Classification criteria for cervical radiculopathy: An international e-Delphi study

Autor: Kwun N. Lam, Nicola R. Heneghan, Jai Mistry, Adesola O. Ojoawo, Anneli Peolsson, Arianne P. Verhagen, Brigitte Tampin, Erik Thoomes, Gwendolen Jull, Gwendolyne G.M. Scholten -Peeters, Helen Slater, Niamh Moloney, Toby Hall, Åsa Dedering, Alison Rushton, Deborah Falla
Přispěvatelé: AMS - Rehabilitation & Development, AMS - Musculoskeletal Health, Neuromechanics
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Musculoskeletal science & practice, 61:102596, 1-12. Elsevier BV
Lam, K N, Heneghan, N R, Mistry, J, Ojoawo, A O, Peolsson, A, Verhagen, A P, Tampin, B, Thoomes, E, Jull, G, Scholten-Peeters, G G M, Slater, H, Moloney, N, Hall, T, Dedering, Å, Rushton, A & Falla, D 2022, ' Classification criteria for cervical radiculopathy : An international e-Delphi study ', Musculoskeletal science & practice, vol. 61, 102596, pp. 1-12 . https://doi.org/10.1016/j.msksp.2022.102596
ISSN: 2468-7812
DOI: 10.1016/j.msksp.2022.102596
Popis: BACKGROUND: Establishing a set of uniform classification criteria (CC) for cervical radiculopathy (CR) is required to aid future recruitment of homogenous populations to clinical trials.OBJECTIVES: To establish expert informed consensus on CC for CR.DESIGN: A pre-defined four round e-Delphi study in accordance with the guidance on Conducting and Reporting Delphi Studies.METHODS: Individuals with a background in physiotherapy who had authored two or more peer-reviewed publications on CR were invited to participate. The initial round asked opinions on CC for CR. Content analysis was performed on round one output and a list of discrete items were generated forming the round two survey. In rounds two to four, participants were asked to rate the level of importance of each item on a six-point Likert scale. Data were analysed descriptively using median, interquartile range and percentage agreement. Items reaching pre-defined consensus criteria were carried forward to the next round. Items remaining after the fourth round constituted expert consensus on CC for CR.RESULTS: Twelve participants participated with one drop out. The final round identified one inclusion CC and 12 exclusion CC. The inclusion CC that remained achieved 82% agreement and was a cluster criterion consisting of radicular pain with arm pain worse than neck pain; paraesthesia or numbness and/or weakness and/or altered reflex; MRI confirmed nerve root compression compatible with clinical findings.CONCLUSIONS: The CC identified can be used to inform eligibility criteria for future CR trials although caution should be practiced as consensus on measurement tools requires further investigation.
Databáze: OpenAIRE
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