脊柱骨科检查的准确性：一项系统评价。
Accuracy of spinal orthopaedic tests: a systematic review.
作者信息
Simpson Rob, Gemmell Hugh
机构信息
Anglo-European College of Chiropractic, 13-15 Parkwood Road, Bournemouth, UK.
出版信息
Chiropr Osteopat. 2006 Oct 31;14:26. doi: 10.1186/1746-1340-14-26.
BACKGROUND
The purpose of this systematic review was to critically appraise the literature on the accuracy of orthopaedic tests for the spine.
METHODS
Multiple orthopaedic texts were reviewed to produce a comprehensive list of spine orthopaedic test names and synonyms. A search was conducted in MEDLINE, MANTIS, CINAHL, AMED and the Cochrane Library for relevant articles from inception up to December 2005. The studies were evaluated using the tool for quality assessment for diagnostic accuracy studies (QUADAS).
RESULTS
Twenty-one papers met the inclusion criteria. The QUADAS scores ranged from 4 to 12 of a possible 14. Twenty-nine percent of the studies achieved a score of 10 or more. The papers covered a wide range of tests for spine conditions.
CONCLUSION
There was a lack of quantity and quality of orthopaedic tests for the spine found in the literature. There is a lack of high quality research regarding the accuracy of spinal orthopaedic tests. Due to this lack of evidence it is suggested that over-reliance on single orthopaedic tests is not appropriate.
背景
本系统评价的目的是对有关脊柱骨科检查准确性的文献进行严格评估。
方法
查阅了多篇骨科文献，以列出一份全面的脊柱骨科检查名称及同义词清单。在MEDLINE、MANTIS、CINAHL、AMED和Cochrane图书馆中进行检索，查找从创刊至2005年12月的相关文章。使用诊断准确性研究质量评估工具（QUADAS）对这些研究进行评估。
结果
21篇论文符合纳入标准。QUADAS评分在可能的14分中为4至12分。29%的研究得分在10分及以上。这些论文涵盖了针对脊柱疾病的广泛检查。
结论
文献中发现的脊柱骨科检查在数量和质量上均有所欠缺。关于脊柱骨科检查准确性的高质量研究不足。由于缺乏证据，建议过度依赖单一骨科检查是不合适的。
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