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Journal Abstract
The Role of Selected Variables in the Diagnosis of Cervical Derangement Syndromes
Grażyna Guzy, Tomasz Ridan, Malwina Szpitalak, Bogusław Frańczuk
Ortop Traumatol Rehabil 2013; 15(6):531-544
ICID: 1091509
Article type: Original article
IC™ Value: 3.00
Abstract provided by Publisher
Background. The study analyzed correlations between selected variables in cervical derangement syndromes.
Material and methods. We analyzed data from 63 patients regarding pain (VAS, McGill Pain Question­naire), mobility (CROM goniometer), dizziness, nausea, the duration of the current episode, and the number of previous episodes (history). Student’s t and chi2 tests and Pearson’s r correlation were used.
Results. Overall pain intensity correlated positively with the indexes of the McGill Pain Questionnaire, the duration of the current episode, intensity of the proximal and distal symptoms and negatively with protraction or extension. Headache correlated positively with neck pain and negatively with retraction. Neck pain cor­related negatively with multiple cervical movements and positively with intensity of the distal symptoms. A po­sitive relationship between shoulder and upper limb pain was observed. Patients with higher overall pain inten­sity or lower shoulder pain intensity experienced dizziness more often. The duration of the current episode cor­re­lated positively with the number of previous episodes, the frequency of nausea, limited extension and limited protraction. Nausea coexisted with dizziness and reduced protraction. The degree of flexion restriction corre­lated positively with the number of previous episodes.
Conclusions. 1. Overall and proximal pain intensity, mobility of the cervical spine, the duration of the current epi­sode and dizziness are useful in diagnosis of cervical derangement syndromes. 2. Intensity of the distal symptoms, the number of pre­vious episodes and nausea should be particularly monitored.

ICID 1091509

DOI 10.5604/15093492.1091509
PMID 24662900 - click here to show this article in PubMed

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