Table 2.
Summary of Studies That Included a Control Group and Assessed the Diagnostic Accuracy of Various Clinical Symptoms.
Author (Year), Study Design | Objective | Cervical Myelopathy and Control Group | Demographic Information | Symptoms | Metrics of Diagnostic Accuracy Assessed |
---|---|---|---|---|---|
Cheung et al (2018) | To translate and cross-culturally adapt the JOACMEQ into Traditional Chinese and to assess its validity, reliability and sensitivity for differentiating cervical myelopathy and presence of acute neck/shoulder pain | Cervical myelopathy group (n = 63) - Patients with cervical myelopathy secondary to CSM, OPLL and cervical subluxation or dislocation Control group (n = 37) - Patients without cervical myelopathy |
Age: 58.5 ± 12.2 Men: 60.0% |
Neck/shoulder pain | Sensitivity Specificity Positive and negative predictive value Positive and negative likelihood ratio |
Cook et al (2009), prospective | To assess reliability and diagnostic accuracy of neurological tests and subjective findings associated with cervical myelopathy. | Cervical myelopathy group (n = 18) - Primary complaint of cervical spine pain with signal intensity changes on MRI confirming the presence of myelomalacia Control group (n = 27) - Primary complaint of cervical spine pain without MRI evidence of myelomalacia |
Age: 52 ± 13.4 Men: 41% |
Neck pain Loss of dexterity Hand Humbness Gait clumsiness |
Sensitivity Specificity Positive and negative predictive value Positive and negative likelihood ratio |
Hori et al (2012) | To use novel diffusion metrics to estimate spinal cord compression in patients with early cervical spondylosis. | Cervical myelopathy group (n = 18) - Patients with signs and symptoms of cervical myelopathy and with evidence of spinal cord compression Control group (n = 15) - Patients with signs and symptoms of cervical myelopathy but without spinal cord compression |
Cervical myelopathy Age: 63.3 ± 10.8 Men: 33% Control Age: 50.5 ± 16.2 Men: 47% |
Numbness Pain Cervical vertigo Neck stiffness Hypalgesia Tremor Apraxia Jitteriness |
Sensitivity Specificity Positive and negative predictive value Positive and negative likelihood ratio |