This week, we recommend taking a look at the following abstract:
Upper cervical instability associated with rheumatoid arthritis: a case report.
Here’s why we think it matters:
However, the author of this study, through a good history and clinical reasoning skills, was able to make the appropriate referrals back to the doctors who recommended surgery to stabilize the patient’s upper cervical region. The patient declined surgery due to risk factors, but was able to get a power wheel chair that provided more appropriate (safe) head support.
Do you feel like you have the clinical reasoning skills to recognize when things are not as they seem? Come and join us on on one of our cervical courses to learn how to assess patients using both a hands on and a hands off approach when appropriate.
1. Kramer J, Jolesz F, Kleefield J. Rheumatoid arthritis of the cervical spine. Imag Rheum Dis.1991;17:757–72
2. Bouchaud-Chabot A, Lioté F. Cervical spine involvement in rheumatoid arthritis. A review. Joint, Bone, Spine. 2002;69:141–54.[CrossRef], [PubMed], [Web of Science ®]
**Abstract of the week shared by NAIOMT Instructor Stacy Soappman, PT, DSc, COMT, FAAOMPT.