Reliability and validity of clinical tests to assess the anatomical integrity of the cervical spine in adults with neck pain and its associated disorders: Part 1—A systematic review from the Cervical Assessment and Diagnosis Research Evaluation (CADRE) Collaboration

Lemeunier, Nadège; Silva-Oolup, Sophia da; Chow, Ngai; Southerst, Danielle; Carroll, Linda; Wong, Jessica J.; Shearer, Heather M.; Mastragostino, Paul; Cox, Jocelyn; Côté, Elie; Murnaghan, Kent; Sutton, Deborah; Côté, Pierre

doi:10.1007/s00586-017-5153-0

Cited by 27 publications

(26 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Although there is only limited evidence for clinical tests, even less is known about the diagnostic accuracy of the patient interview to diagnose cervical radiculopathy. A recent systematic review [13] on the diagnostic accuracy of interview items for cervical radiculopathy could only include two studies [14,15]. The authors concluded that shoulder or scapular pain, and a decrease of symptoms with neck movements are the patient interview items that are most indicative of cervical radiculopathy [13].…”

Section: Introductionmentioning

confidence: 99%

“…A recent systematic review [13] on the diagnostic accuracy of interview items for cervical radiculopathy could only include two studies [14,15]. The authors concluded that shoulder or scapular pain, and a decrease of symptoms with neck movements are the patient interview items that are most indicative of cervical radiculopathy [13]. They reported high specificity values for neck pain, arm pain, pain that is constant over time and sensory loss [13].…”

Section: Introductionmentioning

confidence: 99%

“…The authors concluded that shoulder or scapular pain, and a decrease of symptoms with neck movements are the patient interview items that are most indicative of cervical radiculopathy [13]. They reported high specificity values for neck pain, arm pain, pain that is constant over time and sensory loss [13]. However, these symptoms are not pathognomonic for cervical radiculopathy and also occur regularly in other common conditions, such as non-specific neck pain [16] and shoulder pain [17].…”

Section: Introductionmentioning

confidence: 99%

“…However, these symptoms are not pathognomonic for cervical radiculopathy and also occur regularly in other common conditions, such as non-specific neck pain [16] and shoulder pain [17]. Because of the limited number of studies available, a call for more diagnostic accuracy studies on patient interview items was expressed [13].…”

Section: Introductionmentioning

confidence: 99%

“…In summary, recent systematic reviews conclude that more studies are needed to evaluate the diagnostic value of clinical tests [12] and patient interview items [13] to diagnose cervical radiculopathy. Therefore, this study aimed to estimate the diagnostic accuracy of plausible patient interview items and clinical tests to diagnose cervical radiculopathy.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Diagnostic accuracy of patient interview items and clinical tests for cervical radiculopathy

et al. 2021

View full text Add to dashboard Cite

General rightsCopyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights.• Users may download and print one copy of any publication from the public portal for the purpose of private study or research. • You may not further distribute the material or use it for any profit-making activity or commercial gain • You may freely distribute the URL identifying the publication in the public portal ? Take down policyIf you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Diagnostic accuracy of patient interview items and clinical tests for cervical radiculopathy

et al. 2021

View full text Add to dashboard Cite

show abstract

Clinical evaluation versus magnetic resonance imaging findings in patients with radicular arm pain—A pragmatic study

Redebrandt

Brandt

Hawran

et al. 2022

Health Science Reports

View full text Add to dashboard Cite

Objectives: Cervical nerve root compression can lead to radiculopathy in the arm. Some studies have reported low accuracy in determining the responsible nerve root in both cervical and lumbar regions. This prospective, observational, pragmatic study aimed to determine the accuracy of the clinical evaluation relative to magnetic resonance imaging (MRI) findings in patients with arm radiculopathy.Methods: Patients with neck pain and neck-related arm pain referred to a spine unit underwent a standard clinical neurological examination and cervical spine MRI. The clinical examination required a judgment of the most likely cervical root involved, including the side. The Interobserver reproducibility was tested. Using MRI, the most likely nerve root involved according to radiology was assessed.Results: Eighty-three patients met the inclusion criteria. The Interobserver reproducibility between clinical evaluators was 58%, with a modest κ coefficient (0.33, 95% confidence interval [CI]: 0.18-0.47) classified only as "fair agreement."Only 31% (95% CI: 22-42) of the 83 patients exhibited full agreement regarding the suspected cervical root as assessed via the clinical evaluation and MRI. In another 28% (95% CI: 18-39), the clinical evaluation identified an adjacent level to that identified on MRI.Conclusions: In cervical radiculopathy, the clinical-neurological examination diagnosed the same in 31% or an adjacent cervical root in 28% of the patients in relation to the most affected cervical root on MRI.

show abstract

Nek

Verhagen¹,

Alessie²

2018

Evidence-Based Diagnostiek Van Het Bewegingsapparaat

View full text Add to dashboard Cite

Reliability and validity of clinical tests to assess the anatomical integrity of the cervical spine in adults with neck pain and its associated disorders: Part 1—A systematic review from the Cervical Assessment and Diagnosis Research Evaluation (CADRE) Collaboration

Cited by 27 publications

References 41 publications

Diagnostic accuracy of patient interview items and clinical tests for cervical radiculopathy

Diagnostic accuracy of patient interview items and clinical tests for cervical radiculopathy

Clinical evaluation versus magnetic resonance imaging findings in patients with radicular arm pain—A pragmatic study

Nek

Contact Info

Product

Resources

About