Cervical Distraction Test

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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[3]

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 elimination of symptoms.[4]

Evidence[edit | edit source]

   Cervical Distraction Test

Sensitivity   .44

Specificity   .97[5]

Reliability  .88[6]

Resources[edit | edit source]

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Recent Related Research (from Pubmed)[edit | edit source]

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References[edit | edit source]

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  1. Flynn TW, Cleland JA, Whitman JM. Users' guide to the musculoskeletal examination. United States; Evidence in Motion:2008.
  2. Malange GA,Landes P, Nadler SF. Provocation tests in the cervical spine examination: historical basis and scientific analyses. Pain Physician. 2003;6:199-205
  3. CR Technologies. Cervical Distraction Test. Available from: http://www.youtube.com/watch?v=xDX_TUesdh0[last accessed 09/03/13]
  4. Wainner RS, Gill H. Diagnosis and nonoperative management of cervical radiculopathy. J Ortho Sports PT.2000 Dec;30(12):728-744.
  5. 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.
  6. 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.