CDE Detailed Report

Disease: Chiari I Malformation
Sub-Domain: General and Motor
CRF: Provocative-Other Testing

Displaying 1 - 42 of 42
CDE ID CDE Name Variable Name Definition Short Description Question Text Permissible Values Description Data Type Disease Specific Instructions Disease Specific Reference Population Classification (e.g., Core) Version Number Version Date CRF Name (CRF Module / Guideline) Sub Domain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C56973 Muscle spasm tenderness type MsSpsmTndrTyp Type of muscle spasm tenderness Type of muscle spasm tenderness Tenderness (RLB) R;L;B Right;Left;Both Alphanumeric Adult;Pediatric Supplemental 1.00 2017-08-15 15:42:24.0 Provocative-Other Testing General and Motor Assessments and Examinations

Multiple Pre-Defined Values Selected

C56984 Range of motion at hip external side type ROMHipExtSideTyp The hip that the participant/subject feels pain on during external range of motion. The hip that the participant/subject feels pain on during external range of motion. Pain on external rotation; indicate R;L;B Right;Left;Both Alphanumeric Adult;Pediatric Supplemental 1.00 2017-08-15 16:06:17.0 Provocative-Other Testing General and Motor Assessments and Examinations

Single Pre-Defined Value Selected

C56962 Cervical extraction type CrvExTyp Type of cervical extraction (sitting) Type of cervical extraction (sitting) Cervical extraction (sitting): Pain relief;Neutral;Increased pain Pain relief;Neutral;Increased pain Alphanumeric Adult;Pediatric Supplemental 1.00 2017-08-15 15:13:43.0 Provocative-Other Testing General and Motor Assessments and Examinations

Single Pre-Defined Value Selected

C56995 Sacroiliac joint dysfunction palpitation pain type SIJntDysPlptPainTyp Type of palpitation in sacroiliac joint dysfunction pain. Type of palpitation in sacroiliac joint dysfunction pain. Palpitation of SI joints N/T;Neutral;Local pain N/T;Neutral;Local pain Alphanumeric Adult;Pediatric Exploratory 1.00 2017-08-16 10:44:59.0 Provocative-Other Testing General and Motor Assessments and Examinations

Single Pre-Defined Value Selected

C56974 Muscle spasm induration type MscSpsmIndTyp Type of muscle spasm induration Type of muscle spasm induration Induration (RLB) R;L;B Right;Left;Both Alphanumeric Adult;Pediatric Supplemental 1.00 2017-08-15 15:44:50.0 Provocative-Other Testing General and Motor Assessments and Examinations

Multiple Pre-Defined Values Selected

C56985 Stair climbing difficulty type StairClimbDiffTyp The difficulty the participant/subject has when climbing stairs. The difficulty the participant/subject has when climbing stairs. Stair climbing Not reported;Unable;Difficulty with R or L leg;More difficulty going down;More difficulty going up Not reported;Unable;Difficulty with R or L leg;More difficulty going down;More difficulty going up Alphanumeric Adult;Pediatric Supplemental 1.00 2017-08-15 16:08:37.0 Provocative-Other Testing General and Motor Assessments and Examinations

Single Pre-Defined Value Selected

C56963 Straight leg raising leg pain leg type StraightLegRaisLegPainLegTyp The leg(s) that the patient has pain in from straight leg raising. The leg(s) that the patient has pain in from straight leg raising. Leg pain R;L;B Right;Left;Both Alphanumeric Adult;Pediatric Exploratory 1.00 2017-08-15 15:16:29.0 Provocative-Other Testing General and Motor Assessments and Examinations

Single Pre-Defined Value Selected

C56996 Palpitation SI joint local pain text PlpSIJntLclPnTxt Text field related to local pain within palpitation of SI joints Text field related to local pain within palpitation of SI joints Local pain (describe) Alphanumeric Adult;Pediatric Exploratory 1.00 2017-08-16 10:49:49.0 Provocative-Other Testing General and Motor Assessments and Examinations 255

Free-Form Entry

C56975 Adsons maneuver type AdsonManeuTyp The type of Adson's maneuver seen in the participant/subject The type of Adson's maneuver seen in the participant/subject Adon's maneuvers Pulse lost in external rotation;Pulse lost in internal rotation Pulse lost in external rotation;Pulse lost in internal rotation Alphanumeric Adult;Pediatric Exploratory 1.00 2017-08-15 15:31:29.0 Provocative-Other Testing General and Motor Assessments and Examinations

Single Pre-Defined Value Selected

C56986 Trigger point trapezius type TrggPntTrpzTyp Type of trapezius trigger point Type of trapezius trigger point Trapezius; indicate R;L;B Right;Left;Both Alphanumeric Adult;Pediatric Supplemental 1.00 2017-08-15 16:08:27.0 Provocative-Other Testing General and Motor Assessments and Examinations

