Test: Canadian C-Spine Rule

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Background/Purpose

The Canadian C-Spine Rule (CCR) is a conclusion making method used to analyze when radiography should be applied in patients following trauma. The CCR is applied only to the patients who are in an alert or come under the Glasgow Coma Scale score of 15 and unchanging condition the following trauma as far as cervical spine injury is a concern. This method is not applicable in non-trauma cases if the patient has unbalanced vital signs, acute paralysis, previous history of Cervical Spine surgery and age <16 years.

Procedure

Subject is asked to rotate the neck from original position to left side and then right side, the angle of rotation would be 45 degrees. · If the subject feel minor pain and can move the neck to both the side further therapy can lead to relief in pain. · In another case, if the cervical injury is caused by the fall from elevation > then 3 feet the injury must be tested through x-tray for further therapy sessions. is there any high-risk factor present that requires cervical spine imaging? ≥65 years a dangerous mechanism fall from elevation >3 ft (or 5 stairs) axial load to the head high-speed motor vehicle collision (e.g. >100 km/hr or ~60 mph, rollover, ejection) motorized recreational vehicles bicycle collision paresthesias in extremities If any high-risk factor is present, then cervical spine imaging is warranted. is there any low-risk factor present? simple rear-end motor vehicle collision excludes being hit by a high-speed vehicle, a large vehicle (e.g. bus), or rollover sitting position in emergency department ambulatory at any time since the injury delayed onset of neck pain absence of midline C-spine tenderness
Performed: Bilaterally

Dialog

Subject move the neck against clinicians resistance.

Criteria

• No swelling
• No Tenderness
• No cervical pain

Measurement

45.00 degrees

LOINC Code

0

Scale/Grading

Pass/Fail