Degenerative cervical myelopathy

Arm and leg reflexes in degenerative cervical myelopathy

“…I agree with Davies and colleagues that degenerative cervical myelopathy is probably under-reported 1. It may present regularly to chiropractic clinics, both symptomatically and subclinically.…”

Author’s reply to Williams and Rowe

“…As we discuss,2 examination findings are variable, but the high incidence of arm hyperreflexia is supported in published work. Nemani et al correlated cord signal changes with reflex patterns in patients with degenerative cervical myelopathy and found that the incidence of arm hyperreflexia was around double that of hyporeflexia 4…”

“…Williams’s interesting observation is logical given the effect of degenerative cervical myelopathy on dexterity and the prominence of mobile phones in daily life 12. In our clinical experience, patients with degenerative cervical myelopathy report dropping their mobile phones, but we have not assessed their phone cases.…”

Spinal Research — A Field in Need of Standardization

“…DCM arises when arthritic changes in the cervical spine cause a progressive compression injury in the cervical spinal cord. DCM is estimated to affect up to 2% of adults 9 . Its clinical care involves numerous specialties 10 .…”