caa a22 4500 445831510 CHVBK 20180317145316.0 cr unu---uuuuu 170323e20110601xx s 000 0 eng 10.1007/s00586-010-1673-6 doi (NATIONALLICENCE)springer-10.1007/s00586-010-1673-6 Development of a clinical prediction rule to identify patients with neck pain who are likely to benefit from home-based mechanical cervical traction [Elektronische Daten] [Congcong Cai, Guan Ming, Lih Ng] The objective of the study was to identify the population of patients with neck pain who improved with home-based mechanical cervical traction (HMCT). A prospective cohort study was conducted in a physical therapy clinic at a local hospital. Patients with neck pain referred to the clinic for physical therapy were included in the study. A HMCT program was given to participants for 2weeks. The patient's demographic data, Numerical Pain Scale (NPS) score, Neck Disability Index (NDI) and Fear-Avoidance Beliefs Questionnaire score were collected, and standard physical examination of the cervical spine was conducted before intervention. The NPS score, NDI and a global rating of perceived improvement were collected after the intervention was completed. A total of 103 patients participated in the study and 47 had a positive response to HMCT. A clinical prediction rule with four variables (Fear-Avoidance Beliefs Work Subscale score<13, pre-intervention pain intensity≥7/10, positive cervical distraction test and pain below shoulder) was identified. With satisfaction of at least three out of four variables (positive likelihood ratio=4.77), the intervention's success rate increased from 45.6% to over 80%. It appears that patients with neck pain who are likely to respond to HMCT may be identified. Springer-Verlag, 2011 Neck pain nationallicence Cervical traction nationallicence Clinical prediction rule nationallicence Classification nationallicence Intervention success rate nationallicence Cai Congcong Rehabilitation Department, Alexandra Hospital, 378 Alexandra Road, 159964, Singapore, Singapore aut Ming Guan Rehabilitation Department, Alexandra Hospital, 378 Alexandra Road, 159964, Singapore, Singapore aut Ng Lih Rehabilitation Department, Alexandra Hospital, 378 Alexandra Road, 159964, Singapore, Singapore aut European Spine Journal Springer-Verlag 20/6(2011-06-01), 912-922 0940-6719 20:6<912 2011 20 586 https://doi.org/10.1007/s00586-010-1673-6 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00586-010-1673-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Cai Congcong Rehabilitation Department, Alexandra Hospital, 378 Alexandra Road, 159964, Singapore, Singapore aut NATIONALLICENCE 700 1- Ming Guan Rehabilitation Department, Alexandra Hospital, 378 Alexandra Road, 159964, Singapore, Singapore aut NATIONALLICENCE 700 1- Ng Lih Rehabilitation Department, Alexandra Hospital, 378 Alexandra Road, 159964, Singapore, Singapore aut NATIONALLICENCE 773 0- European Spine Journal Springer-Verlag 20/6(2011-06-01), 912-922 0940-6719 20:6<912 2011 20 586 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer