Differential Diagnosis of the Spine: Cranial, Cervical and Shoulder Region

Course Description:  The second course in the Differential Diagnosis of the Spine Series deals with the Cervical Spine and Cranial regions. Specific mandatory questions, red flags and specific charts on signs and symptoms of diseases and conditions of this region are presented.   Headache classifications and a broad number of diseases of the upper quadrant are presented in detail along with their signs and symptoms. Evidence based CPR's such as the Canadian C Spine Rule, CPR for Myelopathy and Radiculopathy and specific screening tools are outlined.  A discussion of how to screen for BPPV is also presented.

Outline Of Content:

  1. Cranial, Cervical and Shoulder
  • Introduction and Objectives
  • Quick Review Signs and Symptom Charts
  • Mandatory Questions for the Region
  • Red and Yellow Flags

2. Mandatory questions

  • Diseases that relate or refer to the C spine and Shoulder complex
  • Headache Classifications
  • Arteriovenous malformations
  • Neuralgias
  • Bells Palsy and Ramsey Hunt Syndromes
  • Meningitis and Encephalitis
  • CVA
  • Neoplasm
  • Rocky Mountain spotted fever and Lyme Disease
  • Giant Cell Arteritis
  • Retropharyngeal Abscess
  • Osteomyelitis
  • Cervical Myelopathy
  • Syringiomyelia
  • Rheumatoid Arthritis
  • Ankylosing Spondylitis
  • Acute Torticollis and adolescent issues

3. Screening tools and Evidence

  • Canadian Cervical Spine Rule
  • Clinical Prediction Rule (CPR) for Cervical Radiculopathy
  • Clinical Prediction Rule for Cervical Myelopathy
  • Closed Cervical Fractures
  • Vertebral Artery Testing
  • BPPV Screening

4. Summary


The Student will be able to:

  1. Recognize and list four red flags for the cervical and shoulder girdle.
  2. Identify three medical conditions that may refer to the cervical spine but are non-musculoskeletal in origin and require a physician's intervention.
  3. Be able to name and describe two CPR for the Cervical Spine.
  4. List one dural test that is done for the nervous system in the Cervical region.

About The Instructor:

Debra Dent, BPT, Dip Manip PT, OCS, FCAMPT. 

Debra has nearly 40 years of experience specializing in manual therapy of the spine. She is a graduate of the University of Manitoba, Canada where she received her Diploma of Physiotherapy and her Bachelor of Physical Therapy. Ms. Dent also received her Advanced Diploma of Manual and Manipulative Physiotherapy and is a Fellow of the Canadian Academy of Manual Therapists (FCAMPT). She is certified as a Part B Manual Physical Therapist from the Canadian Physiotherapy Association and is an American Orthopedic Certified Specialist (OCS) through the APTA. 

Ms. Dent was an instructor for the Canadian Physiotherapy Association prior to moving to the U.S. She has been a guest clinical instructor at the University of South Florida, teaching the Spinal Manual Therapy Program for the MScPT undergraduate program and has taught a large number of manual therapy courses in the U.S. and Canada. 

Ms. Dent is the owner of Cross Border Seminars and presently works as a consultant and contract PT in Palm Harbor, Florida. Her primary case load is Rheumatology and Osteoarthritic patients and she works with a multitude of related dysfunctions, as well as aging and osteoporosis. 

Instructor Name Debra Dent
Cost CA$99.00
Run Time 56:41
Access Duration Indefinite access after purchase