三种用于识别翼状韧带损伤的手法检查测试的诊断准确性和有效性：一项盲法病例对照研究的结果
Diagnostic accuracy and validity of three manual examination tests to identify alar ligament lesions: results of a blinded case-control study.
作者信息
Harry Von Piekartz, Maloul Rakan, Hoffmann Marisa, Hall Toby, Ruch Med Martin, Ballenberger Nicolaus
机构信息
a Department of Physical Therapy and Rehabilitationscience , University of Applied Science Osnabrueck , Osnabrueck , Germany.
b Department of Physical Therapy and Rehabilitation , University of Applied Science Osnabrück , Osnabrueck , Germany.
出版信息
J Man Manip Ther. 2019 May;27(2):83-91. doi: 10.1080/10669817.2018.1539434. Epub 2018 Nov 15.
INTRODUCTION
Tests to evaluate the integrity of the alar ligaments are important clinical tools for manual therapists, but there is limited research regarding their validity.
METHOD
A single blinded examiner assessed alar ligament integrity using the lateral shear test (LST), rotation stress test (RST) and side-bending stress test (SBST) on a sample of convenience comprising 7 subjects with MRI confirmed alar ligament lesions and 11 healthy people. Alar ligament lesions were identified using both supine and high-field strength upright MRI.
RESULTS
The RST had a sensitivity of 80% and a specificity of 69.2%. The SBST and the LST both showed a sensitivity of 80% and a specificity of 76.9%. In cases where all three tests were positive, the specificity increased to 84.6%.
DISCUSSION
Tests of manual examination of alar ligament integrity have some diagnostic utility; however, these findings require further corroboration in a larger sample.
引言
评估翼状韧带完整性的测试是手法治疗师重要的临床工具，但关于其有效性的研究有限。
方法
一名单盲检查者对一个便利样本进行翼状韧带完整性评估，该样本包括7名经MRI证实有翼状韧带损伤的受试者和11名健康人，使用侧方剪切试验（LST）、旋转应力试验（RST）和侧弯应力试验（SBST）。通过仰卧位和高场强直立位MRI识别翼状韧带损伤。
结果
RST的敏感性为80%，特异性为69.2%。SBST和LST的敏感性均为80%，特异性为76.9%。在所有三项测试均为阳性的情况下，特异性增至84.6%。
讨论
翼状韧带完整性的手法检查测试具有一定的诊断效用；然而，这些发现需要在更大样本中进一步证实。
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