BACKGROUND: Spinal signs found in association with atypical chest and @entity490 may suggest the @entity158 is referred from the thoracic spine. However, the prevalence of such signs in these conditions has rarely been compared with that in those without @entity158 . In this study, the prevalence of spinal signs and @entity409 in @entity1 with back, chest and @entity490 is compared with that in @entity158 free controls. The aim of the study is to determine the significance of spinal findings in @entity1 with @entity158 . METHODS: A general practitioner blinded to the @entity1 ' histories performed a cervical and thoracic spinal examination on general practice @entity1 with back, @entity662 and on controls without @entity158 . Thoracic intervertebral @entity409 was diagnosed on the basis of movement and palpation findings. RESULTS: Seventy-three study @entity1 plus 24 controls, were examined. For cervical spinal signs, @entity158 in the back, chest and/or abdomen was associated with @entity158 with active movements and overpressure at end range and with loss of movement range. For thoracic spinal signs, this association held for @entity158 with active movements and overpressure, but not with loss of movement range. The prevalence of thoracic intervertebral @entity409 was 25.0% in controls, 65.5% with @entity662 , 72.0% with @entity615 and 79.0% with @entity615 with @entity662 . This prevalence was higher with @entity662 than with @entity490 . CONCLUSIONS: The results show an association, but not a causal link between thoracic intervertebral @entity409 and atypical @entity662 . A spinal examination should be performed routinely assessing these conditions. The minimum examination for the detection of intervertebral @entity409 is testing for @entity158 with spinal movements and palpation for @entity925 . The interpretation of positive signs requires knowledge of their prevalence in @entity158 free controls and in @entity1 with @entity66 .

Back, chest and XXXX . How good are spinal signs at identifying musculoskeletal causes of back, chest or @entity490 ?

@entity1 :: ('9606', 'Species') :: ['patients'] @entity662 :: ('MESH:D002637', 'Disease') :: ['chest and/or abdominal pain', 'chest/abdominal pain', 'chest pain'] @entity66 :: ('MESH:D004194', 'Disease') :: ['visceral disease'] @entity409 :: ('MESH:D008107', 'Disease') :: ['dysfunction'] @entity615 :: ('MESH:D001416', 'Disease') :: ['back pain'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain', 'such pain'] @entity490 :: ('MESH:D015746', 'Disease') :: ['abdominal pain'] @entity925 :: ('MESH:D063806', 'Disease') :: ['tenderness']
@entity490 :: (MESH:D015746,Disease) :: ['abdominal pain']
