Viikari-Juntura E, Porras M, Laasonen E M
Department of Physiology, Institute of Occupational Health, Helsinki, Finland.
Spine (Phila Pa 1976). 1989 Mar;14(3):253-7. doi: 10.1097/00007632-198903000-00003.
The purpose of this study was to test the validity of three clinical tests (the neck compression, the axial manual traction, and the shoulder abduction test) in the diagnosis of root compression in 43 patients with cervical disc disease. The validity was investigated regarding radicular pain, neurologic signs, and root compression signs in myelography. All tests were highly specific for the validity parameters. However, the sensitivity was low; it ranged from 26 to 50% for the three single validity parameters in roots C6-8, and from 40 to 64% for combined neurologic and radiologic signs. It is concluded that, despite low sensitivity, these tests are a valuable aid in the clinical examination of a patient with neck and arm pain.
本研究的目的是检验三项临床检查（颈部压迫试验、轴向手法牵引试验和肩外展试验）对43例颈椎间盘疾病患者神经根受压诊断的有效性。针对神经根性疼痛、神经体征和脊髓造影中的神经根受压体征，对其有效性进行了研究。所有检查对有效性参数均具有高度特异性。然而，敏感性较低；对于C6 - 8神经根的三个单一有效性参数，其范围为26%至50%，对于合并的神经和放射学体征，其范围为40%至64%。得出的结论是，尽管敏感性较低，但这些检查在对有颈部和手臂疼痛的患者进行临床检查时是有价值的辅助手段。
