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In a prediction rule study, investigators identify a consecutive group of patients who are suspected of having a specific disease or outcome. The investigators then obtain a standard set of clinical observations on each patient and a test or clinical follow-up to define the true state of the patient.
A medical history and physical examination can be sufficient in clearing the cervical spine. Notable clinical prediction rules to determine which patients need medical imaging are the Canadian C-spine rule and the National Emergency X-Radiography Utilization Study (NEXUS).
However, following either rule is reasonable. If the chosen decision rule (NEXUS or Canadian C-spine) is negative, or if cervical spine imaging is negative, the cervical collar can be removed if the patient does not have significant midline tenderness and can move the neck 45 degrees to both sides. [6]
Similar to the inflatable cervical traction devices on this list, this neck and back cervical spine hydrator from Posture Pump, provides support to the cervical spine, according to Hansraj.
Pages in category "Orthopedic clinical prediction rules" The following 9 pages are in this category, out of 9 total. This list may not reflect recent changes. A.
Traction is offered as a non-surgical method of spinal decompression. [4] A 2021 meta-analysis showed physiotherapy was an effective method of managing prolapsed lumbar intervertebral discs; [ 5 ] but was unable to establish the source of the pain relief reported.
Mechanical traction can be used for patients with cervical and lumbar spinal disorders such as cervical radiculopathy or lumbar spinal stenosis. Lumbar traction has been widely used in the clinic, previous meta-analyses have confirmed that mechanical traction in the supine position can relieve short-term pain in patients with radiculopathy. [4]
Traction can be applied by free weights on a pulley or a halo type brace. The halo brace is the most rigid cervical brace, used when limiting motion to the minimum that is essential, especially with unstable cervical fractures. It can provide stability and support during the time (typically 8–12 weeks) needed for the cervical bones to heal.
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