I still have a headache and I am dizzy, I’ve done my exercises, why am I not better??” A complex cervical spine case reflecting the need for diverse expertise
Room:
Boston
Topic:
Workshop
Type of presentation:
Practical workshop
Duration:
60 Minutes
13:45 pm
I still have a headache and I am dizzy, I’ve done my exercises, why am I not better??” A complex cervical spine case reflecting the need for diverse expertise.
Prof. Dr. Gwendolen Jull | University of Queensland | Australia
Prof. Duncan Reid | Auckland University Of Technology | New Zealand
Prof. Trudy Rebbeck | University of Sydney, Australia | Australia
This workshop will commence. with Prof’s Reid and Rebbeck presenting a complex cervical spine case with focus on clinical reasoning on screening, differential diagnosis, assessment and management . Participants will engage interactively in the clinical reasoning process and practical skills as the case progresses. Prof Jull will demonstrate a range of clinical tests essential to assess and manage this case. The diverse competencies required to manage the cases will be discussed with the audience via interactive participation. How the evidence informs the clinical reasoning process will be highlighted in the case.
Structure:
1. Complex Case presentation with interactive clinical reasoning. Differentiating neck pain, dizziness, and post-concussion symptoms This will involve undertaking relevant screening processes to rule out red flags and understand the clinical reasoning processes to differentiate the dizziness and headache related symptoms in this case. This will be an interactive discussion and demonstration of differential tests for dizziness. (Prof Duncan Reid and Prof Rebbeck 35-mins).
2. Discussion on the need for accurate performance and interpretation of tests of cervical musculoskeletal function in differentiation diagnosis of headache. Prof Jull will provide a practical demonstration of relevant tests emphasising that interpretation cannot rely on a pain response only (15 mins)
3. Discussion and wrap up 10 mins
Learning Objectives
Participants will
1. Understand the screening, assessment and diagnostic reasoning in the management of complex cervical spine disorders.
2. Understand how to differentiate dizziness and vestibular ocular dysfunction from cervicogenic dysfunction in patients presenting with post-concussion type conditions with relevant clinical tests.
3. Understand how to apply clinical reasoning frameworks to differentially diagnose different headache presentations.
4. Understand that interpretation of tests of cervical physical function cannot rely solely on a pain response