Merske lastnosti provokacijskih manualnih testov pri utesnitvenem sindromu v ramenskem sklepu - priporočen algoritem za klinično uporabo

Kac, Janez (author), Hlebš, Sonja (author)

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
• UDC: 615.82
• ISSN on article: 1318-2102
• COBISS.SI-ID: 70771715
• Publication date in RUL: 04.01.2022

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: 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