Purpose: To identify patients with neck and arm pain likely presenting with cervical radiculopathy based on specific patient characteristics.

Stage of CPR Development: Derivation.

Rule:

1. Positive Upper Limb Tension Test A
2. Involved cervical rotation < 60 degrees
3. Positive Distraction Test
4. Positive Spurling’s A

Interpretation:

Variables Sensitivity Specificity +LR Post-Test Prob
2 0.39 0.56 0.88 21%
3 0.39 0.94 6.10 65%
4 0.24 0.99 30.30 90%

Research:

1. Wainner RS, et al. Reliability and diagnostic accuracy of the clinical examination and patient self-report measures for cervical radiculopathy. Spine. 2003; 28(1): 52-62.

2. Waldrop MA. Diagnosis and treatment of cervical radiculopathy using a clinical prediction rule and a multimodal intervention approach: a case series. J Orthop Sports Phys Ther. 2006; 36(3): 152-9.

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