Traction for Neck Pain CPR: Difference between revisions
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== Description<br> == | == Description<br> == | ||
Raney et al<ref name="Raney et al">Raney N, Petersen EJ, Smith TA, Cowan JE, Rendeiro DG, Deyle GD, Childs JD. Development of a clinical prediction rule to identify patients with neck pain likely to benefit from cervical traction and exercise. Eur Spine J 2009;18:382-391</ref> developed a Clinical Prediction Rule (CPR) for identifying patients with neck pain likely to respond to mechanical cervical traction. | Raney et al<ref name="Raney et al">Raney N, Petersen EJ, Smith TA, Cowan JE, Rendeiro DG, Deyle GD, Childs JD. Development of a clinical prediction rule to identify patients with neck pain likely to benefit from cervical traction and exercise. Eur Spine J 2009;18:382-391</ref> developed a Clinical Prediction Rule (CPR) for identifying patients with neck pain likely to respond to mechanical cervical traction. Eighty patients with neck pain received 6 sessions of intermittent cervical traction and cervical strengthening exercises 2x/week for 3 weeks. Outcome was measured based on the global rating of change (<u>></u> ±6 were classified as having a successful outcome). Based on a significance level of ''P'' <u><</u> 0.15, five variables were retained in the final regression model out of 15 potential predictor variables. | ||
A CPR with five variables was identified: | |||
1) patient reported periperalization with lower cervical spine (C4 - 7) mobility testing, | |||
2) positive shoulder abduction test, | |||
3) age <u>></u> 55, | |||
4) positive upper limb tension test A, and | |||
5) positive neck distraction test | |||
== Indication<br> == | == Indication<br> == | ||
Revision as of 05:34, 12 December 2009
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Description
[edit | edit source]
Raney et al[1] developed a Clinical Prediction Rule (CPR) for identifying patients with neck pain likely to respond to mechanical cervical traction. Eighty patients with neck pain received 6 sessions of intermittent cervical traction and cervical strengthening exercises 2x/week for 3 weeks. Outcome was measured based on the global rating of change (> ±6 were classified as having a successful outcome). Based on a significance level of P < 0.15, five variables were retained in the final regression model out of 15 potential predictor variables.
A CPR with five variables was identified:
1) patient reported periperalization with lower cervical spine (C4 - 7) mobility testing,
2) positive shoulder abduction test,
3) age > 55,
4) positive upper limb tension test A, and
5) positive neck distraction test
Indication
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Clinical Presentation[edit | edit source]
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Key Evidence[edit | edit source]
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Recent Related Research (from Pubmed)[edit | edit source]
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- ↑ Raney N, Petersen EJ, Smith TA, Cowan JE, Rendeiro DG, Deyle GD, Childs JD. Development of a clinical prediction rule to identify patients with neck pain likely to benefit from cervical traction and exercise. Eur Spine J 2009;18:382-391
