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
Autor: | Pierre Côté, P. Mastragostino, N. Chow, E. Côté, Kent Murnaghan, D. Southerst, Deborah Sutton, Heather M. Shearer, Jessica J. Wong, Nadège Lemeunier, Linda J. Carroll, S. da Silva-Oolup, Jocelyn Cox |
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Rok vydání: | 2016 |
Předmět: |
Adult
medicine.medical_specialty Cervical Artery Neurological examination Zygapophyseal Joint 03 medical and health sciences 0302 clinical medicine medicine Humans Mass Screening Orthopedics and Sports Medicine Radiculopathy Mass screening Reliability (statistics) Neurologic Examination 030222 orthopedics Neck pain Neck Pain medicine.diagnostic_test business.industry Reproducibility of Results medicine.anatomical_structure Head Movements Physical therapy Cervical Vertebrae Upper limb Surgery Spinal Diseases Neurosurgery medicine.symptom business 030217 neurology & neurosurgery Cervical vertebrae |
Zdroj: | European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society. 26(9) |
ISSN: | 1432-0932 |
Popis: | To determine the reliability and validity of clinical tests to assess the anatomical integrity of the cervical spine in adults with neck pain and its associated disorders. We updated the systematic review of the 2000–2010 Bone and Joint Decade Task Force on Neck Pain and its Associated Disorders. We also searched the literature to identify studies on the reliability and validity of Doppler velocimetry for the evaluation of cervical arteries. Two independent reviewers screened and critically appraised studies. We conducted a best evidence synthesis of low risk of bias studies and ranked the phases of investigations using the classification proposed by Sackett and Haynes. We screened 9022 articles and critically appraised 8 studies; all 8 studies had low risk of bias (three reliability and five validity Phase II–III studies). Preliminary evidence suggests that the extension–rotation test may be reliable and has adequate validity to rule out pain arising from facet joints. The evidence suggests variable reliability and preliminary validity for the evaluation of cervical radiculopathy including neurological examination (manual motor testing, dermatomal sensory testing, deep tendon reflexes, and pathological reflex testing), Spurling’s and the upper limb neurodynamic tests. No evidence was found for doppler velocimetry. Little evidence exists to support the use of clinical tests to evaluate the anatomical integrity of the cervical spine in adults with neck pain and its associated disorders. We found preliminary evidence to support the use of the extension–rotation test, neurological examination, Spurling’s and the upper limb neurodynamic tests. |
Databáze: | OpenAIRE |
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