Clinical testing for cervical spine myelopathy

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Clinical testing for cervical spine myelopathy

Postby Paula » Tue Oct 11, 2011 11:32 pm

Since some research shows that clinical tests used for diagnosisng cervical myelopathy are poor screening tools. Should we continue to perform these tests in our initial assessment...for example the Hoffman test? And if a cluster of tests would be a better indicator then what tests are most effective?
Paula
 
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Re: Clinical testing for cervical spine myelopathy

Postby Sillevis » Wed Oct 12, 2011 4:10 pm

As I understand it it seems that the Hoffman test has a high specificility but lower sensitivity making it a good tool to rule in the condition when positive. The issue becomes more complicated if you have the Hofmann's reflex only positive on one side. The cluster of info will give you the thought that you might be dealing with a case of myelopathy; progressive weakness in the UE, pins& needles in the UE and LE, atrophy in the hand, difficulties voiding, balance loss, and singns of UMN lesion with a pos babinski.When several of these are present you might want to consider the presence of cervical myelopathy.
Sillevis
 
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