Cervical myelopathy history and physical examination

Rumi, Mustasim N.; Yoon, S. Tim

doi:10.1053/j.semss.2004.10.004

Cited by 8 publications

(5 citation statements)

References 30 publications

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“…Most clinicians screen patients with neck pain to eliminate cervical cord compression by first asking questions in the subjective examination about possible cervical myelopathic symptoms, such as an inability to distinguish coins when removing change from one’s pocket, difficulty in buttoning, clumsiness of hands, gait disturbance, and urinary dysfunction [ 43 ]. The responses may lead the clinician to subsequently test for clinical myelopathic signs in their objective examination before providing appropriate treatment.…”

Section: Discussionmentioning

confidence: 99%

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Physical Performance Tests in Adult Neck Pain Patients with and without Clinical Myelopathic Signs: A Matched Case-Control Study

Lwin

Puntumetakul

Sae-Jung

et al. 2022

IJERPH

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Patients with neck pain may experience cervical myelopathy, this may be detected by clinical myelopathic signs, although they did not have any symptom of myelopathy, except having neck pain. Decreasing physical performance is one symptom of cervical myelopathy that can lead to reduced quality of life in the elderly, however, in adult neck pain with clinical myelopathic signs have not been evaluated. Therefore, this research aimed to compare physical performance in two groups of adult patients with neck pain: those with and without clinical myelopathic signs. A total of 52 participants, gender, age, and body mass index (BMI) matched were allocated into 2 groups of 26 subjects with neck pain, those with, and without, clinical myelopathic signs. The grip and release test, nine-hole peg test, ten second step test and foot-tapping test were evaluated. The group of neck pain participants with clinical myelopathic signs exhibited greater impairment in all the tests than the group without clinical myelopathic signs (p < 0.001). Effect sizes (Cohen’s d) were grip and release test: 2.031, nine-hole peg test: 1.143, ten second step test: 1.329, and foot-tapping test: 0.798. Neck pain participants with clinical myelopathic signs demonstrated reduced physical performance. Physical performance tests may need to assessed in adult patients with neck pain who had clinical myelopathic signs.

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Section: Discussionmentioning

confidence: 99%

“…However, all the patients in this study did not report myelopathic symptoms, which may be initially misdiagnosed. A high degree of suspicion is required to include clinical myelopathy tests [ 43 ], such as the reflex tests conducted in the current study.…”

Section: Discussionmentioning

confidence: 99%

Physical Performance Tests in Adult Neck Pain Patients with and without Clinical Myelopathic Signs: A Matched Case-Control Study

Lwin

Puntumetakul

Sae-Jung

et al. 2022

IJERPH

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“…The 10-second test was a non-significant predictor of the JOA-UEF score (Table 1), although this test has been reported as a simple and reliable method of assessing coordination of the finger muscles9, 22 ) . This finding may be explained by the methodology of the 10-second test, which focuses only on finger flexion/extension, and is quite different from everyday actions performed with the upper extremity.…”

Section: Discussionmentioning

confidence: 99%

“…The JOA score captures data related to the four extremity functions, and perceived disability6,7,8 ) . Separately, the 10-second grip-and-release test (10-second test) is an effective test of hand function9, 10 ) . In this test, the patient is asked to open and close their hands as quickly and fully as possible.…”

Section: Introductionmentioning

confidence: 99%

Changes in reaching skill in patients with cervical spondylosis after cervical decompression surgery

et al. 2019

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[Purpose] The aim of this study was to evaluate the changes in reaching function during a reaching task in cervical spondylosis (CS) patients before and after surgery. [Participants and Methods] Nine patients participated in the study. Wrist acceleration peaks were monitored pre- and postoperatively using a tri-axial accelerometer, and the Japanese Orthopedic Association (JOA) score was recorded preoperatively. Additional upper extremity function tests were performed pre- and postoperatively. Multiple stepwise regression analysis was used to investigate the contribution of wrist acceleration peak to the severity of clinical symptoms. Moreover, we compared the acceleration peaks produced during the reaching task before and after surgery. [Results] Multiple regression analysis showed that wrist acceleration peak, grip strength and pinch strength were associated with the upper extremity function of the JOA score, explaining 61.0% of the variance. There was a significant improvement in x-axis acceleration peak after surgery. [Conclusion] Our results suggested that quantitative assessments of reaching function are useful to objectively evaluate the changes in reaching function in patients undergoing cervical decompression surgery.

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“…Initial complaints such as the inability to discern coins when removing change from one's pocket, difficulty in buttoning a shirt, tying a necktie, or fastening the clasp of a bra are common. Associated symptoms include subjective numbness, tingling and weakness in the hands 4 . Numbness and tingling can follow a root pattern: thumb for C 6 , middle finger for C 7 and little finger for C 8 3 .…”

Section: Introductionmentioning

confidence: 99%

Relationship between Signal Intensity Change of the Spinal Cord on MRI and Motor Myelopathic Severity in Patients with Cervical Spondylotic Myelopathy

Zahan

Hossain

Barua

et al. 2017

J. Natl Inst. Neurosci Bangladesh

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Background: Diagnosis of cervical spondylotic myelopathy (CSM) can be challenging due to subtle symptoms and insidious onset; however, there is a relationship between signal intensity change of the spinal cord on MRI and cervical spondylotic myelopathy. Objective: The purpose of this present study was to find out the relationship between signal intensity change of the spinal cord on MRI and motor myelopathic severity in patients with CSM. Methodology: This cross-sectional study was carried out in the Department of Neurosurgery at Banghabandhu Sheikh Mujib Medical University (BSMMU), Dhaka from October, 2011 to March, 2013 for a period of one and half year. All patients presented with cervical spondylotic myelopathy were included in this study. MRI of cervical spine was performed to all patients. Results: A total number of 36 patients with cervical spondylotic myelopathy were included in this study. Among the 36 study patients, all had normal intensity in the spinal cord on sagittal T 1 WI of MRI; however, there was variable intensity on sagittal T2WI of MRI. Low Nurick score was found in 24(66.6%) patients who had type 0 signal intensity on (T 2 WI) MRI. High Nurick score was found in 3(8.3%) patients who had type 0 signal intensity on (T 2 WI) MRI. Low Nurick score was found in 2(5.5%) patients who had type 1 signal intensity on (T2WI) MRI. High Nurick score was found in 6(16.6%) patients who had type 1 signal intensity on (T 2 WI) MRI. Only 1 patient (2.7%) having high Nurick score (3-5) had type-2 signal intensity on (T 2 WI) MRI (p<0.001). Conclusion: There is a direct relationship between signal intensity change of the spinal cord on MRI and motor myelopathic severity in patients with cervical spondylotic myelopathy. [Journal of National Institute of Neurosciences Bangladesh, 2015;1(2): [37][38][39][40]

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Cervical myelopathy history and physical examination

Cited by 8 publications

References 30 publications

Physical Performance Tests in Adult Neck Pain Patients with and without Clinical Myelopathic Signs: A Matched Case-Control Study

Physical Performance Tests in Adult Neck Pain Patients with and without Clinical Myelopathic Signs: A Matched Case-Control Study

Changes in reaching skill in patients with cervical spondylosis after cervical decompression surgery

Relationship between Signal Intensity Change of the Spinal Cord on MRI and Motor Myelopathic Severity in Patients with Cervical Spondylotic Myelopathy

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