Prevalence of sleep disturbance in patients with cervical radiculopathy and an analysis of risk factors: a cross-sectional study

Shi, Tengbin; Chen, Zhi; Li, Wenwen; Wang, Zhenyu; Liu, Wenge

doi:10.1007/s00586-023-07655-y

Cited by 1 publication

(1 citation statement)

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“…A physical dimension (symptoms experienced), a social dimension (employment and activities of daily living limitations) and a psychological dimension (feelings of anger) 38 . People with radicular symptoms report worsening pain severity and disability compared to non-radicular presentations 39–42▪ . The characteristics of people with CSR reveal that the degree of disability is associated with factors such as pain, self-efficacy and depression 40,43 .…”

Section: Psychological Factorsmentioning

confidence: 99%

Integrating jigsaw puzzle thinking into practice: the assessment of cervical spine radiculopathy

Mansfield

Thacker

2023

Current Opinion in Supportive &Amp; Palliative Care

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Purpose of review Cervical spine radiculopathy (CSR) presents a complex socioeconomic problem for patients, clinicians, families, employers and healthcare systems. Due to the heterogeneity of clinical presentation and underlying mechanisms, clinical assessment can be challenging. This review will examine the literature on the underlying pathophysiology and studies investigating the holistic assessment strategies for this disabling condition. The authors will focus particular attention on the psychological factors associated with CSR and the physical and imaging strategies to establish a diagnosis. Recent findings Contemporary CSR assessment should identify the underlying pathomechanisms and how this may impact the somatosensory nervous system integrity and function. No physical assessment test in isolation will establish CSR diagnosis; therefore, clinicians should utilise a cluster of tests and recognise the potential limitations as part of a clinical reasoning framework. The assessment of the somatosensory nervous system can provide insights into particular subgroups of CSR presentation, which may provide interesting opportunities to continue to enhance individualised assessment and management strategies for CSR. The interplay between psychological factors can influence the diagnosis and recovery times for a person with CSR, and clinicians should continue to explore how these factors may influence a person’s prognosis. The authors will discuss the opportunities for future research and limitations of contemporary approaches to assessment, underpinned by evidence, and how this supports a clinical assessment to establish CSR diagnosis. Summary Research should continue to investigate how clinicians assess the interplay between physical and psychological factors to inform the establishment of CSR. Specifically, there is a need to investigate the validity and reliability of combining somatosensory, motor and imaging assessment findings to reach a diagnosis and inform onward management plans.

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Section: Psychological Factorsmentioning

confidence: 99%