Nurick Classification: Difference between revisions
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'''Garde 5''': Wheelchair or bed-bound<ref name=":0" /> | '''Garde 5''': Wheelchair or bed-bound<ref name=":0" /> | ||
== | == Correlation between the Nurick and modified Japanese Orthopedic Association == | ||
The Nurick grade was developed to establish the correlation between the degree of cord compression and the severity of symptoms in CSM. The correlation between Nurick grade and mJOA score was stronger in patients with moderate myelopathy than in those with mild and severe ones. In conclusion, both Nurick scale and mJOA score were used in evaluation of patients with cervical spondylotic myelopathy, that addresses all aspects of function.<ref name=":1" /> | |||
Revision as of 16:19, 26 November 2023
Introduction[edit | edit source]
The Nurick classification is a widely used scale used to assess functional disability in patients with cervical spondylotic myelopathy.
Signs and Symptoms[edit | edit source]
Clinical signs and symptoms observed in cervical myelopathy patients include [1]
- Weakness
- Impaired gait
- Hands numbness
- Neck pain
- Arm pain
Nurick Classification[edit | edit source]
The Nurick classification is the oldest classification, proposed in 1972. This is widely used to grade the degree of ambulatory status. Therefore, walking disturbances can be classified based on the Nurick classification. This scale relates lower-limb mobility to employability. Nurick classifies myelopathy symptoms on a 6-grade scale. The categories range from a grade of zero to five, where zero means that the patient only has root symptoms and grade five implies that the patient is either wheelchair-bound or bedridden.[2]
Grade Classification[edit | edit source]
Grade 0: Root symptoms only or normal
Grade 1: Signs of cord compression; normal gait
Grade 2: Gait difficulties but fully employed
Grade 3: Gait difficulties prevent employment; walks unassisted
Grade 4: Unable to walk without assistance
Garde 5: Wheelchair or bed-bound[1]
Correlation between the Nurick and modified Japanese Orthopedic Association[edit | edit source]
The Nurick grade was developed to establish the correlation between the degree of cord compression and the severity of symptoms in CSM. The correlation between Nurick grade and mJOA score was stronger in patients with moderate myelopathy than in those with mild and severe ones. In conclusion, both Nurick scale and mJOA score were used in evaluation of patients with cervical spondylotic myelopathy, that addresses all aspects of function.[2]
- ↑ 1.0 1.1 Mehmet Zileli, Sachin Borkar, Sinha S, Jutty K B C Parthiban. Cervical Spondylotic Myelopathy: Natural Course and the Value of Diagnostic Techniques –WFNS Spine... [Internet]. ResearchGate. The Korean Spinal Neurosurgery Society (KAMJE); 2019 [cited 2023 Nov 26]. Available from: https://www.researchgate.net/publication/336143566_Cervical_Spondylotic_Myelopathy_Natural_Course_and_the_Value_of_Diagnostic_Techniques_-WFNS_Spine_Committee_Recommendations
- ↑ 2.0 2.1 Muhamad F, Baha A, Haynes G, Zachary Adam Smith. Isolating Neurologic Deficits in Cervical Spondylotic Myelopathy: A Case-Controlled Study, Using the NIH... [Internet]. ResearchGate. American Academy of Orthopaedic Surgeons; 2023 [cited 2023 Nov 26]. Available from: https://www.researchgate.net/publication/369104430_Isolating_Neurologic_Deficits_in_Cervical_Spondylotic_Myelopathy_A_Case-Controlled_Study_Using_the_NIH_Toolbox_Motor_Battery
