Development of a functional scoring system for rheumatoid arthritis patients with cervical myelopathy.

Casey, Adrian; Bland, John M.; Crockard, H A

doi:10.1136/ard.55.12.901

Cited by 77 publications

(38 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Magnetic resonance imaging demonstrates the bony and soft tissue changes of RA (6,17), while somatosensory evoked potentials give information about functional integrity of the spinal cord (3,10,22) and there are few functional scoring systems to evaluate cervical myelopathy (8,13) that can indicate neck surgery in time.…”

mentioning

confidence: 99%

Clinical and radiological features of atlantoaxial joints in rheumatoid arthritis

Babić-Naglić

Potočki

Ćurković

1999

Zeitschrift f�r Rheumatologie

View full text Add to dashboard Cite

Atlantoaxial (AA) instability is frequent radiological finding in patients with rheumatoid arthritis (RA). Mostly no serious neurological disorders are expected in such patients. The purpose of the study was to assess the sagittal spinal canal diameter according to Steel's rule of third and its relationship to clinical symptoms. Radiological and clinical evaluation was performed in 65 in-patients with RA. Fifty four patients complained of neck pain, 39 had vertebrobasilar symptoms, and 25 mild neurological disorders. Hyperreflexy tendon responses were registered in 16 patients. Only 1 patient had extensor plantar response. Forward AA dislocation was verified in 28 (43%) cases with a mean value of 8.3mm (4-17 mm). Still free space for spinal cord in spinal canal was obtained in 62 (95%) of patients, which can explain such a low incidence of serious neurological disorders. Our results suggest an association among duration of disease, atlantodental distance, and sagittal spinal canal diameter. We consider that it is important to detect early the most jeopardized patients on the basis of radiological analysis at C1 level according to Steel's rule of third and recognize when rising dbl quote, left (low)safe zone" has exceeded and enters the area of impending spinal cord compression.

show abstract

mentioning

confidence: 99%

Clinical and radiological features of atlantoaxial joints in rheumatoid arthritis

Babić-Naglić

Potočki

Ćurković

1999

Zeitschrift f�r Rheumatologie

View full text Add to dashboard Cite

show abstract

“…The specific physical morbidity measurement in the lumbar surgery group was the Roland-Morris Disability Score (RMDS), 11 while the cervical surgery group completed the Myelopathy Disability Index (MDI). 12 …”

Section: Patientsmentioning

confidence: 97%

The Short Form 36 health survey in spine disease—validation against condition-specific measures

Guilfoyle

Seeley

Laing

2009

British Journal of Neurosurgery

View full text Add to dashboard Cite

Health-Related Quality of Life (HRQoL) assessments in spinal disease offer the potential of outcome measures that better represent patients' disability and response to treatment. The Short Form 36 Health Survey (SF-36) is a generic HRQoL questionnaire that has been extensively used in primary and secondary care, but before it can be routinely applied in patients with spinal disease must be validated against traditional specific measures of physical and mental morbidity. Patients with lumbar disc prolapse, lumbar canal stenosis, and cervical spondylotic radiculomyelopathy were identified from a prospectively maintained database. Visual Analogue Scales (VAS) and condition-specific questionnaires including the Roland Morris Disability Score (RMDS), Myelopathy Disability Index (MDI), and Hospital Anxiety and Depression Scales (HADS), were completed alongside the SF-36 survey at baseline and following surgery. Convergent, discriminant, and predictive validity were assessed by computing correlations between the specific and generic scores. In addition, responsiveness (Standardised Response Mean, SRM) and floor and ceiling effects were examined. Data from 1623 assessments of 620 patients were available. Convergent validity was shown by strong correlations between condition-specific physical scores (MDI or RMDS) and the Physical Function and Bodily Pain domains of SF-36 (rho = -0.52 to -0.76, all p < 0.01). VAS for leg or arm pain were also strongly correlated with Bodily Pain domain scores (rho = -0.54 to -0.77, all p < 0.01). Discriminant validity was confirmed by non-significant partial correlations between Physical Function and Mental Health SF-36 domains when controlled for HADS scores (r = -0.01 to 0.02, p > 0.05). Predictive validity was demonstrated by similar correlations between pre- and post-operative scores for specific and generic instruments. Physical Function, Bodily Pain, and Mental Health domains were all free of significant floor or ceiling effects and showed moderate to good responsiveness (SRM 0.54-1.72). SF-36 domain scores are valid for measuring morbidity and surgical outcomes in common spinal disorders.

show abstract

“…Casey et al 4 evaluated the reliability, validity, and responsiveness of the MDI in 250 patients with rheumatoid arthritis and cervical spine disease who had been referred for surgical intervention. The authors developed the MDI by making disease-specific modifications to the 20-question Stanford Health Assessment Questionnaire, a functional assessment tool that has been validated in the evaluation of patients with rheumatoid arthritis.…”

Section: Cervical Myelopathy Outcome Measuresmentioning

confidence: 99%

“…The study used 7 different scales, including the MDI, 4 JOA, 30 EMS, 12 Nurick score, 19 Ranawat score, 21 Odom's criteria, 20 and SF-36. 3 They analyzed outcome measures with respect to internal consistency, sensitivity, validity, and responsiveness.…”

Section: Cervical Myelopathy Outcome Measuresmentioning

confidence: 99%

Functional outcomes assessment for cervical degenerative disease

Holly

Matz

Anderson³

et al. 2009

SPI

View full text Add to dashboard Cite

Object The objective of this systematic review was to use evidence-based medicine to identify valid, reliable, and responsive measures of functional outcome after treatment for cervical degenerative disease. Methods The National Library of Medicine and Cochrane Database were queried using MeSH headings and key words relevant to functional outcomes. Abstracts were reviewed after which studies meeting inclusion criteria were selected. The guidelines group assembled an evidentiary table summarizing the quality of evidence (Classes I–III). Disagreements regarding the level of evidence were resolved through an expert consensus conference. The group formulated recommendations that contained the degree of strength based on the Scottish Intercollegiate Guidelines network. Validation was done through peer review by the Joint Guidelines Committee of the American Association of Neurological Surgeons/Congress of Neurological Surgeons. Results Myelopathy Disability Index, Japanese Orthopaedic Association scale, 36-Item Short Form Health Survey, and gait analysis were found to be valid and reliable measures (Class II) for assessing cervical spondylotic myelopathy. The Patient-Specific Functional Scale, the North American Spine Society scale, and the Neck Disability Index were found to be reliable, valid, and responsive (Class II) for assessing radiculopathy for nonoperative therapy. The Cervical Spine Outcomes Questionnaire was a reliable and valid method (Class II) to assess operative therapy for cervical radiculopathy. Conclusions Several functional outcome measures are available to assess cervical spondylotic myelopathy and cervical radiculopathy.

show abstract

Development of a functional scoring system for rheumatoid arthritis patients with cervical myelopathy.

Cited by 77 publications

References 27 publications

Clinical and radiological features of atlantoaxial joints in rheumatoid arthritis

Clinical and radiological features of atlantoaxial joints in rheumatoid arthritis

The Short Form 36 health survey in spine disease—validation against condition-specific measures

Functional outcomes assessment for cervical degenerative disease

Contact Info

Product

Resources

About