TY  - JOUR
N1  - Dieser Beitrag ist aufgrund einer (DFG-geförderten) Allianz bzw. Nationallizenz frei zugänglich.

This publication is freely accessible due to an Alliance licence and a national licence (funded by the DFG, German Research Foundation) respectively.
N2  - 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 (?) 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). ? values ranged from 0.52 to 0.95. The overall kappa was ? = 0.80 for the left and ? = 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.
VL  - 23
CY  - Basel ; Karger
AV  - public
EP  - 229
Y1  - 2016///
UR  - https://doi.org/10.1159/000447506
JF  - Forschende Komplementärmedizin : Wissenschaft, Praxis, Perspektiven
SN  - 1661-4119 (Druck-Ausg.), 1421-9999 (Online-Ausg.)
ID  - heidok27249
PB  - Karger
KW  - Nackenschmerzen 
KW  -  Muskel-Triggerpunkte 
KW  -  Neuroreflektorische 
KW  -  Veränderungen 
KW  -  Zahnherde 
KW  -  Neuraltherapie 
KW  -  cervical pain 
KW  -  muscular trigger points 
KW  -  neuroreflectory changes 
KW  -  dental focus 
KW  -  neural therapy
A1  - Weinschenk, Stefan
A1  - Göllner, Richard
A1  - Hollmann, Markus W.
A1  - Hotz, Lorenz
A1  - Picardi, Susanne
A1  - Hubbert, Katharina
A1  - Strowitzki, Thomas
A1  - Meuser, Thomas
SP  - 223
TI  - Inter-Rater Reliability of Neck Reflex Points in Women with Chronic Neck Pain
IS  - 4
ER  -