Diagnostic utility of clinical tests for spinal dysfunction

被引：25

作者：

Cook, Chad ^{[1
]}

Hegedus, Eric ^{[2
]}

机构：

[1] Walsh Univ, Dept Phys Therapy, N Canton, OH 44720 USA

[2] Duke Univ, Dept Community & Family Med, Durham, NC 27710 USA

来源：

MANUAL THERAPY | 2011年 / 16卷 / 01期

关键词：

Cervical spine; Diagnostic accuracy; Lumbar spine; Quality; Systematic review; FLEXION-ROTATION TEST; LUMBAR; VALIDITY; ACCURACY; RELIABILITY; PAIN; DISCOGRAPHY; INSTABILITY; STRATEGIES; IDENTIFY;

D O I：

10.1016/j.math.2010.07.004

中图分类号：

R49 [康复医学];

学科分类号：

100215 ;

摘要：

The purpose of this study was to outline the clinical tests that exhibit the highest diagnostic utility for the spine. Using a sensitive search strategy but highly restrictive inclusion criteria based on assessment of quality and reduction of bias, we identified 16 well constructed diagnostic accuracy studies of the spine. Within the 16 studies, 14 clinical tests were identified, and of the 14, four cervical tests and two lumbar tests were considered good screening tools whereas one cervical test and five lumbar tests were considered good tools for confirmatory diagnosis. A significant number of clinical tests were not included in our final tally secondary to poor study designs and the risks associated with inflated findings and bias. High quality diagnostic accuracy studies for the spine are necessary to improve clinicians' abilities to rule out sinister disorders. (C) 2010 Elsevier Ltd. All rights reserved.

引用

页码：21 / 25

页数：5

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