Traction for Neck Pain CPR
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Description
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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
Clinical Presentation[edit | edit source]
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Key Evidence[edit | edit source]
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References[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
