{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T14:39:10Z","timestamp":1792593550453,"version":"4.5.0"},"reference-count":25,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2019,4,1]],"date-time":"2019-04-01T00:00:00Z","timestamp":1554076800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PM&amp;R"],"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Cervical radiculopathy (CR) is a clinical diagnosis defined as a combination of neck, shoulder, and arm pain, often accompanied by sensory and motor symptoms. CR is often caused by degenerative spine pathology associated with impingement of a cervical nerve root, and this pathology can be visualized using magnetic resonance imaging (MRI) or computed tomography (CT). [Correction added September 4, 2019, after online publication: \u2018computer tomography\u2019 corrected to \u2018computed tomography\u2019] Factors that are associated with the onset of CR have not been explored.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate the types and frequencies of patient\u2010reported inciting events associated with CR in patients with imaged\u2010confirmed pathologies that correlate with symptoms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Prospective observational case series.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Two spine physiatry and three orthopedic spine surgery practices.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients<\/jats:title><jats:p>One hundred twenty\u2010two patients with symptoms suggestive of CR were recruited. Of these, 107 patients had MRI or CT evidence of cervical disk herniation or foraminal stenosis that correlated with symptoms and matched our inclusion criteria.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We categorized patient\u2010reported inciting events associated with onset of CR into six categories reflecting increasing severity of inciting event, and recorded the clinical characteristics, physical examination findings, pain intensity, and disability. We analyzed the characteristics of patients based on subgroups of inciting events.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Two\u2010thirds of patients reported that they either awoke with symptoms or symptoms began without a memorable event, and one\u2010third of patients reported inciting physical activity or trauma associated with the onset of CR. Clinical characteristics of CR were not influenced by categories of inciting events.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Most CR with correlating spine pathology was found to have onset without a specific inciting events. Furthermore, physical inciting events did not influence the severity of clinical manifestation of CR.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>IV.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pmrj.12089","type":"journal-article","created":{"date-parts":[[2019,1,26]],"date-time":"2019-01-26T07:38:43Z","timestamp":1548488323000},"page":"934-938","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Inciting Events Associated With Cervical Radiculopathy"],"prefix":"10.1002","volume":"11","author":[{"given":"James","family":"Rainville","sequence":"first","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation Harvard Medical School  Boston MA"},{"name":"New England Baptist Hospital  Boston MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moorice","family":"Capar\u00f3","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation Harvard Medical School  Boston MA"},{"name":"Spaulding Rehabilitation Hospital  Boston MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Laxer","sequence":"additional","affiliation":[{"name":"Spine Surgery, OrthoCarolina  Charlotte NC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enrique","family":"Pena","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Seton Spine and Scoliosis Center, Seton Medical Center  Austin TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David H.","family":"Kim","sequence":"additional","affiliation":[{"name":"New England Baptist Hospital  Boston MA"},{"name":"Department of Orthopedic Surgery Tufts Medical School  Boston MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. 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