21.1, Cervical and Thoracic Pain: Evidence for Effectiveness of Physical Therapy
Comprehensive coverage of the cervical and thoracic spine with regard to anatomy, biomechanics, evaluation, and treatment. Emphasis throughout the series is on evidence-based decision making leading to appropriate utilization of thrust and nonthrust manual interventions. Differential diagnosis that develops the reader’s skills in distinguishing between musculoskeletal and nonmusculoskeletal origins of pain is a unique aspect of the series.
- Describe the clinical anatomy and biomechanics of the cervical and thoracic spine and rib cage.
- Identify the innervation pain patterns of anatomical structures within the cervical and thoracic spine.
- Identify the characteristic “red flag” signs of nonmusculoskeletal spine pain using Goodman’s five-step screening process.
- Discuss the clinical presentation, diagnostic criteria, and concept of convergence as the proposed mechanism for referred pain and cervicogenic headaches.
- Discuss the clinical presentations associated with traumatic cervical pain, including whiplash-associated disorders, cervical instabilities, and cervical fractures.
- Be familiar with the current evidence that supports the need for subgrouping patients with neck pain and assigning them to specific treatments from which they are most likely to respond.
- Understand the current evidence regarding subgrouping patients with cervical and thoracic pain and the advantage of developing a treatment-based classification and intervention program.
- Utilize appropriate self-report questionnaires and outcome measures as part of the examination and re-examination process.
- Use best practice methodologies in selecting and performing procedural interventions, including thrust and nonthrust techniques in addition to therapeutic exercise.
- Become familiar with an essential skill set of effective nonthrust mobilizations and thrust cervical spine manipulation techniques that can be immediately incorporated into clinical practice.
- Analyze criteria utilized to determine which patients may be candidates for cervical and thoracic spine surgery.
- Synthesize the examination findings in determining appropriate physical therapy interventions, including but not limited to neuromobilization, soft tissue mobilization, and mobility and/ or stability exercises for postoperative patients.
- Origins of Cervical Pain
Michael J. Walker, PT, DSc, OCS, CSCS, FAAOMPT; Norman W. Ayotte, PT, DSc, OCS, Cert MDT, FAAOMPT; and Duneley A. Rochino, PT, DSc, OCS, FAAOMPT
- Origins of Thoracic Pain
Catherine C. Goodman, PT, MBA, CBP
- Best Evidence for Examination and Treatment of the Cervical Spine
Michael Leal, PT, DPT, MPT, OCS, and Bryan Dennison, PT, DPT, MPT, OCS, CSCS, FAAOMPT
- Best Evidence for Examination and Treatment of the Thoracic Spine
Gary P. Austin, PT, PhD, OCS, FAAOMPT
- Clinical Decision Making in the Application of Cervical Spine Manipulation
Christopher H. Wise, PT, DPT, OCS, FAAOMPT, MTC, ATC, and Ronald J. Schenk, PT, PhD, OCS, FAAOMPT, Cert MDT
- Cervical and Thoracic Spine: Postoperative Management
Ronald J. Schenk, PT, PhD, OCS, FAAOMPT, Cert MDT, and Christopher H. Wise, PT, DPT, OCS, FAAOMPT, MTC, ATC
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