Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Epidemiology, physical examination, and neurodiagnostics

J Dvorák1

  • 1Department of Neurology, Schulthess Clinic, Zürich, Switzerland. Dvorák@KWS.CH

Spine
|January 8, 1999
PubMed
Summary

Neck pain affects about 34% of people, with women and older adults experiencing it more. Chronic neck pain, lasting over 6 months, impacts 14% of the population, potentially linked to spinal structural changes.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Development of an expressed sequence tag (EST) resource for wheat (Triticum aestivum L.): EST generation, unigene analysis, probe selection and bioinformatics for a 16,000-locus bin-delineated map.

Genetics·2004
Same author

Construction and evaluation of cDNA libraries for large-scale expressed sequence tag sequencing in wheat (Triticum aestivum L.).

Genetics·2004
Same author

Chromosome bin map of expressed sequence tags in homoeologous group 1 of hexaploid wheat and homoeology with rice and Arabidopsis.

Genetics·2004
Same author

Weekly paclitaxel combined with local hyperthermia in the therapy of breast cancer locally recurrent after mastectomy--a pilot experience.

Onkologie·2004
Same author

Genome-specific primer sets for starch biosynthesis genes in wheat.

TAG. Theoretical and applied genetics. Theoretische und angewandte Genetik·2004
Same author

The interaction of oxygen with TiC(001): photoemission and first-principles studies.

The Journal of chemical physics·2004

Area of Science:

  • Orthopedics
  • Neurology
  • Pain Medicine

Background:

  • Neck pain is a common complaint, affecting approximately 34% of the population.
  • Prevalence increases with age, and women report longer-lasting pain more frequently than men.
  • Chronic neck pain, defined as lasting over 6 months, affects about 14% of the general population.

Purpose of the Study:

  • To review the epidemiology and diagnostic approaches for neck pain, radiculopathy, and myelopathy.
  • To highlight the role of neurophysiologic assessment in diagnosing nerve root compression and cervical myelopathy.
  • To discuss the limitations in the scientific validation of physical examination methods for non-operative treatment.

Main Methods:

  • Review of existing literature on neck pain prevalence, risk factors, and diagnostic techniques.
  • Discussion of electromyography (EMG) for diagnosing nerve root compression syndromes.
  • Evaluation of evoked potentials (sensory and motor) for detecting cervical myelopathy.
  • Consideration of differential diagnoses for radicular and myelopathic symptoms.
  • Assessment of physical examination methods for non-operative treatment.

Main Results:

  • Neck pain prevalence is significant, with higher rates of chronic pain in women and older individuals.
  • Electromyography is a reliable tool for diagnosing radiculopathy, especially when clinical findings are equivocal.
  • Evoked potentials are crucial for identifying subclinical cervical myelopathy.
  • Distinguishing neck pain symptoms from other neurological disorders is essential.
  • The scientific validity of many physical assessment methods for non-operative care remains inadequately evaluated.

Conclusions:

  • Neck pain is a widespread issue with significant chronic prevalence, particularly in specific demographics.
  • Neurophysiologic testing, including EMG and evoked potentials, plays a vital role in accurately diagnosing radiculopathy and myelopathy.
  • Further research is needed to establish the validity of physical examination techniques used in conservative neck pain management.

Related Experiment Videos