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The application of a clinical prediction rule for patients with neck pain likely to benefit from cervical traction: A case report

机译:临床预测规则在可能受益于颈椎牵引的颈部疼痛患者中的应用:一例报告

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Purpose: Cervical traction is a commonly utilized intervention in the treatment of patients with neck pain. In 2009, a clinical prediction rule (CPR) was developed as a way to assist clinicians in determining the patient population most likely to respond to cervical traction, though this CPR has yet to be validated. The purpose of this case report is to demonstrate the application of that CPR. Case Description: The patient was a 46-year-old female with a four-week history of right-sided neck and shoulder pain, with numbness and tingling of her thumb and index finger. Treatment consisted of five sessions provided over 3 weeks. The plan of care included home mechanical cervical traction, exercise, and manual therapy. Outcomes: The patient achieved pain-free cervical range of motion. Neck disability index scores decreased from 28% to 6%, and the Patient-Specific Functional Scale average score improved from 5.5 to 10 out of 10. Discussion: This case report demonstrates the application of a CPR to assist in deciding if cervical traction is an appropriate intervention. Further research is needed to validate the CPR and to establish the optimal mode of delivery for traction.
机译:目的:颈椎牵引术是治疗颈部疼痛患者的常用方法。 2009年,临床预测规则(CPR)被开发出来,以协助临床医生确定最有可能对颈椎牵引做出反应的患者人群,尽管该CPR尚未得到验证。本案例报告的目的是演示该CPR的应用。病例描述:该患者是一名46岁的女性,有四周的右侧颈部和肩部疼痛病史,拇指和食指麻木和刺痛。治疗包括3个星期内提供的5次治疗。护理计划包括家用机械式颈椎牵引,锻炼和手动治疗。结果:患者实现了无痛的颈椎运动范围。颈部残疾指数评分从28%降低到6%,患者特定功能量表的平均评分从5.5分提高到10分(满分10分)。适当的干预。需要进一步的研究以验证CPR并建立最佳的牵引方式。

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