Orthopedic Tests

Diagnostic accuracy of upper limb neurodynamic tests in the diagnosis of cervical radiculopathy

Musculoskeletal Science and Practice 8 July 2021 Francis Grondin PhD, PT Highlights •  A positive ULNT was defined as reproduction of arm symptom altered by structural differentiation. •  A single positive ULNT did not alter post-test probability for cervical radiculopathy. •  ≥3 positive UNLT rules in cervical radiculopathy with strong LR+ and a high posttest […]

Inter-examiner reliability study of physical examination procedures to assess the cervical spine

Published: 14 June 2021 Karthik V. Hariharan, Michael G. Timko, Christopher G. Bise, Meenakshi Sundaram & Michael J. Schneider Chiropractic & Manual Therapies volume 29, Article number: 20 (2021) Abstract Objective The objective of this study was to establish the level of inter-examiner reliability for six common cervical manual and physical examination procedures used to […]

Extending the straight leg raise test for improved clinical evaluation of sciatica: reliability of hip internal rotation or ankle dorsiflexion

Published: 24 March 2021 Janne Pesonen, Michael Shacklock, Pekka Rantanen, Jussi Mäki, Lauri Karttunen, Markku Kankaanpää, Olavi Airaksinen & Marinko Rade BMC Musculoskeletal Disorders Volume 22, Article number: 303 (2021) Abstract Background The straight leg raise (SLR) is the most commonly applied physical tests on patients with sciatica, but the sensitivity and specificity ratings for […]

Accuracy of the Diagnostic Tests of Sacroiliac Joint Dysfunction

Journal of Chiropractic Medicine Available online 12 September 2020 ParisaNejati MD, MPH Abstract Objective The purpose of this study was to assess the reliability and validity of motion palpation and pain provocation compared with sacroiliac joint (SIJ) block as the gold-standard assessment method of patients with sacroiliac joint dysfunction (SIJD). Methods A cross-sectional study was […]

Reliability of the buttock applied strain test to diagnose radicular pain in patients with low back pain

Pain Practice — Dekel BGS, Sorella MC, Vasarri A, et al. | May 01, 2020 This study was intended to assess reliability of the buttock applied strain test for the diagnosis of radicular pain in patients with low back pain. Researchers included a sum of 395 consecutive patients with low‐back pain (LBP) to examine sensitivity, […]

Reliability and validity of a new clinical test for assessment of the sacroiliac joint dysfunction

Hong Kong Physiotherapy Journal lVol. 38, No. 01, pp. 13-22 (2018) Research Papers Open Access Apurv Shimpi, Renuka Hatekar, Ashok Shyam and Parag Sancheti https://doi.org/10.1142/S1013702518500026 Abstract Background: Dysfunctional sacroiliac joint (SIJ) has been cited as a source of low backache (LBA). Numerous non-invasive clinical tests are available for its assessment having poor validity and reliability […]

The Diagnostic Accuracy of Special Tests for Rotator Cuff Tear: The ROW Cohort Study.

Am J Phys Med Rehabil. 2016 Jul 6. [Epub ahead of print] Jain NB1, Luz J, Higgins LD, Dong Y, Warner JJ, Matzkin E, Katz JN. Author information Abstract OBJECTIVE: The aim was to assess diagnostic accuracy of 15 shoulder special tests for rotator cuff tears. DESIGN: From February 2011 to December 2012, 208 participants […]

The AO classification system more reliable than Lauge-Hansen system for ankle injury diagnosis

AO classification system provides more reliable ankle injury diagnosis vs Lauge-Hansen system  Yin M, et al. Orthopedics. 2015;doi:10.3928/01477447-20150701-62. August 13, 2015 The AO classification system was determined to be easier to comprehend for the diagnosis of ankle injuries vs. the Lauge-Hansen classification system, with the AO system demonstrating better reliability and reproducibility, according to study […]

The evaluation of lumbar multifidus muscle function via palpation: reliability and validity of a new clinical test

Jeffrey J. Hebert, DC, PhD The Spine Journal Volume 15, Issue 6, 1 June 2015, Pages 1196–1202 Abstract Background context The lumbar multifidus muscle provides an important contribution to lumbar spine stability, and the restoration of lumbar multifidus function is a frequent goal of rehabilitation. Currently, there are no reliable and valid physical examination procedures […]

A modified Delphi survey on the signs and symptoms of low back pain: indicators for an interventional management approach.

