Identification of the Seventh Cervical Vertebra by Palpation With Neck Rotation and Side Bending in Patients With Neck Pain

Eslam Elsayed Ali Shohda

Status: Enrolling

Conditions: Identification of the Seventh Cervical Vertebra by Palpation

Treatments: Device: X ray device

Study type: Interventional

Funder types: Other

Identifiers

NCT07018219

HAH00059

Details and patient eligibility

About

detect accuracy of that procedure in identification the seventh cervical vertebra, we aimed to determine accuracy of identification of the seventh cervical vertebra by palpation with neck rotation and side bending in patients with neck pain.

Full description

The ability to identify the correct vertebral level through examination is an important skill for clinicians in many different specialities (1,2). Two methods for identifying seventh cervical vertebra are commonly used; the conventional palpation method, which identifies the most prominent cervical spinous process as the seventh cervical (C7) spinous process and flexion-extension method which identifies the lowest freely moving spinous process as C6 and the following stationary cervical spinous process as C7. One study found the accuracy of the conventional palpation method is 37.5% while the accuracy of the flexion-extension is 77.1%. Another method is done by detecting the most prominent three vertebrae at cervicothoracic junction then three palpating fingers will be placed paravertebrally to the left of the cervicothoracic region against the left side of the assumed C7 and Tl spinous processes. When rotation or lateral flexion is facilitated, C7 is expected to move significantly further than the more slowly reacting Tl spinous process.

Enrollment: 25 estimated patients

Sex: All

Ages: 18 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• neck pain, age (18- 60) male and female

Exclusion criteria

• with suspected ankylosing spondylitis, previous surgery on the cervical spine or congenital malformation of the cervical region.

Trial design

Primary purpose: Diagnostic

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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25 participants in 1 patient group

one expermental group:

Experimental group

Description:

The researcher will detect the seventh cervical vertebrae by palpation with neck Rotation and side bending in patients with neck pain , then patients will be refereed to perform X ray which is the gold standard for detecting C7

Treatment:

Device: X ray device