KNGF Grades for Neck Pain

KNGF (Joninklijk Nederlands Genootschap voor Fysiotherapie or Royal Dutch Society for Physical Therapy) describes four grades of neck pain.

Parameters:

(1) signs and symptoms of major structural pathology

(2) interference with activities of daily living

(3) neurologic findings (muscle weakness, sensory disorder, reduced deep tendon reflexes)

Major Structural Pathology	Interference with Activities of Daily Living	Neurologic Findings	Grade
none	none or minor	none	Grade I
none	significant	none or minor	Grade II
none	NA	present	Grade III
present	NA	NA	Grade IV

Causes of major structural pathology:

(1) fracture

(2) vertebral dislocation

(3) injury to the spinal cord

(4) infection

(5) neoplasm

(6) inflammatory arthropathy

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