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Classification criteria for cervical radiculopathy: An international e-Delphi study.

Kwun N Lam1, Nicola R Heneghan1, Jai Mistry1

  • 1Centre of Precision Rehabilitation for Spinal Pain (CPR Spine), School of Sport, Exercise and Rehabilitation Sciences, College of Life and Environmental Sciences, University of Birmingham, Edgbaston, Birmingham, United Kingdom.

Musculoskeletal Science & Practice
|June 7, 2022
PubMed
Summary

Establishing uniform classification criteria for cervical radiculopathy (CR) is crucial for clinical trials. Expert consensus identified one inclusion and 12 exclusion criteria for CR patient selection.

Keywords:
Cervical radiculopathyClassificationDelphi technique

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Area of Science:

  • Neurology
  • Orthopedics
  • Clinical Trials

Background:

  • Cervical radiculopathy (CR) lacks uniform classification criteria, hindering homogenous patient populations in clinical trials.
  • Standardized criteria are essential for reliable research and consistent patient selection in CR studies.

Purpose of the Study:

  • To establish expert-informed consensus on classification criteria (CC) for cervical radiculopathy (CR).
  • Develop standardized criteria for recruiting homogenous populations in future CR clinical trials.

Main Methods:

  • A four-round e-Delphi study involving physiotherapy experts with CR publications.
  • Participants rated the importance of potential CC using a six-point Likert scale.
  • Data analysis included median, interquartile range, and percentage agreement to reach consensus.

Main Results:

  • One inclusion criterion and 12 exclusion criteria for CR were identified through expert consensus.
  • The primary inclusion criterion achieved 82% agreement, encompassing radicular pain, neurological deficits, and MRI findings.
  • The consensus criteria provide a framework for defining CR in research settings.

Conclusions:

  • The identified classification criteria can guide eligibility for future cervical radiculopathy trials.
  • Further investigation is needed to establish consensus on measurement tools for CR assessment.