Cervical Distraction Test: Difference between revisions
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Patient lies supine and the neck is comfortably positioned. Examiner securely grasps the patient's head under the occiput and chin and gradually applies an axial traction. | Patient lies supine and the neck is comfortably positioned. Examiner securely grasps the patient's head under the occiput and chin and gradually applies an axial traction. | ||
A positive test is the reduction or eliminatin of symptoms.<ref name="Wainner and Gill">Wainner RS, Gill H. Diagnosis and nonoperative management of cervical radiculopathy. J Ortho Sports PT.2000 Dec;30(12):728-744.</ref> | A positive test is the reduction or eliminatin of symptoms.<ref name="Wainner and Gill">Wainner RS, Gill H. Diagnosis and nonoperative management of cervical radiculopathy. J Ortho Sports PT.2000 Dec;30(12):728-744.</ref> <br> {{#ev:youtube|xDX_TUesdh0|300}}<ref>Clinically Relevant Technologies, http://www.youtube.com/watch?v=xDX_TUesdh0; Accessed May 2011</ref> | ||
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== Evidence == | == Evidence == | ||
Revision as of 02:17, 27 May 2011
Original Editor - Nikki Arnold
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Purpose
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To test for the presence of cervical radiculopathy.[1] [2]
Technique
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Patient lies supine and the neck is comfortably positioned. Examiner securely grasps the patient's head under the occiput and chin and gradually applies an axial traction.
A positive test is the reduction or eliminatin of symptoms.[3]
Evidence[edit | edit source]
Cervical Distraction Test
Sensitivity .44
Specificity .97[5]
Reliability .88[6]
Resources[edit | edit source]
add any relevant resources here
Recent Related Research (from Pubmed)[edit | edit source]
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References[edit | edit source]
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- ↑ Flynn TW, Cleland JA, Whitman JM. Users' guide to the musculoskeletal examination. United States; Evidence in Motion:2008.
- ↑ Malange GA,Landes P, Nadler SF. Provocation tests in the cervical spine examination: historical basis and scientific analyses. Pain Physician. 2003;6:199-205
- ↑ Wainner RS, Gill H. Diagnosis and nonoperative management of cervical radiculopathy. J Ortho Sports PT.2000 Dec;30(12):728-744.
- ↑ Clinically Relevant Technologies, http://www.youtube.com/watch?v=xDX_TUesdh0; Accessed May 2011
- ↑ Rubinstein SM, Pool JJM, van Tulder MW, Riphagen II, de Vet HCW. A systemic review of the diagnostic accuracy of provocative tests of the neck for diagnosing cervical radiculopathy. Eur Spine J.2007;16:307-319.
- ↑ Wainner RS, Fritz JM, Irrgang JJ, Boninger ML, Delitto A, Allison S. Reliability and diagnostic accuracy of the clinical examination and patient self-report measures for cervical radiculopathy. Spine. 2003;28(1):52-62.
