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S1 oral
Wainner
6
Other
Graduate
12/01/2013

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Term
Wainner SPINE 2003
Definition
Reliability and Diagnostic Accuracy of the Clinical
Examination and Patient Self-Report Measures for
Cervical Radiculopathy
Term
Objectives
Definition
To assess the reliability and accuracy of
individual clinical examination items and self-report in-
struments for the diagnosis of cervical radiculopathy, and
to identify and assess the accuracy of an optimum test-
item cluster for the diagnosis of cervical radiculopathy.
Term
Background
Definition
Although cervical ra-
diculopathy remains largely a clinical diagnosis, the reli-
ability and diagnostic accuracy of clinical examination
items, individually or in combination, for cervical radicu-
lopathy is largely unknown
Term
Conclusions.
Definition
Many items of the clinical examination
were found to be reliable and to have acceptable diag-
nostic properties, but the test item cluster identified was
more useful for indicating cervical radiculopathy than any
single test item. Upper limb tension Test A was the most
useful test for ruling out cervical radiculopathy. Further
investigation is required both to validate the test item
cluster and to improve point estimate precision. [Key
words: cervical radiculopathy, clinical examination, diag-
nostic accuracy, diagnostic test cluster, reliability]
Term
11 variables found diagnostically accurate
Definition
upper limb tension test A
(ULTTA), cervical rotation to the involved side less than
60°, cervical flexion less than 55°
, involved biceps muscle stretch reflex (MSR), distraction test, MMT-involved bicep, Question 2 (“Where are your symptoms most both-
ersome?”), Valsalva test, Spurling test A, shoulder abduction test, Question 9 (“Do your symptoms improve
with moving or positioning of your neck?”), and involved C5 dermatome sensation.
Term
Best cervical radiculopathy cluster
Definition
ULTTA,
involved cervical rotation less than 60°
distraction test
Spurling A.
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