Purpose: To identify patients presenting with neck pain with cervical myelopathy based on specific patient characteristics.

Stage of CPR Development: Derivation.

Rule:

1. Gait deviation
2. Positive Hoffmann’s test
3. Positive inverted supinator sign
4. Positive Babinski test
5. Age > 45 years

Interpretation:

Variables Sensitivity Specificity +LR Post-Test Prob
1 0.94 0.31 1.40 43%
2 0.39 0.88 3.30 64%
3 0.19 0.99 30.90 94%
4 0.09 1.00 99%

Research:

1. Cook CE, et al. Clustered clinical findings for diagnosis of cervical spine myelopathy. J Man Manip Ther. 2010; 18(4): 175-180.

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