Evidence-Based Treatment of the Cervical Spine: An Update

presented by Chad Cook, PT, PhD, MBA, FAPTA, FAAOMPT

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Disclosure Statement:

Financial: Chad Cook receives compensation from MedBridge for this course. He also is a research consultant for Hawkins Foundation of the Carolinas. Chad Cook receives royalties from Pearson education, Maitland Australian Physiotherapy Association, AgenceEBP, and is a paid associate editor for JOSPT.

Non-Financial: Chad Cook is a senior associate editor for BJSM and is an editorial board member for J Physiotherapy and JMMT.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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Video Runtime: 87 Minutes; Learning Assessment Time: 47 Minutes

In the course, learners will experience the recommended evidence-based interventions for the cervical spine. Users will recognize the more prevalent cervical pathologies seen in musculoskeletal practice and understand the proposed benefit to classifying cervical conditions through use of the Pain and Disability Drivers model. Techniques used to target the primary impairment are explained, as well as the adjunctive techniques used to target the primary impairment, secondary contributors, and global conditional issues. Learners will analyze the effectiveness of each technique for treatment within the classifications. Throughout the course, current research is presented to provide learners with the proper tools for evidence-based management of these patients. This course is part of a comprehensive clinical series covering examination and intervention for the cervical, thoracic, and lumbar spine, as well as the upper (shoulder, elbow, wrist, and hand) and lower (hip, pelvis, knee, foot, and ankle) quarters.

Meet Your Instructor

Chad Cook, PT, PhD, MBA, FAPTA, FAAOMPT

Dr. Cook is a professor at Duke University with a Category A appointment in the Duke Clinical Research Institute and an adjunct appointment in the Department of Population Health Sciences. He is a clinical researcher, physical therapist, and profession advocate with a long history of clinical care excellence and service and academic experience. His passions…

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1. Common Pathologies of the Cervical Spine

In this chapter, learners will recognize the more prevalent cervical pathologies seen in musculoskeletal practice. One of the key goals is understanding the etiology behind each of the pathologies and the prognosis of each.

2. Pain and Disability Drivers of the Cervical Spine

The primary pain and disability drivers for the cervical spine include: 1) nociceptive pain elements, 2) neuropathic pain elements, 3) comorbidity pain and disability elements, 4) mood and cognitive pain and disability elements, and 5) social and environmental factors that influence disability. Each of the domains that is specific to the cervical spine is discussed.

3. Interventions Directed at Impairments and to the Joint Experiencing the Impairment

This chapter reviews the techniques used to target pain relief or strength specifically toward the targeted region that is impaired within the cervical spine. The chapter will analyze the effectiveness of each technique for treatment within the local impairment classification.

4. Regional Interventions Directed at Structures That Mediate the Impaired Level

In this chapter, learners will review the adjunctive techniques used to target the primary impairment and secondary contributors. Learners will analyze the effectiveness of each technique for treatment within the regional designation.

5. Global Body or Whole-Person-Directed Interventions

In this chapter, the focus is less on the impairment and more on motor control, proprioception, cognitions, behaviors, and whole-body conditioning. Learners will review techniques associated with lifestyle medicine, global management, and cognitive behavioral approaches.

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