Multiple Pre-Defined Values Selected

C56965 Tinels sign type TinelSignTyp The reading of the participant/subject's Tinel's signs The reading of the participant/subject's Tinel's signs Tinel's signs Positive;Negative Positive;Negative Alphanumeric Adult;Pediatric Exploratory 1.00 2017-08-15 15:20:51.0 Provocative-Other Testing General and Motor Assessments and Examinations

Multiple Pre-Defined Values Selected

C56976 Adsons maneuver internal side type AdsonManeuIntSideTyp The side on which the participant/subject lost his/her pulse in internal rotation. The side on which the participant/subject lost his/her pulse in internal rotation. Pulse lost in internal rotation; indicate R;L;B Right;Left;Both Alphanumeric Adult;Pediatric Exploratory 1.00 2017-08-15 15:55:37.0 Provocative-Other Testing General and Motor Assessments and Examinations

Single Pre-Defined Value Selected

C55659 Cervical posture type CervicPostTyp The type as related to cervical posture. The type as related to cervical posture. Cervical posture Normal Lordosis;Straightening;Head tilt Normal Lordosis;Straightening;Head tilt Alphanumeric

Neck posture

Adult;Pediatric Supplemental 1.00 2017-05-22 13:46:41.0 Provocative-Other Testing General and Motor Assessments and Examinations

Single Pre-Defined Value Selected

C56987 Trigger point rhomboid type TrggPntRhmbdTyp Type of rhomboid trigger point Type of rhomboid trigger point Rhomboid; indicate R;L;B Right;Left;Both Alphanumeric Adult;Pediatric Supplemental 1.00 2017-08-15 16:12:56.0 Provocative-Other Testing General and Motor Assessments and Examinations

Multiple Pre-Defined Values Selected

C56966 Jugular compression type JugCmpTyp Type of jugular compression Type of jugular compression Jugular compression Worsening headache;Neutral;Relief Worsening headache;Neutral;Relief Alphanumeric Adult;Pediatric Supplemental 1.00 2017-08-15 15:22:55.0 Provocative-Other Testing General and Motor Assessments and Examinations

Single Pre-Defined Value Selected

C56977 Trigger point type TrggrPntTyp Type of trigger points Type of trigger points Trigger points Suboccipital;Paracervical;Trapezius;Rhomboid Suboccipital;Paracervical;Trapezius;Rhomboid Alphanumeric Adult;Pediatric Supplemental 1.00 2017-08-15 15:53:07.0 Provocative-Other Testing General and Motor Assessments and Examinations

Multiple Pre-Defined Values Selected

C55660 Cervical compression surgical site status CervicCompressSurgSitStat The status of compression at the surgical site The status of compression at the surgical site Compression N/A;Cranioplasty;Tenderness N/A;Cranioplasty;Tenderness Alphanumeric

(at surgical site)

Adult;Pediatric Supplemental 1.00 2017-05-22 13:46:41.0 Provocative-Other Testing General and Motor Assessments and Examinations

Single Pre-Defined Value Selected

C56988 Lumbar posture type LmbrPstrTyp Type of lumbar posture Type of lumbar posture Lumbar posture Normal;Straightening;Exaggerated Normal;Straightening;Exaggerated Alphanumeric Adult;Pediatric Exploratory 1.00 2017-08-15 16:58:15.0 Provocative-Other Testing General and Motor Assessments and Examinations

Single Pre-Defined Value Selected

C56967 Tinels sign positive side type TinelSignPosSideTyp The side of the body that the participant/subject's Tinel's signs read positive The side of the body that the participant/subject's Tinel's signs read positive Positive; indicate R;L;B Right;Left;Both Alphanumeric Adult;Pediatric Exploratory 1.00 2017-08-15 15:23:34.0 Provocative-Other Testing General and Motor Assessments and Examinations

Single Pre-Defined Value Selected

C56978 Adsons maneuver external side type AdsonManeuExtSideTyp The side on which the participant/subject lost his/her pulse in external rotation. The side on which the participant/subject lost his/her pulse in external rotation. Pulse lost in external rotation; indicate R;L;B Right;Left;Both Alphanumeric Adult;Pediatric Exploratory 1.00 2017-08-15 15:55:37.0 Provocative-Other Testing General and Motor Assessments and Examinations

Single Pre-Defined Value Selected

C55661 Cervical compression surgical site tenderness anatomic site CervicComprSurgSitTendAntmcSte The anatomic site related to cervical compression at surgical site. The anatomic site related to cervical compression at surgical site. Compression R;L;B;MRB;LB;UB;DB;T;M R;L;B;MRB;LB;UB;DB;T;M Alphanumeric

