Purpose: Identify patients with neck pain likely to improve with cervical traction and exercise.
Stage of CPR Development: Derivation.
Rule:
1. Patient reported peripheralization with lower cervical spine (C4-7) mobility testing
2. Positive shoulder abduction test
3. Age > 55
4. Positive upper limb tension test A
5. Positive neck distraction test
Interpretation:
| Variables | Sensitivity | Specificity | +LR | Prob of Success |
| 3 | 0.63 | 0.87 | 4.81 | 79.2% |
| 4 | 0.30 | 1.00 | 23.10 | 94.8% |
Research:
Raney NH, et al. Development of a clinical prediction rule to identify patients with neck pain likely to benefit from cervical traction and exercise. Eur Spine J. 2009; 18(3): 382-91.
Continued Learning…
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John Snyder, DPT 