경추 추간판 탈출증을 진단함에 있어 경추부 자기공명 영상 소견과 비교한 Spurling test의 진단적 타당성에 대한 연구

A Study on Diagnostic Validity of Spurling Test Compared to Magnetic Resonance Imaging Findings in Diagnosing Herniated Cervical Intervertebral Disc

  • 문태웅 (부천자생한방병원 한방재활의학과) ;
  • 강명진 (부천자생한방병원 한방재활의학과) ;
  • 공덕현 (부천자생한방병원 한방재활의학과) ;
  • 김준수 (부천자생한방병원 한방재활의학과) ;
  • 양기영 (부천자생한방병원 한방재활의학과) ;
  • 이재훈 (부천자생한방병원 한방재활의학과) ;
  • 은영준 (부천자생한방병원 한방재활의학과) ;
  • 김기주 (부천자생한방병원 한방내과)
  • Moon, Tae-Woong (Dept. of Oriental Rehabilitation Medicine, Bu-Chun Ja-Seng Oriental Medicine Hospital) ;
  • Kang, Myung-Jin (Dept. of Oriental Rehabilitation Medicine, Bu-Chun Ja-Seng Oriental Medicine Hospital) ;
  • Kong, Duck-Hyun (Dept. of Oriental Rehabilitation Medicine, Bu-Chun Ja-Seng Oriental Medicine Hospital) ;
  • Kim, Jun-Su (Dept. of Oriental Rehabilitation Medicine, Bu-Chun Ja-Seng Oriental Medicine Hospital) ;
  • Yang, Kee-Young (Dept. of Oriental Rehabilitation Medicine, Bu-Chun Ja-Seng Oriental Medicine Hospital) ;
  • Lee, Jae-Hoon (Dept. of Oriental Rehabilitation Medicine, Bu-Chun Ja-Seng Oriental Medicine Hospital) ;
  • Eun, Young-Jun (Dept. of Oriental Rehabilitation Medicine, Bu-Chun Ja-Seng Oriental Medicine Hospital) ;
  • Kim, Ki-Joo (Dept. of Oriental Internal Medicine, Bu-Chun Ja-Seng Oriental Medicine Hospital)
  • 투고 : 2009.03.10
  • 심사 : 2009.04.10
  • 발행 : 2009.04.30

초록

Objectives : Spurling test is one of the most widely used physical tests to diagnose herniated cervical intervertebral disc. The purpose of this study is to analyse diagnostic validity of Spurling test. Methods : This study was carried out on 382 subjects who visited Bu-Chun Ja-Seng oriental hospital with the neck pain or radiating pain from neck to upper extremities from November, 2007 to October, 2008. All subjects underwent both Spurling test and cervical magnetic resonance imaging(MRI). The associations between Spurling test and herniated cervical intervertebral disc were analysed. Results : 1. The sensitivity of Spurling test for herniated cervical intervertebral disc was 64%. 2. The specificity of Spurling test for herniated cervical intervertebral disc was 86%. 3. The positive predictive value of Spurling test for herniated cervical intervertebral disc was 93%. 4. The negative predictive value of Spurling test for herniated cervical intervertebral disc was 44%. Conclusions : This study suggests that Spurling test is not useful in screening for herniated cervical intervertebral disc due to the test's relatively low sensitivity. Thus it is necessary to consult advanced tests such as diagnostic imaging to diagnose herniated cervical intervertebral disc.

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