(at surgical site)

Adult;Pediatric Supplemental 1.00 2017-05-22 13:46:41.0 Provocative-Other Testing General and Motor Assessments and Examinations

Single Pre-Defined Value Selected

C56989 Heel walking type HlWlkngTyp Type of heel walking Type of heel walking Heel walking N/T;Unable;Back pain/Leg pain;Urgency;Weakness N/T;Unable;Back pain/Leg pain;Urgency;Weakness Alphanumeric Adult;Pediatric Supplemental 1.00 2017-08-16 10:07:26.0 Provocative-Other Testing General and Motor Assessments and Examinations

Single Pre-Defined Value Selected

C56968 Tinels sign negative side type TinelSignNegSideTyp The side on which the participant/subject's Tinel's signs read negative. The side on which the participant/subject's Tinel's signs read negative. Negative; indicate R;L;B Right;Left;Both Alphanumeric Adult;Pediatric Exploratory 1.00 2017-08-15 15:24:45.0 Provocative-Other Testing General and Motor Assessments and Examinations

Single Pre-Defined Value Selected

C56979 Knee patella exam result type KneePatExamResltTyp The result of the participant/subject's knee/patella exam. The result of the participant/subject's knee/patella exam. Knee/patella exam N/T;Unable;Pain;Excessive laxity;Crepitation N/T;Unable;Pain;Excessive laxity;Crepitation Alphanumeric Adult;Pediatric Supplemental 1.00 2017-08-15 16:02:16.0 Provocative-Other Testing General and Motor Assessments and Examinations

Single Pre-Defined Value Selected

C56957 Cranio-cervical junction axial loading status CranCervicalJunAxLStatus The status for cranio-cervical junction axial loading. The status for cranio-cervical junction axial loading. Axial loading Well tolerated;Painful Well tolerated;Painful Alphanumeric Adult;Pediatric Supplemental 1.00 2017-08-15 15:05:21.0 Provocative-Other Testing General and Motor Assessments and Examinations

Single Pre-Defined Value Selected

C56990 Heel walking weakness type HlWlknWknTyp Type of heel walking weakness Type of heel walking weakness Weakness R;L;B Right;Left;Both Alphanumeric Adult;Pediatric Supplemental 1.00 2017-08-16 10:11:19.0 Provocative-Other Testing General and Motor Assessments and Examinations

Multiple Pre-Defined Values Selected

C56969 Phalens sign type PhalenSignTyp The reading of the participant/subject's Phalen's signs The reading of the participant/subject's Phalen's signs Phalen's signs Positive;Negative Positive;Negative Alphanumeric Adult;Pediatric Exploratory 1.00 2017-08-15 15:20:51.0 Provocative-Other Testing General and Motor Assessments and Examinations

Multiple Pre-Defined Values Selected

C56980 Trigger point suboccipital type TrggPntSbccpTyp Type of suboccipital trigger point Type of suboccipital trigger point Suboccipital; indicate R;L;B Right;Left;Both Alphanumeric Adult;Pediatric Supplemental 1.00 2017-08-15 16:03:09.0 Provocative-Other Testing General and Motor Assessments and Examinations

Multiple Pre-Defined Values Selected

C56958 Pelvic traction type PelvicTractTyp The participant/subject's capability of pelvic traction. The participant/subject's capability of pelvic traction. Pelvic traction N/T;Unable;Back pain/Leg pain;Urgency;Incontinence;Suboccipital headache N/T;Unable;Back pain/Leg pain;Urgency;Incontinence;Suboccipital headache Alphanumeric Adult;Pediatric Supplemental 1.00 2017-08-15 15:05:18.0 Provocative-Other Testing General and Motor Assessments and Examinations

Single Pre-Defined Value Selected

C56991 Toe walking type ToeWlknTyp Type of toe walking Type of toe walking Toe walking N/T;Unable;Back pain/Leg pain;Urgency;Weakness N/T;Unable;Back pain/Leg pain;Urgency;Weakness Alphanumeric Adult;Pediatric Exploratory 1.00 2017-08-16 10:13:24.0 Provocative-Other Testing General and Motor Assessments and Examinations

Single Pre-Defined Value Selected

C56970 Muscle spasm type MscSpsmTyp Type of muscle spasm Type of muscle spasm Muscle spasm None;Tenderness;Induration None;Tenderness;Induration Alphanumeric Adult;Pediatric Supplemental 1.00 2017-08-15 15:27:33.0 Provocative-Other Testing General and Motor Assessments and Examinations

