Stuber Kent, Lerede Caterina, Kristmanson Kevyn, Sajko Sandy, Bruno Paul
Division of Graduate Education and Research, Canadian Memorial Chiropractic College.
Private practice, Calgary, Alberta.
J Can Chiropr Assoc. 2014 Sep;58(3):258-67.
The objective of this review was to evaluate the existing literature regarding the accuracy of the Kemp's test in the diagnosis of facet joint pain compared to a reference standard.
Several databases were searched. All diagnostic accuracy studies comparing the Kemp's test with an acceptable reference standard were included. Included studies were scored for quality and internal validity.
Five articles met the inclusion criteria of this review. Two studies had a low risk of bias, and three had a low concern regarding applicability. Pooling of data from studies using similar methods revealed that the test's negative predictive value was the only diagnostic accuracy measure above 50% (56.8%, 59.9%).
Currently, the literature supporting the use of the Kemp's test is limited and indicates that it has poor diagnostic accuracy. It is debatable whether clinicians should continue to use this test to diagnose facet joint pain.
本综述的目的是评估现有文献中关于肯普氏试验在诊断小关节疼痛方面相对于参考标准的准确性。
检索了多个数据库。纳入所有将肯普氏试验与可接受的参考标准进行比较的诊断准确性研究。对纳入的研究进行质量和内部效度评分。
五篇文章符合本综述的纳入标准。两项研究存在低偏倚风险，三项研究在适用性方面的关注度较低。对使用类似方法的研究数据进行汇总分析显示，该试验的阴性预测值是唯一一项高于50%（56.8%，59.9%）的诊断准确性指标。
目前，支持使用肯普氏试验的文献有限，表明其诊断准确性较差。临床医生是否应继续使用该试验来诊断小关节疼痛存在争议。
