Cervical Distraction Test: Difference between revisions

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[[Category:Articles]] [[Category:Assessment]]  [[Category:Cervical]] [[Category:Clinical_Guidelines]] [[Category:EIM Student Project 2]] [[Category:Musculoskeletal/Orthopaedics]]  [[Category:Special Tests]] [[Category:Thoracic]]  <div class="editorbox">
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'''Original Editor '''- [[User:Nikki Arnold|Nikki Arnold]]  
'''Original Editor '''- [[User:Nikki Arnold|Nikki Arnold]]  


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Patient lies supine and the neck is comfortably positioned. Examiner securely grasps the patient's head under the occiput and chin and gradually applies an axial traction.&nbsp;  
Patient lies supine and the neck is comfortably positioned. Examiner securely grasps the patient's head under the occiput and chin and gradually applies an axial traction.&nbsp;  


A positive test is the reduction or eliminatin of symptoms.<ref name="Wainner and Gill">Wainner RS, Gill H. Diagnosis and nonoperative management of cervical radiculopathy. J Ortho Sports PT.2000 Dec;30(12):728-744.</ref> <br> {{#ev:youtube|xDX_TUesdh0|300}}<ref>Clinically Relevant Technologies, http://www.youtube.com/watch?v=xDX_TUesdh0; Accessed May 2011</ref>
A positive test is the reduction or eliminatin of symptoms.<ref name="Wainner and Gill">Wainner RS, Gill H. Diagnosis and nonoperative management of cervical radiculopathy. J Ortho Sports PT.2000 Dec;30(12):728-744.</ref> <br> {{#ev:youtube|xDX_TUesdh0|300}}<ref>Clinically Relevant Technologies, http://www.youtube.com/watch?v=xDX_TUesdh0; Accessed May 2011</ref>  


== Evidence  ==
== Evidence  ==
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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=1NqsX9BbHlDlgR7udgNqDhlQmEeZUgyaGQNSWrL_cDi55tOs3r|charset=UTF-8|short|max=10</rss>  
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== References  ==
== References  ==
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References will automatically be added here, see [[Adding References|adding references tutorial]].  
References will automatically be added here, see [[Adding References|adding references tutorial]].  


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[[Category:Articles]] [[Category:Assessment]] [[Category:Cervical]] [[Category:Clinical_Guidelines]] [[Category:EIM_Student_Project_2]] [[Category:Musculoskeletal/Orthopaedics]] [[Category:Special_Tests]] [[Category:Thoracic]][[Category:Videos]]

Revision as of 10:00, 7 June 2011

Original Editor - Nikki Arnold

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Purpose
[edit | edit source]

To test for the presence of cervical radiculopathy.[1] [2]

Technique
[edit | edit source]

Patient lies supine and the neck is comfortably positioned. Examiner securely grasps the patient's head under the occiput and chin and gradually applies an axial traction. 

A positive test is the reduction or eliminatin of symptoms.[3]

[4]

Evidence[edit | edit source]

   Cervical Distraction Test

Sensitivity   .44

Specificity   .97[5]

Reliability  .88[6]

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.

  1. Flynn TW, Cleland JA, Whitman JM. Users' guide to the musculoskeletal examination. United States; Evidence in Motion:2008.
  2. Malange GA,Landes P, Nadler SF. Provocation tests in the cervical spine examination: historical basis and scientific analyses. Pain Physician. 2003;6:199-205
  3. Wainner RS, Gill H. Diagnosis and nonoperative management of cervical radiculopathy. J Ortho Sports PT.2000 Dec;30(12):728-744.
  4. Clinically Relevant Technologies, http://www.youtube.com/watch?v=xDX_TUesdh0; Accessed May 2011
  5. Rubinstein SM, Pool JJM, van Tulder MW, Riphagen II, de Vet HCW. A systemic review of the diagnostic accuracy of provocative tests of the neck for diagnosing cervical radiculopathy. Eur Spine J.2007;16:307-319.
  6. Wainner RS, Fritz JM, 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.