all 4 items are +, what is the chance of condition?
With 3/4 items +, what are the chances?
What is a contributing postural factor?
Traxn, mobilization, therapeutic exercise, modalities, postural training, correction of muscle imbalance
What positions can you perform traction?
Midline, side bending, rotation
What are effective mobs?
Anterior, posterior, and side glides.
If problem is on right side, do you do right or left side glides?
Left side glide and right SB
What are the McKenzie principles?
Reduce protrusion, maintain reduction, recover fx, prevent recurrence
What other therapeutic exercise should you do?
Postural augmentation and fix muscle imbalances