CCGI Best Practice Collaborators
CCGI Best Practice Collaborators
CCGI Best Practice Collaborators
In April 2016, CCGI Opinion Leaders were joined by a new team of CCGI Best Practice Collaborators. These are influential evidence-informed clinicians recently nominated by their colleagues in a nationwide survey. They are assisting Opinion Leaders in their area with reaching out to other chiropractors and teaching them about critical thinking, proper interpretation of evidence-informed clinical practice guidelines, and evidence-informed practice in general.
CCGI is delighted to have them on board and looks forward to collaborating with them to take the best practices forward in Canada.
Roles and Activities of CCGI Best Practice Collaborators
-
understanding how clinical practice guidelines are developed;
-
discussing best practices and guidelines with colleagues;
-
having a presence on social media to raise awareness of resources on evidence-informed practice;
-
encouraging clinicians and patients to use the CCGI website and resources;
-
making presentations on evidence-informed practice at continuing education events and conferences in collaboration with their local opinion leaders team.
In April 2016, CCGI Opinion Leaders were joined by a new team of CCGI Best Practice Collaborators. These are influential evidence-informed clinicians recently nominated by their colleagues in a nationwide survey. They are assisting Opinion Leaders in their area with reaching out to other chiropractors and teaching them about critical thinking, proper interpretation of evidence-informed clinical practice guidelines, and evidence-informed practice in general.
CCGI is delighted to have them on board and looks forward to collaborating with them to take the best practices forward in Canada.
Roles and Activities of CCGI Best Practice Collaborators
-
understanding how clinical practice guidelines are developed;
-
discussing best practices and guidelines with colleagues;
-
having a presence on social media to raise awareness of resources on evidence-informed practice;
-
encouraging clinicians and patients to use the CCGI website and resources;
-
making presentations on evidence-informed practice at continuing education events and conferences in collaboration with their local opinion leaders team.
In April 2016, CCGI Opinion Leaders were joined by a new team of CCGI Best Practice Collaborators. These are influential evidence-informed clinicians recently nominated by their colleagues in a nationwide survey. They are assisting Opinion Leaders in their area with reaching out to other chiropractors and teaching them about critical thinking, proper interpretation of evidence-informed clinical practice guidelines, and evidence-informed practice in general.
CCGI is delighted to have them on board and looks forward to collaborating with them to take the best practices forward in Canada.
Roles and Activities of CCGI Best Practice Collaborators
-
understanding how clinical practice guidelines are developed;
-
discussing best practices and guidelines with colleagues;
-
having a presence on social media to raise awareness of resources on evidence-informed practice;
-
encouraging clinicians and patients to use the CCGI website and resources;
-
making presentations on evidence-informed practice at continuing education events and conferences in collaboration with their local opinion leaders team.
Are you interested in getting involved with CCGI?
We are always looking to get people involved in our projects. No experience necessary - we provide training!
Contact us today!
Are you interested in getting involved with CCGI?
We are always looking to get people involved in our projects. No experience necessary - we provide training!
Contact us today!
Parcours de soins pour les douleurs cervicales
Date de la dernière mise à jour : février 2024
Clinical Examination
Clinical Cornerstone:
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It’s important to view the patient holistically, considering the biopsychosocial aspects of the patient’s condition. When re-evaluating existing patients, especially those presenting with new complaints, a thorough assessment is just as imperative.
Useful for arriving at a diagnosis:
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Observations: Abnormalities, asymmetries, posture, gait, movements, facial expression.
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Red Flags: Examination of signs or symptoms that might indicate a more serious underlying condition (see 'Red Flags' Section).
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Range of Motion: Cervical spine's active and passive ROM in all planes (flexion, extension, lateral flexion, and rotation). Consider regional and segmental hypomobility, hypermobility and abherrant movement patterns.
- Neurological Examination:
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Motor Strength: Test the strength of the upper extremities.
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Sensory Examination: Check for any sensory deficits in the upper extremities..
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Reflexes: Test the biceps, triceps, and brachioradialis reflexes.
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Cranial Nerves: Check for facial numbness, facial movements (smile, tongue deviation, oculomotor), shoulder shrug.
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Upper Motor Neuron Testing: If cervical myelopathy is a clinical consideration, tests such as Hoffman’s and Romberg’s can be informative.
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Imaging/laboratory tests: As indicated (e.g., red flags are present, progressive neurological deficits, non-response to care).
May help guide treatment:
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Palpation: Cervical spine and surrounding musculature to identify areas of tenderness, etc.
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Special/Orthopedic Tests: Select tests to use alongside a fulsome clinical examination, since the specificity and sensitivity of these tests vary. Examples include: Spurling’s test, Neck Distraction test, Cervical Kemps, Spinous percussion, and Bakody’s Sign. Select tests to inform the differential list, for example Upper Limb Tension Tests to help differentiate radicular symptoms from brachial plexus symptoms.
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Documentation: Record all findings in the patient record.
Conduct patient assessment
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Red flags present
Red flags present
Refer to appropriate emergency or healthcare provider
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Structured patient education
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Exercise (strength, range of motion)
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Manual therapies (e.g., spinal manipulation or mobilization, massage)
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Low-level laser therapy
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Psychological / social support
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Medicines
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Referral
Follow-up
Follow-up
Major symptom/sign change
Goals not achieved
Re-evaluate
Adjust treatment and management plan or refer
References or links to primary sources
Contact information for further inquiries or feedback
Disclaimer:
These care pathways are intended to provide information to practitioners who provide care to people with musculoskeletal conditions. The care pathways on this website are 'living' documents, reflecting the state of clinical practice and research evidence to our best knowledge at the time of development. As knowledge and healthcare practices evolve, these pathways may be updated to ensure they remain current and evidence driven. These pathways are not intended to replace advice from a qualified healthcare provider.