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Merske lastnosti provokacijskih manualnih testov pri utesnitvenem sindromu v ramenskem sklepu - priporočen algoritem za klinično uporabo
ID Kac, Janez (Author), ID Hlebš, Sonja (Author)

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Abstract
Pri fizioterapevtskem ocenjevanju se pogosto uporabljajo provokacijski manualni testi, vendar je uporabnost glede na njihove merske lastnosti vprašljiva. Namen prispevka je bil predstaviti merske lastnosti provokacijskih manualnih testov za določanje utesnitvenega sindroma ramenskega sklepa in z njim povezanih okvar. Metode: Pregledane so bile podatkovne zbirke PubMED, PEDro in The Cochrane Library. Rezultati: Analiziranih je bilo 19 raziskav. Za določanje utesnitvenega sindroma so bile vrednosti testov (Jobov, Hawkins-Kennedyjev, Neerov test) za občutljivost od 58 % do 92 % in za specifičnost od 26 % do 89 %. Pozitivna razmerja verjetnosti so bila od 1,70 do 1,68 in negativna razmerja verjetnosti od 0,37 do 0,68. Testi za določanje nestabilnosti so imeli vrednosti občutljivosti od 61 % do 81 %, specifičnosti od 45,0 % do 95,4 % in najvišje vrednosti pozitivnih razmerij verjetnosti (od 1,15 do 17,21). Za okvaro kite dolge glave mišice biceps brachii (Speedov test, O'Brienov test, test z obremenitvijo II) so vrednosti za občutljivost znašale od 10 % do 98 %, za specifičnost od 37 % do 100 % z najboljšimi razmerji verjetnosti (pozitivno od 0,90 do 30; negativno od 0,10 do 1,19). Zaključki: Na podlagi analiziranih merskih lastnosti testov predlagamo algoritem za klinično uporabo.

Language:Slovenian
Keywords:manualni testi, utesnitveni sindrom ramenskega sklepa, merske lastnosti
Work type:Article
Typology:1.02 - Review Article
Organization:ZF - Faculty of Health Sciences
Publication status:Published
Publication version:Version of Record
Submitted for review:26.10.2020
Article acceptance date:22.03.2021
Publication date:07.07.2021
Year:2021
Number of pages:Str. 26-34
Numbering:Letn. 29, št. 1
PID:20.500.12556/RUL-134263 This link opens in a new window
UDC:615.82
ISSN on article:1318-2102
COBISS.SI-ID:70771715 This link opens in a new window
Publication date in RUL:04.01.2022
Views:1105
Downloads:44
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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 This link opens in a new window

Secondary language

Language:English
Title:Measurement properties of provocative manual tests in shoulder impingement syndrome - recommended algorithm for clinical use
Abstract:
Provocative manual tests are often used in physiotherapy assessment, but their measurement properties are questionable. The aim of this paper was to present the measurement properties of provocative manual tests for determining shoulder impingement syndrome and associated dysfunction. Methods: PubMED, PEDro, and The Cochrane Library databases were reviewed. Results: Nineteen studies were analysed. The sensitivity and specificity for impingement syndrome (Jobe, Hawkins-Kennedy, Neer test) ranged from 58 % to 92 % and from 26 % to 89 %, respectively. The values of positive likelihood ratios ranged from 1.0 to 1.68 and for negative from 0.37 to 0.68. Instability tests had sensitivity from 61 % to 81 % and specificity from 45.0 % to 95.4 %; these tests had the best positive likelihood ratios (from 1.15 to 17.21). For the pathology of the long head tendon of the biceps brachii (Speed test, O'Brien test, biceps load test II) sensitivity ranged from 10 % to 98 % and specificity from 37 % to 100 %; positive and negative likelihood ratios were from 0.90 to 30 and from 0.10 to 1.19, respectively. Conclusions: Based on the analysed measurement properties of the tests, we propose an algorithm for clinical use.

Keywords:manual tests, shoulder impingment syndrome, measurement propertis

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