The clinical examination of neck pain patients : the validity of a group of tests

De Hertogh, Willem J.; Vaes, Peter H.; Vijverman, Veerle; de Cordt, Ann; Duquet, William

doi:10.1016/J.MATH.2006.02.007

Title

The clinical examination of neck pain patients : the validity of a group of tests

Author

De Hertogh, Willem J.

Vaes, Peter H.

Vijverman, Veerle

de Cordt, Ann

Duquet, William

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.

Language

English

Source (journal)

Manual therapy / Manipulation Association of Chartered Physiotherapists. - Edinburgh

Publication

Edinburgh : 2007

ISSN

1356-689X

DOI

10.1016/J.MATH.2006.02.007

Volume/pages

12 :1 (2007) , p. 50-55