Title
The clinical examination of neck pain patients : the validity of a group of tests The clinical examination of neck pain patients : the validity of a group of tests
Author
Faculty/Department
Faculty of Medicine and Health Sciences
Publication type
article
Publication
Edinburgh ,
Subject
Human medicine
Source (journal)
Manual therapy / Manipulation Association of Chartered Physiotherapists. - Edinburgh
Volume/pages
12(2007) :1 , p. 50-55
ISSN
1356-689X
ISI
000244681900009
Carrier
E
Target language
English (eng)
Full text (Publishers DOI)
Abstract
We evaluated whether a blinded observer could identify the neck pain patients in a sample of 42 subjects consisting of neck pain patients and asymptomatic controls. The allocation of subjects to either the control or patient group was based on the scoring of a VAS scale for pain intensity, a Bournemouth Questionnaire (BQ), a manual examination of the rotation of C0-2-7 (rated for Range Of Motion, end feel, onset of pain), an adapted Spurling test and Cervical Range Of Motion (CROM) measurements. The VAS and BQ resulted in a high % of correct allocations (⩾77.5%) and a high specificity (90.9%). The Manual Examination Procedures (MEPs) have similar results especially when clustered. The combination of the VAS score, BQ and MEPs resulted in a sensitivity and specificity of 100% and 86.4%, respectively. Except for the flexion movement all CROM allocation percentages are around 50%, indicating a lesser diagnostic value. Our findings reinforce the validity of MEPs. Clustering pain measurements, BQ and MEPs provides the highest diagnostic value to identify neck pain patients or necks in need of treatment.
E-info
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