Cervical & Lumbar Spine Assessment
Does your patient present with persistent neurogenic arm or leg pain?
Not sure who you should refer for a surgical consult or injection and who will benefit with conservative treatment?
This online physiotherapy course will provide you with a basic understanding of conducting a neurological assessment to rule out radiculopathy and myelopathy. Participants will be guided by a clinical expert through the different components of a neurological assessment that can assist providers to become more confident and proficient when encountering this patient population.
Radiculopathy vs. Myelopathy
Oftentimes, it may be confusing to distinguish between radiculopathy and myelopathy as they both exhibit similar symptoms. However, it is important to understand the clear distinction between these two conditions.
Radiculopathy, frequently called a pinched nerve, occurs when a nerve root or nerve becomes compressed or irritated. Even though the location of the cause is often at the nerve root, pain and other symptoms may radiate down the nerve to other parts of the body. For example, with cervical radiculopathy, the nerve root may be compressed in the upper C-spine but the symptoms present itself in the shoulder or arm. Radiculopathy can be triggered when a nerve root or nerve is compressed, receiving decreased blood flow or damaged as a result of disease.
Myelopathy occurs when the spinal cord is compressed often as a result of trauma, spinal stenosis, degenerative disease or disc herniation. Spinal stenosis is a narrowing of the bony passageway through which the spinal cord passes through. Some early signs of cervical myelopathy may be clumsy hands with a decrease in fine motor skill ability. The main difference between these two conditions is radiculopathy is compression or injury to the nerve root, whereas myelopathy is compression of the spinal cord. Both of these conditions may present with pain, tingling, weakness and numbness in the arms and legs.
In this course, Dr. Aleksa Cenic will guide you to:
- Learn the differential diagnoses of neurogenic pain in the cervical and lumbar regions
- Learn to assess the neurological system and know what to look for in your examination
- Learn specific maneuvers to test for nerve impingement
By the end of this course, participants will be able to:
- Perform a cervical and lumbar myotome strength test
- Perform a cervical and lumbar dermatome sensation test
- Conduct an upper body reflexes test
- Assess the range of motion in the cervical spine
- Perform special tests to distinguish between myelopathy and radiculopathy in the cervical and lumbar region
What’s Included In This Online Physiotherapy Course?
- More than 15 minutes of video lessons.
- Bite-sized information: All of the content is broken down into bite-sized chunks, so that you can easily watch a video on your break, over lunch, or for a few minutes at night.
- Lifetime access. You can return to this course at any time. If any material is updated or added, you will have access to the new content.
- Certificate of completion. Once you've completed the course, you will receive a certificate for your professional portfolio.
- Access to this course is through Embodia, and although some of the content may be downloadable (such as a workbook or slides if included), the majority cannot. This is to protect the instructor’s material and to prevent the content from being shared freely on the Internet.
- Embodia is mobile-friendly and can be accessed by phone, tablet, and computer.
- There is no start date or completion date. You can complete the course at your own pace.
- You will be sent a receipt as soon as you purchase this course. This receipt can be used for education grants and for tax purposes.
This online physiotherapy course is designed for physiotherapists, occupational therapists, chiropractors, naturopathic doctors, athletic therapists, medical doctors, nurses, kinesiologists and those who are licensed or who are eligible to be licensed to practice. This is also a great continuing education course for students or new grads looking to keep on top of their neuro assessment skills.
PT, B.Kin (Hons), M.Sc.(PT), M.Cl.Sc.(Manip), FCAMPT
Darryl is currently the Director of Quality, Risk and Therapy Services at the Brant Community Health System. He is the past chair of the Private Practice Division of the Canadian Physiotherapy Association. He is a consultant with orthopaedic and neurosurgeons and has a special interest in hip and spine. He is a co-author of, Diagnosis and Management of Femoroacetabular Impingement: An Evidence-Based Approach – Chapter: ‘Evidence for Rehabilitation After FAI Surgery: A guide to Postsurgical Rehabilitation and Supporting Evidence.’ Darryl is the professor of the Business and Entrepreneurship in Physical Therapy course at Western University.
He also lectures at McMaster, University of Toronto and Queen's on business and practice management topics. Darryl is the founder of Mentorship Bootcamp - offering the business training and career mentorship to succeed in today’s competitive market. He consults with many clinic owners to grow their business, and develop the business-acumen of their therapists. He is the co-founder of EnCORE Research, and a partner of the Pelvic Health Research Collaborative. He is the co-founder of Entry to Practice Essentials, the first Canadian PCE study guide.
MD, FRCSC, MSc
Course Material included in this course
Cervical & Lumbar Spine Assessment