Clinical Prediction Rule (Tseng et al.)

  • Initial Neck Disability Index score < 11.5
  • Bilateral involvement pattern
  • Not performing sedentary work > 5 hours per day
  • Feeling better while moving neck
  • Symptoms do not feel worse with cervical extension
  • Diagnosis of spondylosis without radiculopathy
0
Variables Present

Positive Likelihood Ratio =

Probability of Success
89%
0+
Variables Present

Positive Likelihood Ratio =

Probability of Success
100%

Evidence

Tseng YL, Wang WTJ, Chen W, et al. Predictors for the immediate responders to cervical manipulation in patients with neck pain. Man Ther. 2006 Nov;11(4):306-15.

We concluded that using favourable predictors to identify treatment responders before administering cervical manipulations could significantly increase the probabilities of a successful treatment. This study finding may enhance the efficacy of clinical decision-making in using cervical manipulation intervention.Tseng YL, Wang WTJ, Chen W, et al.
No validation study currently published regarding this clinical prediction rule.
No impact analysis study currently published regarding this clinical prediction rule.