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Sensibilidade, especificidade e precisão dos testes clínicos para diagnóstico de lesão do supra-espinhoso: revisão da bibliografia
| Name: | Description: | Size: | Format: | |
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| 38271 | 300 KB | Adobe PDF |
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Abstract(s)
Objetivos: Comparar e avaliar a sensibilidade, especificidade e precisão diagnostica dos testes para diagnóstico de lesão do supra-espinhoso (SE). Metodologia: Pesquiza computorizada nas bases de dados Pubmed, Web of Science e DiTA utilizando a expressão (“supraspinatus" OR “rotator cuff”) AND (“clinical tests” OR “diagnostic tests” OR “orthopedic tests” OR “test”) AND (“validity” OR “specificity” OR “sensibility” OR “accuracy”) selecionando os artigos que abordavam sensibilidade, especificidade, precisão e/ou likelihood ratio. Resultados: 11 estudos cumpriram os critérios de eligibilidade apresentando 13 testes clínicos: o Empty can, o Full can, o teste de Whipple, o Neer, o Hawkins-Kennedy, o lateral rotation lag sign, o Yocum, o Patte, o Drop arm, o modified drop arm, o resisted external rotation, teste de 0° de abdução, e scapular retraction.O teste Empty can e Full can são os testes com os valores de precisão maiores para diagnóstico de lesão do supra-espinhoso. Conclusão: a evidência sugere que os testes clínicos do Empty can e Full can são os melhores preditores de lesão e podem continuar a ser utilizados para diagnóstico de roturas do supra-espinhoso em conjunto com imagiologia. Para as tendinopatias, a evidência mostra falta de precisão dos testes clínicos.
Aim: To compare and assess the sensitivity, specificity and/or accuracy of clinical tests in the diagnosis of supraspinatus tear. Methodology: Computerized search in Pubmed, Web of Science and DiTA databases using the expression (supraspinatus OR rotator cuff) AND (“clinical tests” OR “diagnostic tests” OR “orthopedic tests” OR “test”) AND (“validity” OR “specificity” OR “sensibility” OR “accuracy”), selecting the studies that adressed the sensitivity, specificity, accuracy and/or likelihoods ratios for the diagnosis of supraspinatus tear. Results: 11 studies met the eligibility criteria, evaluating 13 diagnostics tests: o Empty can, o Full can, the Whipple, the Neer, the Hawkins-Kennedy, the Lateral rotation lag sign, the Yocum, the Patte, the Drop arm, the modified drop arm, the resisted external rotation, the 0° abduction test, and scapular retraction. The Empty can and Full can tests are the tests with the highest accuracy values for diagnosis of supraspinatus injury. Conclusion: The evidence suggests that the Empty can and Full can clinical tests are the best predictors of injury and may continue to be used for diagnosis of supraspinatus ruptures in conjunction with imaging. For tendinopathies, they lack accuracy.
Aim: To compare and assess the sensitivity, specificity and/or accuracy of clinical tests in the diagnosis of supraspinatus tear. Methodology: Computerized search in Pubmed, Web of Science and DiTA databases using the expression (supraspinatus OR rotator cuff) AND (“clinical tests” OR “diagnostic tests” OR “orthopedic tests” OR “test”) AND (“validity” OR “specificity” OR “sensibility” OR “accuracy”), selecting the studies that adressed the sensitivity, specificity, accuracy and/or likelihoods ratios for the diagnosis of supraspinatus tear. Results: 11 studies met the eligibility criteria, evaluating 13 diagnostics tests: o Empty can, o Full can, the Whipple, the Neer, the Hawkins-Kennedy, the Lateral rotation lag sign, the Yocum, the Patte, the Drop arm, the modified drop arm, the resisted external rotation, the 0° abduction test, and scapular retraction. The Empty can and Full can tests are the tests with the highest accuracy values for diagnosis of supraspinatus injury. Conclusion: The evidence suggests that the Empty can and Full can clinical tests are the best predictors of injury and may continue to be used for diagnosis of supraspinatus ruptures in conjunction with imaging. For tendinopathies, they lack accuracy.
Description
Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciada em Fisioterapia
Keywords
Sensibilidade Especificidade Testes clínicos Precisão Supra-espinhoso Sensitivity Specificity Clinical tests Accuracy Supraspinatus