CPR for Cervical Radiculopathy: Difference between revisions
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To assist in the diagnosis of cervical radiculopathy. | To assist in the diagnosis of cervical radiculopathy. | ||
== Clinical Prediction Rule<ref name="Wainner">Wainner RS, Irrgang JJ, Boninger ML, Delitto A, Allison S. Reliability and diagnostic accuracy of the clinical examination and patient self-report measures for cervical radiculopathy. Spine | == Clinical Prediction Rule<ref name="Wainner">Wainner RS, Irrgang JJ, Boninger ML, Delitto A, Allison S. Reliability and diagnostic accuracy of the clinical examination and patient self-report measures for cervical radiculopathy. Spine 2003;28(1):52-62.</ref><br> == | ||
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 clinical test results are as follows: | 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 clinical test results are as follows: | ||
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(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.) | (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> == | ||
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== Resources == | == Resources == | ||
add any relevant resources here | |||
add any relevant resources here | |||
== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed]) == | == Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed]) == | ||
Revision as of 22:57, 5 July 2009
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Purpose
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To assist in the diagnosis of cervical radiculopathy.
Clinical Prediction Rule[1]
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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 clinical 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.
Diagnostic 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.
- ↑ Wainner RS, Irrgang JJ, Boninger ML, Delitto A, Allison S. Reliability and diagnostic accuracy of the clinical examination and patient self-report measures for cervical radiculopathy. Spine 2003;28(1):52-62.
