Correlation of magnetic resonance imaging findings and reported symptoms in patients with chronic cervical dysfunction

Rogelio Coronado, Beverly Hudson, Charles Sheets, Matthew Roman, Robert Isaacs, Jessie Mathers, Chad Cook

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Information gathered from the patient history, physical examination, and advanced testing augments the decision-making process and is proposed to improve the probability of diagnostic and prognostic accuracy. However, these findings may provide inconsistent results and can lead to errors in decision-making. The purpose of this study was to examine the relationship between common clinical complaints and specific findings on magnetic resonance imaging (MRI) in patients with chronic neck dysfunction. Forty-five English-speaking participants (25 female), with mean age of 52 (SD = 13.4), were evaluated by a neurosurgeon for complaints of symptoms related to the cervical spine. All participants answered a subjective questionnaire and received an MRI of the cervical spine. Cramer's V nominal correlation was performed to explore the relationship between the targeted variables. The correlation matrix calculations captured three significant findings. Evidence of spinal cord compression was significantly correlated to 1) anteroposterior canal diameter of less than or equal to 9 mm (r = .31; p<0.05) and 2) diminished subarachnoid fluid around the cord (r = .48; p<0.01). Report of loss of dexterity was significantly correlated with 3) report of lower extremity clumsiness (r = .33; p<0.05). In this study, no definitive relationships were found between the clinical complaints of neck pain, hand function, or clumsiness and specific MRI findings of spinal cord compression. Further research is needed to investigate the diagnostic utility of subjective complaints and their association with advanced testing.

Original languageEnglish (US)
Pages (from-to)148-153
Number of pages6
JournalJournal of Manual and Manipulative Therapy
Volume17
Issue number3
StatePublished - 2009
Externally publishedYes

Fingerprint

Spinal Cord Compression
Magnetic Resonance Imaging
Decision Making
Spine
Neck Pain
Physical Examination
Lower Extremity
Neck
Hand
Research
Neurosurgeons
Surveys and Questionnaires

Keywords

  • Cervical spine
  • Correlation
  • Magnetic resonance imaging
  • Myelopathy

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation

Cite this

Coronado, R., Hudson, B., Sheets, C., Roman, M., Isaacs, R., Mathers, J., & Cook, C. (2009). Correlation of magnetic resonance imaging findings and reported symptoms in patients with chronic cervical dysfunction. Journal of Manual and Manipulative Therapy, 17(3), 148-153.

Correlation of magnetic resonance imaging findings and reported symptoms in patients with chronic cervical dysfunction. / Coronado, Rogelio; Hudson, Beverly; Sheets, Charles; Roman, Matthew; Isaacs, Robert; Mathers, Jessie; Cook, Chad.

In: Journal of Manual and Manipulative Therapy, Vol. 17, No. 3, 2009, p. 148-153.

Research output: Contribution to journalArticle

Coronado, R, Hudson, B, Sheets, C, Roman, M, Isaacs, R, Mathers, J & Cook, C 2009, 'Correlation of magnetic resonance imaging findings and reported symptoms in patients with chronic cervical dysfunction', Journal of Manual and Manipulative Therapy, vol. 17, no. 3, pp. 148-153.
Coronado, Rogelio ; Hudson, Beverly ; Sheets, Charles ; Roman, Matthew ; Isaacs, Robert ; Mathers, Jessie ; Cook, Chad. / Correlation of magnetic resonance imaging findings and reported symptoms in patients with chronic cervical dysfunction. In: Journal of Manual and Manipulative Therapy. 2009 ; Vol. 17, No. 3. pp. 148-153.
@article{594cbdafe5e24349bf583ad7d9eb9c8d,
title = "Correlation of magnetic resonance imaging findings and reported symptoms in patients with chronic cervical dysfunction",
abstract = "Information gathered from the patient history, physical examination, and advanced testing augments the decision-making process and is proposed to improve the probability of diagnostic and prognostic accuracy. However, these findings may provide inconsistent results and can lead to errors in decision-making. The purpose of this study was to examine the relationship between common clinical complaints and specific findings on magnetic resonance imaging (MRI) in patients with chronic neck dysfunction. Forty-five English-speaking participants (25 female), with mean age of 52 (SD = 13.4), were evaluated by a neurosurgeon for complaints of symptoms related to the cervical spine. All participants answered a subjective questionnaire and received an MRI of the cervical spine. Cramer's V nominal correlation was performed to explore the relationship between the targeted variables. The correlation matrix calculations captured three significant findings. Evidence of spinal cord compression was significantly correlated to 1) anteroposterior canal diameter of less than or equal to 9 mm (r = .31; p<0.05) and 2) diminished subarachnoid fluid around the cord (r = .48; p<0.01). Report of loss of dexterity was significantly correlated with 3) report of lower extremity clumsiness (r = .33; p<0.05). In this study, no definitive relationships were found between the clinical complaints of neck pain, hand function, or clumsiness and specific MRI findings of spinal cord compression. Further research is needed to investigate the diagnostic utility of subjective complaints and their association with advanced testing.",
keywords = "Cervical spine, Correlation, Magnetic resonance imaging, Myelopathy",
author = "Rogelio Coronado and Beverly Hudson and Charles Sheets and Matthew Roman and Robert Isaacs and Jessie Mathers and Chad Cook",
year = "2009",
language = "English (US)",
volume = "17",
pages = "148--153",
journal = "Journal of Manual and Manipulative Therapy",
issn = "1066-9817",
publisher = "Maney Publishing",
number = "3",

