WikiMSK:Calculators/Revel Criteria
From WikiMSK
| Criteria | Points | Present | |
|---|---|---|---|
| Age > 65 | 1 | ||
| Pain relieved by recumbency | 1 | ||
| Absence of aggravation by coughing | 1 | ||
| Absence of aggravation by forward flexion | 1 | ||
| Absence of aggravation by rising from flexion | 1 | ||
| Absence of aggravation by hyperextension | 1 | ||
| Absence of aggravation by extension-rotation | 1 | ||
| Probability | Negative (0) | ||
5 or more criteria has a positive likelihood ratio of 3.1 for positive medial branch blocks.[1] However a follow up study found high specificity (90%) but very low sensitivity (<17%)[2]
References
- โ Revel M, Poiraudeau S, Auleley GR, Payan C, Denke A, Nguyen M, Chevrot A, Fermanian J. Capacity of the clinical picture to characterize low back pain relieved by facet joint anesthesia. Proposed criteria to identify patients with painful facet joints. Spine (Phila Pa 1976). 1998 Sep 15;23(18):1972-6; discussion 1977. doi. PMID
- โ Laslett M, Oberg B, Aprill CN, McDonald B. Zygapophysial joint blocks in chronic low back pain: a test of Revel's model as a screening test. BMC Musculoskelet Disord. 2004 Nov 16;5:43. doi PMID
