dc.contributor.author | Sleijser-Koehorst, Marije LS | |
dc.contributor.author | Coppieters, Michel W | |
dc.contributor.author | Epping, Rob | |
dc.contributor.author | Rooker, Servan | |
dc.contributor.author | Verhagen, Arianne P | |
dc.contributor.author | Scholten-Peeters, Gwendolyne GM | |
dc.date.accessioned | 2021-01-21T23:18:52Z | |
dc.date.available | 2021-01-21T23:18:52Z | |
dc.date.issued | 2020 | |
dc.identifier.issn | 0031-9406 | |
dc.identifier.doi | 10.1016/j.physio.2020.07.007 | |
dc.identifier.uri | http://hdl.handle.net/10072/400205 | |
dc.description.abstract | Objective: To determine the diagnostic accuracy of patient interview items and clinical tests to diagnose cervical radiculopathy. Design: A prospective diagnostic accuracy study. Participants: Consecutive patients ( N = 134) with a suspicion of cervical radiculopathy were included. A medical specialist made the diagnosis of cervical radiculopathy based on the patient's clinical presentation and corresponding Magnetic Resonance Imaging findings. Participants completed a list of patient interview items and the clinical tests were performed by a physiotherapist. Main outcome measures: Diagnostic accuracy was determined in terms of sensitivity, specificity, and positive (+LR) and negative likelihood ratios (−LR). Sensitivity and specificity values ≥0.80 were considered high. We considered +LR ≥ 5 and −LR ≤ 0.20 moderate, and +LR ≥ 10 and −LR ≤ 0.10 high. Results: The history items ‘arm pain worse than neck pain’, ‘provocation of symptoms when ironing’, ‘reduction of symptoms by walking with your hand in your pocket’, the Spurling test and the presence of reduced reflexes showed high specificity and are therefore useful to increase the probability of cervical radiculopathy when positive. The presence of ‘paraesthesia’ and ‘paraesthesia and/or numbness’ showed high sensitivity, indicating that the absence of these patient interview items decreases the probability of cervical radiculopathy. Although most of these items had potentially relevant likelihood ratios, none showed moderate or high likelihood ratios. Conclusions: Several patient interview items, the Spurling test and reduced reflexes are useful to assist in the diagnosis of cervical radiculopathy. Because there is no gold standard for cervical radiculopathy, caution is required to not over-interpret diagnostic accuracy values. | |
dc.description.peerreviewed | Yes | |
dc.language | English | |
dc.language.iso | eng | |
dc.publisher | Elsevier | |
dc.relation.ispartofjournal | Physiotherapy | |
dc.subject.fieldofresearch | Clinical sciences | |
dc.subject.fieldofresearch | Sports science and exercise | |
dc.subject.fieldofresearch | Other health sciences | |
dc.subject.fieldofresearchcode | 3202 | |
dc.subject.fieldofresearchcode | 4207 | |
dc.subject.fieldofresearchcode | 4299 | |
dc.title | Diagnostic accuracy of patient interview items and clinical tests for cervical radiculopathy | |
dc.type | Journal article | |
dc.type.description | C1 - Articles | |
dcterms.bibliographicCitation | Sleijser-Koehorst, MLS; Coppieters, MW; Epping, R; Rooker, S; Verhagen, AP; Scholten-Peeters, GGM, Diagnostic accuracy of patient interview items and clinical tests for cervical radiculopathy, Physiotherapy, 2020 | |
dcterms.license | http://creativecommons.org/licenses/by-nc-nd/4.0/ | |
dc.date.updated | 2020-12-14T00:46:20Z | |
dc.description.version | Accepted Manuscript (AM) | |
gro.description.notepublic | This publication has been entered into Griffith Research Online as an Advanced Online Version. | |
gro.rights.copyright | © 2020 Elsevier. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International Licence (http://creativecommons.org/licenses/by-nc-nd/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, providing that the work is properly cited. | |
gro.hasfulltext | Full Text | |
gro.griffith.author | Coppieters, Michel | |