}

TY - JOUR

T1 - Correlation of magnetic resonance imaging findings and reported symptoms in patients with chronic cervical dysfunction

AU - Coronado, Rogelio

AU - Hudson, Beverly

AU - Sheets, Charles

AU - Roman, Matthew

AU - Isaacs, Robert

AU - Mathers, Jessie

AU - Cook, Chad

PY - 2009

Y1 - 2009

N2 - Information gathered from the patient history, physical examination, and advanced testing augments the decision-making process and is proposed to improve the probability of diagnostic and prognostic accuracy. However, these findings may provide inconsistent results and can lead to errors in decision-making. The purpose of this study was to examine the relationship between common clinical complaints and specific findings on magnetic resonance imaging (MRI) in patients with chronic neck dysfunction. Forty-five English-speaking participants (25 female), with mean age of 52 (SD = 13.4), were evaluated by a neurosurgeon for complaints of symptoms related to the cervical spine. All participants answered a subjective questionnaire and received an MRI of the cervical spine. Cramer's V nominal correlation was performed to explore the relationship between the targeted variables. The correlation matrix calculations captured three significant findings. Evidence of spinal cord compression was significantly correlated to 1) anteroposterior canal diameter of less than or equal to 9 mm (r = .31; p<0.05) and 2) diminished subarachnoid fluid around the cord (r = .48; p<0.01). Report of loss of dexterity was significantly correlated with 3) report of lower extremity clumsiness (r = .33; p<0.05). In this study, no definitive relationships were found between the clinical complaints of neck pain, hand function, or clumsiness and specific MRI findings of spinal cord compression. Further research is needed to investigate the diagnostic utility of subjective complaints and their association with advanced testing.

AB - Information gathered from the patient history, physical examination, and advanced testing augments the decision-making process and is proposed to improve the probability of diagnostic and prognostic accuracy. However, these findings may provide inconsistent results and can lead to errors in decision-making. The purpose of this study was to examine the relationship between common clinical complaints and specific findings on magnetic resonance imaging (MRI) in patients with chronic neck dysfunction. Forty-five English-speaking participants (25 female), with mean age of 52 (SD = 13.4), were evaluated by a neurosurgeon for complaints of symptoms related to the cervical spine. All participants answered a subjective questionnaire and received an MRI of the cervical spine. Cramer's V nominal correlation was performed to explore the relationship between the targeted variables. The correlation matrix calculations captured three significant findings. Evidence of spinal cord compression was significantly correlated to 1) anteroposterior canal diameter of less than or equal to 9 mm (r = .31; p<0.05) and 2) diminished subarachnoid fluid around the cord (r = .48; p<0.01). Report of loss of dexterity was significantly correlated with 3) report of lower extremity clumsiness (r = .33; p<0.05). In this study, no definitive relationships were found between the clinical complaints of neck pain, hand function, or clumsiness and specific MRI findings of spinal cord compression. Further research is needed to investigate the diagnostic utility of subjective complaints and their association with advanced testing.

KW - Cervical spine

KW - Correlation

KW - Magnetic resonance imaging

KW - Myelopathy

UR - http://www.scopus.com/inward/record.url?scp=70349739418&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=70349739418&partnerID=8YFLogxK

M3 - Article

VL - 17

SP - 148

EP - 153

JO - Journal of Manual and Manipulative Therapy

JF - Journal of Manual and Manipulative Therapy

SN - 1066-9817

IS - 3

ER -