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.

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