The Reliability and Construct Validity of the Neck Disability Index and Patient Specific Functional Scale in Patients With Cervical Radiculopathy

Cleland, Joshua A.; Fritz, Julie M.; Whitman, Julie M.; Palmer, Jessica

doi:10.1097/01.brs.0000201241.90914.22

Cited by 336 publications

(279 citation statements)

References 24 publications

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“…The average of these three scores was used for data analysis of 'daily pain'. 48 The NPRS has demonstrated acceptable levels of testretest reliability (ICC50.59 47 to 0.63 46 ) and a 2.2 point change in the NPRS has been reported to be clinically meaningful. 47 Upper Limb Neurodynamic Test (ULNT ROM and ULNT Pain) The ULNT was performed as described by Wainner et al 5 The initial amount of scapular depression was standardized with the use of a pressure sensor (Stabiliser, Chattanooga, Australia) in a manner described by Edgar et al 32 The pressure cuff was folded in 3 to fit the superior region of the patient's shoulder.…”

Section: Patient Specific Functional Scale (Psfs)mentioning

confidence: 99%

“…43,44 Neck Disability Index (NDI) The NDI is a self-report measure containing 10 items that assesses a patient's disability due to neck pain. 45 Test-retest reliability for the NDI in patients with cervical radiculopathy has been reported to be fair (ICC50.55) 39 to moderate (ICC50.68), 46 and the minimal clinically important change has been reported to be range from 7.0 points or 14% 46 to 8.5 points or 17%. 47 …”

Section: Global Rating Of Change (Groc)mentioning

confidence: 99%

“…The patient rates three activities that are difficult due to their condition, on a 0-10 scale, with 0 representing inability to perform the activity and 10 representing the ability to perform the activity as well as they could before the onset of symptoms. The PSFS has demonstrated variable test-retest reliability in patients with cervical radiculopathy ranging from slight (ICC50.17) 47 to high (ICC50.82) 46 and the minimally clinically important change ranges from 2.0 46 to 2.2. 47 Numeric Pain Rating Scale (24-hour NPRS) The NPRS was used to measure pain intensity.…”

Section: Patient Specific Functional Scale (Psfs)mentioning

confidence: 99%

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The immediate effects of soft tissue mobilization versus therapeutic ultrasound for patients with neck and arm pain with evidence of neural mechanosensitivity: a randomized clinical trial

Costello

Puentedura

Cleland

et al. 2016

Journal of Manual & Manipulative Therapy

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Study design: Randomized clinical trial. Objectives: To investigate the immediate effects of soft tissue mobilization (STM) versus therapeutic ultrasound (US) in patients with neck and arm pain who demonstrate neural mechanical sensitivity. Background: While experts have suggested that individuals with neck and arm pain associated with neural tissue mechanical sensitivity may benefit from STM, there has been little research to investigate this hypothesis. Methods: Twenty-three patients with neck and arm pain and a positive upper limb neurodynamic test (ULNT) were randomly assigned to receive STM or therapeutic US during a single session. Outcome measures were collected immediately before and after treatment, and at 2-4 day follow-up. Primary outcomes were the Global Rating of Change (GROC), range of motion (ROM) during the ULNT, and pain rating during the ULNT. Secondary measures included the Neck Disability Index (NDI), Patient-Specific Functional Scale (PSFS), Numeric Pain Rating Scale (NPRS), and active range of shoulder abduction motion combined with the wrist neutral or wrist extension. Results: A greater proportion of patients in the STM group reported a significant improvement on the GROC immediately after treatment (P50.003, STM575%, US59%), and at 2-4 day follow-up (P50.027, STM558%, US59%). Patients who received STM demonstrated greater improvements in ROM during ULNT (P50.026), PSFS (P50.007), and shoulder active ROM combined with wrist extension (P50.028). Improvements in Numeric Pain Rating Scale and pain during the ULNT were observed only in the STM group. There was no difference between groups for the NDI or shoulder abduction ROM with wrist neutral. Conclusion: Patients with neck and arm pain demonstrated greater improvements in ULNT ROM, GROC, and PSFS, and pain following STM than after receiving therapeutic US. Level of evidence: Therapy, level 1b.

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Section: Patient Specific Functional Scale (Psfs)mentioning

confidence: 99%

Section: Global Rating Of Change (Groc)mentioning

confidence: 99%

Section: Patient Specific Functional Scale (Psfs)mentioning

confidence: 99%

See 1 more Smart Citation

The immediate effects of soft tissue mobilization versus therapeutic ultrasound for patients with neck and arm pain with evidence of neural mechanosensitivity: a randomized clinical trial

Costello

Puentedura

Cleland

et al. 2016

Journal of Manual & Manipulative Therapy

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show abstract

“…The NDI is a simple, reliable, 21 valid, 22 sensitive, and specific 23 assessment and can be used in patients with CR. 24 …”

Section: Introductionmentioning

confidence: 99%

Use of a multimodal conservative management protocol for the treatment of a patient with cervical radiculopathy

Radpasand

2011

Journal of Chiropractic Medicine

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Objective: The purpose of this study is to describe and discuss the treatment of a cervical disk herniation using a sequential multimodal conservative management approach. Clinical Features: A 40-year-old man had complaints of headache and severe sharp neck pain radiating to his left shoulder down to his arm, forearm, and hand. Results of electromyography/nerve conduction studies were abnormal. Magnetic resonance imaging revealed a large disk protrusion at C5-C6 with indentation of the thecal sac and a spur at the posterior margin. Moderate left neural foraminal narrowing was present at C5-C6 with narrowed intervertebral disk space at C5-C6 and C6-C7. Intervention and Outcome: High-velocity, low-amplitude chiropractic manipulation; electrotherapy; ice; and exercise were used for treatment. The Neck Disability Index was used as a primary and electromyography/nerve conduction studies as a secondary outcome measurement. Based on the Neck Disability Index, there was an overall 89.65% symptoms improvement from the baseline.Conclusions: This case study demonstrated possible beneficial effects of the multimodal treatment approach in a patient with cervical radiculopathy.

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“…To support objective findings and amount of disability, the NDI [16], a self-reported instrument, was used as an additional outcome measure [16][17][18][19]. Data were collected before and after the four week intervention period.…”

Section: Self Reported Outcome Measuresmentioning

confidence: 99%

Effects of Strain/Counter Strain on Cervical Pain & Disability: A Case Report

Schmidt¹

2016

MOJOR

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The Reliability and Construct Validity of the Neck Disability Index and Patient Specific Functional Scale in Patients With Cervical Radiculopathy

Cited by 336 publications

References 24 publications

The immediate effects of soft tissue mobilization versus therapeutic ultrasound for patients with neck and arm pain with evidence of neural mechanosensitivity: a randomized clinical trial

The immediate effects of soft tissue mobilization versus therapeutic ultrasound for patients with neck and arm pain with evidence of neural mechanosensitivity: a randomized clinical trial

Use of a multimodal conservative management protocol for the treatment of a patient with cervical radiculopathy

Effects of Strain/Counter Strain on Cervical Pain & Disability: A Case Report

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