Table 4. Vignette 1 and 2 responses.
| Vignette 1 (n = 237)% (n = no. of respondents) Percent (n) | Vignette 2 (n = 204)% (n = no. of respondents) Percent (n) | |
| Which of the following screening tests would you perform on this patient? Please check all that apply | ||
| Alar ligament test | 84.4% (200) | 82.8% (169) |
| Sharp Purser test | 64.6% (153)† | 63.2% (129)† |
| Other/additional sagittal/transverse ligament stress test | 52.7% (125) | 55.4% (113) |
| Vertebral artery test | 48.9% (116) | 57.8% (118)† |
| Other, please specify | 25.3% (60) | 17.2% (35) |
| Would you perform a range of motion assessment on this patient? | ||
| Yes | 98.7% (234) | 99.5% (203) |
| Which of the following methods would you use to assess ROM? | ||
| Visual assessment | 62.4% (146) | 64.7% (132) |
| Inclinometer | 30.3% (71) | 31.9% (65) |
| Goniometer | 28.2% (66) | 28.9% (59) |
| Other, please specify | 10.2% (24) | 8.3% (17) |
| Which of the following special tests would you perform? | ||
| Cervical segmental mobility | 94.9% (225) | 96.1% (196) |
| Thoracic segmental mobility | 93.7% (222) | 96.1% (196) |
| Manual muscle testing for myotomal weakness | 82.3% (195) | 82.8% (169) |
| Deep tendon reflexes | 78.1% (185) | 73.5% (150) |
| Sensory assessment of light touch | 70.5% (167) | 66.2% (135) |
| Scapular muscle co-coordination, strength, and endurance | 67.1% (159) | 84.8% (173) |
| Deep neck flexor endurance test | 60.3% (143)†‡ | 74.5% (152)† |
| Upper limb tension/brachial plexus provocation testing | 57.0% (135) | 58.8% (130) |
| Cranial cervical flexion test | 54.4% (129) | 57.4% (117)† |
| Upper quadrant muscle length assessment | 48.1% (114) | 63.7% (130) |
| Cervical flexion rotation test | N/A | 51.5% (105) |
| Cervical extensor muscle performance | 32.9% (78) | 39.2% (80) |
| Tests of eye movement control | 26.6% (63) | 23.5% (48) |
| Cervical joint position error testing | 21.1% (50) | 28.4% (58) |
| Balance testing | 16.5% (39) | 15.2% (31) |
| Sensation assessment of mechanical pain pressure thresholds | 4.6% (11) | 5.4% (11) |
| Thermal sensitivity | 1.7% (4) | 3.4% (7) |
| Other, please specify | 13.9% (33) | 13.2% (27) |
| Which of the following interventions/therapeutic modalities would you be likely to use? | ||
| Soft tissue mobilization techniques | 85.7% (203)† | 85.8% (175) |
| Hot pack | 38.4% (91) | 32.8% (67) |
| Electrical stimulation/TENS | 35.4% (84) | 30.9% (63)‡ |
| Cold pack | 30.0% (71) | 20.6% (42) |
| Ultrasound | 13.9% (33)†‡ | 11.8% (24)†‡ |
| Soft collar | 12.7% (30) | 3.9% (8) |
| Other, please specify | 40.1% (95) | 31.4% (64) |
| If cervical and thoracic joint hypomobility is found during the initial exam, which of the following manual therapy interventions would you use? | ||
| Cervical joint mobilization | 89.9% (213) | 86.8% (177) |
| Thoracic joint mobilization | 76.4% (181) | 79.9% (163) |
| Thoracic joint high velocity thrust manipulation | 61.2% (145)†‡ | 70.6% (144)† |
| Cervical spine traction | 30.4% (72) | 33.8% (69) |
| Cervical high velocity thrust manipulation | 21.1% (50) | 33.8% (69)‡ |
| Other, please specify | 18.1% (43) | 18.1% (37) |
| Which of the following therapeutic exercise interventions would you be likely to use with this patient? | ||
| Scapular motor control/stabilization/strengthening exercises | 86.9% (206) | 92.6% (186) |
| Deep neck flexor muscle retraining exercises | 85.7% (203)† | 84.8% (173)† |
| Active range of motion exercises | 81.4% (193) | 71.6% (146) |
| Cervical and thoracic spine stretching exercises | 62.9% (149) | 71.1% (145) |
| Aerobic/cardiovascular exercise conditioning | 50.6% (120) | 59.8% (122) |
| General neck strengthening exercises such as isometrics | 41.8% (99) | 55.9% (114) |
| Cervical kinesthetic retraining | 38.0% (90)† | 41.2% (84) |
| Exercises for eye movement control | 18.6% (44) | 20.1% (41) |
| Balance exercises | 15.2% (36) | 13.2% (27) |
| McKenzie regimen | 8.9% (21) | 9.8% (20) |
| Other, please specify | 17.3% (41) | 12.7% (26) |
| Which of the following advice and counseling would you most likely give to this patient? | ||
| Home exercise program | 97.5% (231) | 98.5% (201) |
| Posture advice and correction | 94.1% (223) | 94.6% (193) |
| Resume normal activity within patient’s tolerance | 92.0% (218) | 80.4% (164) |
| Reassure the patient she will most likely make a good recovery | 84.4% (200) | 60.3% (123) |
| Ergonomic interventions | 76.8% (182) | 80.9% (165) |
| Encourage work breaks | 66.2% (157) | 63.7% (130) |
| Encourage rest and avoidance of painful movements and activities | 21.9% (52) | 20.6% (42) |
| Other, please specify | 10.5% (25) | 12.7% (26) |
| Which of the following outcome measures would you use with this patient for assessing progress? | ||
| Numerical pain rating scale | 81.9% (194) | 82.8% (169) |
| Neck disability index | 81.4% (193)† | 80.9% (165)† |
| Fear avoidance beliefs questionnaire | 34.2% (81)† | 39.7% (81)† |
| Headache disability index | N/A | 37.7% (77) |
| Patient specific functional scale | 22.4% (53) | 21.1% (43) |
| Global rating of change scale | 19.4% (46)† | 22.1% (45) |
| Short form 36 health survey questionnaire (SF-36) | 3.8% (9) | 4.4% (9) |
| Tampa scale for kinesiophobia | 3.4% (8) | 3.4% (7) |
| Impact of event scale | 2.5% (6) | 3.9% (8) |
| Other, please specify | 11.0% (26) | 10.3% (21) |
| Would you recommend additional diagnostic testing for this patient? | ||
| Yes | 36.7% (87) | 21.6% (44) |
| No | 63.7% (151) | 78.9% (161) |
† Significant difference in use of this test between therapists with and without familiarity with evidence-based or clinical guidelines for WAD (P<0.01).
‡ Significant difference in use of this test between therapists with and without an advanced certification (P<0.01).
Italics indicate most frequently given answer.