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primary topic: Inter-Rater Reliability of Neck Reflex Points in Women with Chronic Neck Pain

Inter-Rater Reliability of Neck Reflex Points in Women with Chronic Neck Pain
type: AcademicArticle
type: Article
abstract: Background: Neck reflex points (NRP) are tender soft tissue areas of the cervical region that display reflectory changes in response to chronic inflammations of correlated regions in the visceral cranium. Six bilateral areas, NRP C0, C1, C2, C3, C4 and C7, are detectable by palpating the lateral neck. We investigated the inter-rater reliability of NRP to assess their potential clinical relevance. Methods: 32 consecutive patients with chronic neck pain were examined for NRP tenderness by an experienced physician and an inexperienced medical student in a blinded design. A detailed description of the palpation technique is included in this section. Absence of pain was defined as pain index (PI) = 0, slight tenderness = 1, and marked pain = 2. Findings were evaluated either by pair-wise Cohen’s kappa (ĸ) or by percentage of agreement (PA). Results: Examiners identified 40% and 41% of positive NRP, respectively (PI > 0, physician: 155, student: 157) with a slight preference for the left side (1.2:1). The number of patients identified with >6 positive NRP by the examiners was similar (13 vs. 12 patients). ĸ values ranged from 0.52 to 0.95. The overall kappa was ĸ = 0.80 for the left and ĸ = 0.74 for the right side. PA varied from 78.1% to 96.9% with strongest agreement at NRP C0, NRP C2, and NRP C7. Inter-rater agreement was independent of patients’ age, gender, body mass index and examiner’s experience. Conclusion: The high reproducibility suggests the clinical relevance of NRP in women.
date: 2016
volume: 23
issue: 4
is part of: Forschende Komplementärmedizin : Wissenschaft, Praxis, Perspektiven
author list: authors
type: EPrint
type: ArticleEPrint
is part of: repository
has document: Inter-Rater Reliability of Neck Reflex Points in Women with Chronic Neck Pain (PDF)
has document: Inter-Rater Reliability of Neck Reflex Points in Women with Chronic Neck Pain (Other)
subject: 610 Medizin

Inter-Rater Reliability of Neck Reflex Points in Women with Chronic Neck Pain (PDF)
type: Document
has file: 447506.pdf
has part: 447506.pdf

Karger
type: Organization

Forschende Komplementärmedizin : Wissenschaft, Praxis, Perspektiven
type: Collection
issn: 1661411914219999

Richard Göllner
type: Person
given name: Richard
family name: Göllner

Markus W. Hollmann
type: Person
given name: Markus W.
family name: Hollmann

Stefan Weinschenk
type: Person
given name: Stefan
family name: Weinschenk

Thomas Meuser
type: Person
given name: Thomas
family name: Meuser

Thomas Strowitzki
type: Person
given name: Thomas
family name: Strowitzki

Susanne Picardi
type: Person
given name: Susanne
family name: Picardi

Lorenz Hotz
type: Person
given name: Lorenz
family name: Hotz

Katharina Hubbert
type: Person
given name: Katharina
family name: Hubbert

Inter-Rater Reliability of Neck Reflex Points in Women with Chronic Neck Pain (Other)
type: Document
is version of: Inter-Rater Reliability of Neck Reflex Points in Women with Chronic Neck Pain (PDF)
is volatile version of: Inter-Rater Reliability of Neck Reflex Points in Women with Chronic Neck Pain (PDF)
is index codes version of: Inter-Rater Reliability of Neck Reflex Points in Women with Chronic Neck Pain (PDF)
has file: indexcodes.txt
has part: indexcodes.txt

HTML Summary of #27249 Inter-Rater Reliability of Neck Reflex Points in Women with Chronic Neck Pain
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primary topic: Inter-Rater Reliability of Neck Reflex Points in Women with Chronic Neck Pain

610 Medizin
type: Concept
preferred label: 610 Medical sciences Medicine @en