Pain Pract. 2015 Jan;15(1):12-21. doi: 10.1111/papr.12135. Epub 2013 Dec 9. Cid J Abstract BACKGROUND: Low back pain (LBP) symptoms and signs are nonspecific. If required, diagnostic blocks may find the source of pain, but indicators of suspect diagnosis must be defined to identify anatomical targets. OBJECTIVE: To reach a consensus from an expert panel on […]

No single test accurately diagnoses rotator cuff disease

Healio.com Somerville LE. Am J Sports Med. 2014. doi:10.1177/0363546514538390. August 13, 2014 Study data have shown no one test can accurately diagnose rotator cuff tears or tendinosis. Researchers reviewed 139 consecutive patients being examined at two orthopedic clinics for possible rotator cuff lesions. If a diagnosis was uncertain after taking patients’ medical history, a clinician […]

Two Important, Yet Simple Tests For Low Back Pain / Leg Pain

JULY 1, 2014 BY CHIROTRUST The nervous system can be categorized in many different ways. In understanding nervous system physiology, a simple but accurate way of categorization is to view the nervous system as two separate but integrated systems: The MOTOR nerve system The SENSORY nerve system The MOTOR nerve system is the nerves that move our muscles (motor), and also control the […]

Kemp’s Test Accuracy

The Study: The diagnostic accuracy of the Kemp’s test: a systematic review The Facts: a. The authors looked at the literature pertaining to the ability of Kemp’s test to diagnose facet joint pain. b. Facet joint pain arises “from any structure related to the facet joints.” c. Kemp’s test is used to diagnose pain in […]

Arm Squeeze Test: a new clinical test to distinguish neck from shoulder pain

S. Gumina, Stefano Carbone, P. Albino, M. Gurzi, F. Postacchini European Spine Journal July 2013, Volume 22, Issue 7, pp 1558-1563 Abstract Purpose Objective of this study is to evaluate the diagnostic values of the Arm Squeeze Test. The test consists in squeezing the middle third of the upper arm. Methods 1,567 patients were included […]

Distraction test of the (PSIS) in the diagnosis of sacroiliac joint arthropathy

Werner CM,et al. BMC Surg. 2013 Oct 31;13(1):52. [Epub ahead of print] Abstract BACKGROUND: The sacroiliac joint (SIJ) is a frequently underestimated cause of lower back (LBP). A simple clinical test of sufficient validity would be desirable. The aim of this study was to evaluate the diagnostic value of a new PSIS distraction test for […]

Video: Does This Patient With Shoulder Pain Have Rotator Cuff Disease? JAMA

Video summary of the August 28, 2013 Rational Clinical Examination systematic review, “Does This Patient With Shoulder Pain Have Rotator Cuff Disease?” ARTICLE: Does This Patient With Shoulder Pain Have Rotator Cuff Disease?: The Rational Clinical Examination Systematic Review Hermans J, Luime JJ, Meuffels DE, Reijman M, Simel DL, Bierma-Zeinstra SA. JAMA. 2013;310(8):837-847. doi:10.1001/jama.2013.276187. JAMA Website:  http://jama.jamanetwork.com/multimediaPlayer.aspx?mediaid=5975016

Accuracy of Physical Examination for Chronic Lumbar Radiculopathy

The main finding is that individual clinical index tests lack diagnostic accuracy for predicting whether a lumbar nerve root is impinged or not at a specific level in patients with chronic lumbar radiculopathy in specialised care.

An Algorithmic Approach to Mechanical Hip Pain

Lazaros A. Poultsides, MD, MSc, PhD HSS J. 2012 October; 8(3): 213–224. Published online 2012 September 21. doi:  10.1007/s11420-012-9304-x Full Text Article:  http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3470663/ Abstract Background As our understanding of hip pathology evolves, the focus is shifting toward earlier identification of hip pathology. Therefore, it is vitally important to elucidate intra-articular versus extra-articular pathology of hip pain in every step […]

Clinical Assessment of the Shoulder – FULL TEXT ARTICLE

Thomas D Donnelly Open Orthop J. 2013; 7: 310–315. Published online 2013 September 6. doi: 10.2174/1874325001307010310 PMCID: PMC3785041 Suppl 3 Abstract The shoulder joint is complex in structure and functionality. It is often difficult to assess clinically due to the great variety of associated pathology. This article presents an overview of the anatomy of the […]

Active Hip Abduction Test as a Screening Test for Identifying Occupational Low Back Pain

Authors: Erika Nelson-Wong, DPT1, Timothy Flynn, PT, PhD2, Jack P. Callaghan, PhD3  AFFILIATIONS: 1 PhD candidate, University of Waterloo, Department of Kinesiology, Waterloo, ON, Canada.2 Associate Professor, Regis University, School of Physical Therapy, Denver, CO. 3 Associate Professor, University of Waterloo, Department of Kinesiology, Waterloo, ON, Canada. This work was conducted with financial support from the Natural Science and Engineering Research Council Canada, and […]