Veljavnost provokacijskih testov za sakroiliakalni sklep - pregled literature

Hlebš, Sonja (author), Kutin Funda, Lara (author)

Uvod: sakroiliakalni sklep je lahko izvor bolečine v ledvenem delu hrbtenice ali na predelu zadnjice. Za določanje izvora bolečine v sklepu ni sporazuma o veljavnosti različnih diagnostičnih testov. Namen: na podlagi pregleda literature ugotoviti veljavnost provokacijskih testov za sakroiliakalni sklep. Metode: uporabljene so bile spletne podatkovne zbirke PubMed, Medline, PEDro, Cochrane in Cinahl. Iskanje literature je bilo omejeno na besedila v angleškem jeziku, ki so bila objavljena od leta 2000 do leta 2014. Rezultati: v pregled literature je bilo vključenih deset raziskav. Vrednosti občutljivosti za različne posamezne teste so znašale od 0,0 do 1,0 in vrednosti specifičnosti od 0,16 do 1,0. Vrednosti občutljivosti skupkov testov so znašale od 0,6 do 1,0 in vrednosti specifičnosti skupkov testov od 0,42 do 1,0. Zaključki: večina avtorjev se strinja, da je veljavnost diagnostičnih testov sakroiliakalnega sklepa premalo raziskana. Skupki testov, vsaj trije pozitivni, so se izkazali kot uporaben način ocenjevanja. Nadaljnje raziskave veljavnosti bi morale vključevati posamezne teste in tudi njihove skupke ter jih za pridobivanje veljavnih rezultatov primerjati z enotnim referenčnim standardom.

• Language: Slovenian
• Keywords: diagnostični testi, posamezni testi, skupki testov, sakroiliakalni sklep
• Typology: 1.02 - Review Article
• Organization: ZF - Faculty of Health Sciences
• Year: 2015
• Number of pages: Str. 47-57
• Numbering: Letn. 23, št. 2
• PID: 20.500.12556/RUL-114737
• UDC: 615.8
• ISSN on article: 1318-2102
• URN: URN:NBN:SI:doc-NTHNZYAR
• COBISS.SI-ID: 4977003
• Publication date in RUL: 06.03.2020

Record is a part of a journal

• Title: Fizioterapija
• Shortened title: Fizioterapija
• Publisher: Društvo fizioterapevtov Slovenije, Društvo fizioterapevtov Slovenije, Združenje fizioterapevtov Slovenije
• ISSN: 1318-2102
• COBISS.SI-ID: 30074880

Secondary language

• Language: English
• Title: Validity of pain provocation tests for sacroiliac joint - literature review

Abstract

Background: the sacroiliac joint as a source of back pain is a recurrent subject of controversy. Although the sacroiliac joint is accepted as a source of pain, there is no general agreement concerning the validity of different tests. The aim of this article is to determine the validity of pain provocation tests for sacroiliac joint based on a literature review. Methods: the PubMed, Medline, PEDro, Cochrane and Cinahl electronic databases were searched from year 2000 to 2014. Results: ten studies were included. The sensitivity values for different individual tests ranged from 0.0 to 1.0 and specificity values ranged from 0.16 to 1.0. The sensitivity values for composites of tests ranged from 0.6 to 1.0 and specificity values ranged from 0.42 to 1.0. Conclusion: despite mixed results, most authors agreed that the validity of the sacroiliac joint tests has not yet been studied enough. Composites of tests, at least three positive tests, appear to be valid and acceptable for clinical use. Further research of validity should include individual tests as well as composites of tests and compared to a single reference standard in order to obtain better and more accurate results.

• Keywords: diagnostic tests, individual test, composites of tests, sacroiliac joint