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Cervical Radiculopathy and Carpal Tunnel Syndrome: A Prospective Determination of the Reliability, Diagnostic Accuracy, and Predictive Validity fo Commonly Used Clinical ebook

by Robert S. Wainner


PDF Patients with cervical radiculopathy and carpal tunnel syndrome result in significant medical and occupational . The purpose of this study was to determine the reliability of diagnostic accuracy

The purpose of this study was to determine the reliability of diagnostic accuracy. and predictive validity of items of the clinical examination used for the diagnosis of cervical radiculopathy and carpal tunnel syndrome.

Accuracy, and Predictive Validity fo Commonly Used Clinical. the reliability of diagnostic accuracy used for the diagnosis of cervical radiculopathy and carpal tunnel syndrome.

DTIC ADA382734: Cervical Radiculopathy and Carpal Tunnel Syndrome: A Prospective Determination of the Reliability, Diagnostic Accuracy, and Predictive Validity fo Commonly Used Clinical. by. Defense Technical Information Center. The purpose of this study was to determine the reliability of diagnostic accuracy.

Diagnostic properties were assessed using a neural impairment reference criterion standard. RESULTS: The study involved 82 patients. More than two thirds of 34 clinical examination items had reliability coefficients rated at least fair or better, and 13 items had likelihood ratio point estimates above 2 or below . 0.

METHODS Patients with suspected cervical radiculopathy or carpal tunnel syndrome .

STUDY DESIGN A blinded, prospective diagnostic test study was conducted. OBJECTIVES To assess the reliability and accuracy of individual clinical examination items and self-report instruments for the diagnosis of cervical radiculopathy, and to identify and assess the accuracy of an optimum test-item cluster for the diagnosis of cervical radiculopathy.

In 2003, Wainner and colleagues: identified a CPR ("test item cluster" or "TIC" in the study) for the presence of cervical radiculopathy. Eighty-two consecutive patients across 4 medical facilities referred to the laboratory with suspected diagnosis of cervical radiculopathy (CR) or carpal tunnel syndrome were enrolled in their study. . Wainner RS, Irrgang JJ, Boninger ML, Delitto A, Allison S. Reliability and diagnostic accuracy of the clinical examination and patient self-report measures for cervical radiculopathy. Spine 2003;28(1):52-62.

Although cervical radiculopathy remains largely a clinical diagnosis, the reliability and diagnostic accuracy of clinical .

Although cervical radiculopathy remains largely a clinical diagnosis, the reliability and diagnostic accuracy of clinical examination items, individually or in combination, for cervical radiculopathy is largely unknown. Diagnostic properties were assessed using a neural impairment reference criterion standard.

Robert S Wainner et a. Reliability and Diagnostic Accuracy of the Clinical . They performed a blinded prospective diagnostic test study. Reliability and Diagnostic Accuracy of the Clinical Examination and Patient Self-report Measures for Cervical Radiculopathy, Spine 28, no. 1 (January 1, 2003): 52–62, doi:10. Clinical Predication Rules (CPR's) are becoming increasingly important in Medicine and Physical Therapy. Cervical radiculopathy is most often diagnosed using diagnostic imaging and electro-physiologic studies.

Carpal tunnel syndrome (CTS) is a clinical syndrome of numbness, tingling, burning, and/or pain associated with . Clinical CTS can be confirmed using electrodiagnostic (EDX) techniques that document abnormalities of the median nerve fibers within the carpal tunnel.

Carpal tunnel syndrome (CTS) is a clinical syndrome of numbness, tingling, burning, and/or pain associated with localized compression of the median nerve at the wrist. ambulatory care visits in 20061 and over 500,000 carpal tunnel releases in 2006. 2 The impairment of the median nerve within the carpal tunnel is secondary to compression of the median nerve, resulting in mechanical compression and/or local ischemia.

Wainner RS, Fritz JM, Irrgang JJ et al (2003) Reliability and diagnostic accuracy of the clinical .

Wainner RS, Fritz JM, Irrgang JJ et al (2003) Reliability and diagnostic accuracy of the clinical examination and patient self-report measures for cervical radiculopathy.

INTRODUCTION - Carpal tunnel syndrome (CTS) refers to the complex of symptoms and signs brought on by compression of the median nerve as it travels through the carpal tunnel. Patients commonly experience pain and paresthesia, and less commonly weakness, in the median nerve distribution. CTS is the most frequent compressive focal mononeuropathy seen in clinical practice.

This is a AIR FORCE INST OF TECH WRIGHT-PATTERSONAFB OH report procured by the Pentagon and made available for public release. It has been reproduced in the best form available to the Pentagon. It is not spiral-bound, but rather assembled with Velobinding in a soft, white linen cover. The Storming Media report number is A437283. The abstract provided by the Pentagon follows: Patients with cervical radiculopathy and carpal tunnel syndrome result in significant medical and occupational costs annually. There is a need to establish cost effective, reliable, and accurate means for the diagnosis of both conditions. The purpose of this study was to determine the reliability of diagnostic accuracy. and predictive validity of items of the clinical examination used for the diagnosis of cervical radiculopathy and carpal tunnel syndrome.
Cervical Radiculopathy and Carpal Tunnel Syndrome: A Prospective Determination of the Reliability, Diagnostic Accuracy, and Predictive Validity fo Commonly Used Clinical ebook
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Robert S. Wainner
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