Single Pre-Defined Value Selected

C56981 Range of motion at hip result type ROMHipResltTyp The result and findings from the participant/subject's range of motion at his/her hips. The result and findings from the participant/subject's range of motion at his/her hips. ROM at hips N/T;Pain on external rotation;Pain on internal rotation N/T;Pain on external rotation;Pain on internal rotation Alphanumeric Adult;Pediatric Supplemental 1.00 2017-08-15 16:04:33.0 Provocative-Other Testing General and Motor Assessments and Examinations

Single Pre-Defined Value Selected

C56959 Truncal flexion type TruncFlexTyp The participant/subject's truncal flexion capability. The participant/subject's truncal flexion capability. Truncal flexion N/T;Unable;Back pain/Leg pain;Urgency;Incontinence;Suboccipital headache N/T;Unable;Back pain/Leg pain;Urgency;Incontinence;Suboccipital headache Alphanumeric Adult;Pediatric Supplemental 1.00 2017-08-15 15:10:37.0 Provocative-Other Testing General and Motor Assessments and Examinations

Single Pre-Defined Value Selected

C56992 Toe walking weakness type ToeWlknWknsTyp Type of toe walking weakness Type of toe walking weakness Weakness R;L;B Right;Left;Both Alphanumeric Adult;Pediatric Exploratory 1.00 2017-08-16 10:16:59.0 Provocative-Other Testing General and Motor Assessments and Examinations

Multiple Pre-Defined Values Selected

C56971 Phalens sign positive side type PhalenSignPosSideTyp The side of the body that the participant/subject's Phalen's signs read positive The side of the body that the participant/subject's Phalen's signs read positive Positive; indicate R;L;B Right;Left;Both Alphanumeric Adult;Pediatric Supplemental 1.00 2017-08-15 15:23:34.0 Provocative-Other Testing General and Motor Assessments and Examinations

Single Pre-Defined Value Selected

C56982 Trigger point paracervical type TrggPntPrcrvTyp Type of paracervical trigger point Type of paracervical trigger point Paracervical; indicate R;L;B Right;Left;Both Alphanumeric Adult;Pediatric Supplemental 1.00 2017-08-15 16:06:28.0 Provocative-Other Testing General and Motor Assessments and Examinations

Multiple Pre-Defined Values Selected

C56960 Truncal extension type TruncExtTyp The participant/subject's truncal extension capability. The participant/subject's truncal extension capability. Truncal extension N/T;Unable;Back pain/Leg pain;Urgency;Incontinence;Suboccipital headache N/T;Unable;Back pain/Leg pain;Urgency;Incontinence;Suboccipital headache Alphanumeric Adult;Pediatric Supplemental 1.00 2017-08-15 15:10:37.0 Provocative-Other Testing General and Motor Assessments and Examinations

Single Pre-Defined Value Selected

C56993 Spinal percussion type SpnlPrcssnTyp Type of spinal percussion Type of spinal percussion Spinal percussion N/T;Neutral;Local pain N/T;Neutral;Local pain Alphanumeric Adult;Pediatric Exploratory 1.00 2017-08-16 10:21:27.0 Provocative-Other Testing General and Motor Assessments and Examinations

Single Pre-Defined Value Selected

C56972 Phalens sign negative side type PhalenSignNegSideTyp The side of the body that the participant/subject's Phalen's signs read negative The side of the body that the participant/subject's Phalen's signs read negative Negative; indicate R;L;B Right;Left;Both Alphanumeric Adult;Pediatric Exploratory 1.00 2017-08-15 15:23:34.0 Provocative-Other Testing General and Motor Assessments and Examinations

Single Pre-Defined Value Selected

C56983 Range of motion at hip internal side type ROMHipIntSideTyp The hip that the participant/subject feels pain on during internal range of motion. The hip that the participant/subject feels pain on during internal range of motion. Pain on internal rotation; indicate R;L;B Right;Left;Both Alphanumeric Adult;Pediatric Supplemental 1.00 2017-08-15 16:06:17.0 Provocative-Other Testing General and Motor Assessments and Examinations

Single Pre-Defined Value Selected

C56961 Straight leg raising pain type StraightLegRaisPainTyp The participant/subject's capability of straight leg raising. The participant/subject's capability of straight leg raising. Straight leg raising N/T;Unable;Back pain;Leg pain N/T;Unable;Back pain;Leg pain Alphanumeric Adult;Pediatric Exploratory 1.00 2017-08-15 15:13:22.0 Provocative-Other Testing General and Motor Assessments and Examinations

Single Pre-Defined Value Selected

C56994 Spinal percussion local pain text SpnlPrcLclPnTxt Text field related to the spinal percussion local pain Text field related to the spinal percussion local pain Local pain (describe) Alphanumeric Adult;Pediatric Exploratory 1.00 2017-08-16 10:32:15.0 Provocative-Other Testing General and Motor Assessments and Examinations 255

Free-Form Entry

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