CPR for Cervical Radiculopathy: Difference between revisions
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This page is currently under construction as part of an EIM project. Please do not edit, but please come back in the near future to check out new information!! | This page is currently under construction as part of an EIM project. Please do not edit, but please come back in the near future to check out new information!! | ||
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'''Original Editor '''- [[User:Ben Lippe, PT|Ben Lippe]] | '''Original Editor '''- [[User:Ben Lippe, PT|Ben Lippe]] | ||
'''Lead Editors''' - Your name will be added here if you are a lead editor on this page. [[Physiopedia:Editors|Read more.]] | '''Lead Editors''' - Your name will be added here if you are a lead editor on this page. [[Physiopedia:Editors|Read more.]] | ||
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== Purpose<br> == | == Purpose<br> == | ||
To assist in ruling in or out the diagnosis of cervical radiculopathy. | To assist in ruling in or out the diagnosis of cervical radiculopathy. | ||
== The Rule<br> == | == The Rule<br> == | ||
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3. <u>Spurling's A</u>: symptom reproduction. | 3. <u>Spurling's A</u>: symptom reproduction. | ||
Clinical values of results are as follows: | Clinical values of results (95% Confidence Intervals) are as follows: | ||
{| style="width: 718px; height: 87px" cellspacing="1" cellpadding="1" width="718" border="1" | {| style="width: 718px; height: 87px" cellspacing="1" cellpadding="1" width="718" border="1" | ||
|- | |- | ||
| <u>Number of Positive Criteria</u> | | <u>Number of Positive Criteria</u> | ||
| <u>Sensitivity</u> | | <u>Sensitivity</u> | ||
| <u>Specificity</u> | | <u>Specificity</u> | ||
| <u> | | <u>Pos LR</u> | ||
| <u> | | <u>Neg LR</u>* | ||
|- | |- | ||
| Two | | Two | ||
| Line 34: | Line 34: | ||
| 0.56 (0.43-0.68) | | 0.56 (0.43-0.68) | ||
| 0.88 (1.5-2.5) | | 0.88 (1.5-2.5) | ||
| | | 1.09 | ||
|- | |- | ||
| Three | | Three | ||
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| 0.94 (0.88-1.0) | | 0.94 (0.88-1.0) | ||
| 6.1 (2.0-18.6) | | 6.1 (2.0-18.6) | ||
| | | 0.65 | ||
|- | |- | ||
| Four | | Four | ||
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| 0.99 (0.97-1.0) | | 0.99 (0.97-1.0) | ||
| 30.3 (1.7-538.2) | | 30.3 (1.7-538.2) | ||
| | | 0.77 | ||
|} | |} | ||
(Table adapted from Wainner et al 2003. *Calculated from Sn and Sp values provided in Wainner et al 2003.) | (Table adapted from Wainner et al 2003. Pos LR = positive likelihood ratio. Neg LR = negative likelihood ratio. *Calculated from Sn and Sp values provided in Wainner et al 2003.) | ||
== Evidence<br> | == Evidence<br> == | ||
== Resources == | == Resources == | ||
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== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed]) == | == Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed]) == | ||
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<rss>http://eutils.ncbi.nlm.nih.gov/entrez/eutils/erss.cgi?rss_guid=1BYJ_3OKYOAbe7t-2MEhwh5fdZbyYQlDreKckhjRIyW3bmp55|charset=UTF-8|short|max=10</rss> | <rss>http://eutils.ncbi.nlm.nih.gov/entrez/eutils/erss.cgi?rss_guid=1BYJ_3OKYOAbe7t-2MEhwh5fdZbyYQlDreKckhjRIyW3bmp55|charset=UTF-8|short|max=10</rss> | ||
</div> | </div> | ||
== References == | == References == | ||
References will automatically be added here, see [[Adding References|adding references tutorial]]. | References will automatically be added here, see [[Adding References|adding references tutorial]]. | ||
<references /> | <references /> | ||
[[Category:Articles]] [[Category:Cervical]] [[Category:Clinical_Prediction_Rules]] [[Category:EIM_Student_Project]] [[Category:Musculoskeletal/Orthopaedics]] | [[Category:Articles]] [[Category:Cervical]] [[Category:Clinical_Prediction_Rules]] [[Category:EIM_Student_Project]] [[Category:Musculoskeletal/Orthopaedics]] | ||
Revision as of 22:33, 5 July 2009
This page is currently under construction as part of an EIM project. Please do not edit, but please come back in the near future to check out new information!!
Original Editor - Ben Lippe
Lead Editors - Your name will be added here if you are a lead editor on this page. Read more.
Purpose
[edit | edit source]
To assist in ruling in or out the diagnosis of cervical radiculopathy.
The Rule
[edit | edit source]
The following criteria are considered predictive of the presence of cervical radiculopathy: positive upper limb tension test A (ULTTa), involved-side cervical rotation range of motion less than 60 degrees, positive distraction test, and positive Spurling's test A. Definitions of posititive provocative test results are as follows:
1. ULTTa: Any one of the following: A) symptom reproduction; B) side-to-side difference >10 degrees in in elbow extension; or C) with regard to involved/painful side, ipsilateral neck lateral flexion decreases symptoms and/or contralateral neck lateral flexion increases symptoms.
2. Distraction test: symptom reduction.
3. Spurling's A: symptom reproduction.
Clinical values of results (95% Confidence Intervals) are as follows:
| Number of Positive Criteria | Sensitivity | Specificity | Pos LR | Neg LR* |
| Two | 0.39 (0.16-0.61) | 0.56 (0.43-0.68) | 0.88 (1.5-2.5) | 1.09 |
| Three | 0.39 (0.16-0.61) | 0.94 (0.88-1.0) | 6.1 (2.0-18.6) | 0.65 |
| Four | 0.24 (0.05-0.43) | 0.99 (0.97-1.0) | 30.3 (1.7-538.2) | 0.77 |
(Table adapted from Wainner et al 2003. Pos LR = positive likelihood ratio. Neg LR = negative likelihood ratio. *Calculated from Sn and Sp values provided in Wainner et al 2003.)
Evidence
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Resources[edit | edit source]
add any relevant resources here
Recent Related Research (from Pubmed)[edit | edit source]
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References[edit | edit source]
References will automatically be added here, see adding references tutorial.
