Clinical utility of reflex studies in assessing cervical radiculopathy.

Abstract:

:We prospectively studied the diagnostic utility of upper limb segmental reflexes in patients with suspected cervical radiculopathy (CR). Fifty-three patients (29 men and 24 women), referred for electrodiagnostic testing, were positive for at least one of four clinical criteria for CR: abnormal (1) history, (2) motor (myotomal) examination, (3) sensory (dermatomal) examination, and (4) changes in deep tendon reflexes (DTR). All underwent electrodiagnostic assessment, needle electrode examination (NEE), specialized segmental reflexes (heteronymous and Hoffman's reflexes [H reflexes]), and neuroimaging. The clinical diagnosis was supported in all 32 patients who entered the study with two or more clinical signs for CR. Abnormal NEE was found in 90% of subjects with three clinical signs, 59% with two signs, and only 10% of those with one sign. H reflexes demonstrated a sensitivity of 72% and specificity of 85% for detection of CR and were particularly helpful when forming conclusions in the 21 subjects with only one clinical sign for CR. Specialized segmental H-reflex studies of the upper limb were as sensitive and specific as neuroimaging (magnetic resonance imaging).

journal_name

Muscle Nerve

journal_title

Muscle & nerve

authors

Miller TA,Pardo R,Yaworski R

doi

10.1002/(sici)1097-4598(199908)22:8<1075::aid-mus1

subject

Has Abstract

pub_date

1999-08-01 00:00:00

pages

1075-9

issue

8

eissn

0148-639X

issn

1097-4598

pii

10.1002/(SICI)1097-4598(199908)22:8<1075::AID-MUS1

journal_volume

22

pub_type

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