Department of Physiotherapy, Institute of Physical Medicine and Rehabilitation, Khyber Medical University, Peshawar, Pakistan.
Department of Physiotherapy, Bibi Zahida Memorial Hospital, NCS University System, Peshawar, Pakistan.
J Pak Med Assoc. 2023 Apr;73(4):843-847. doi: 10.47391/JPMA.5529.
To determine the sensitivity and specificity of the clinical diagnostic tests of subacromial impingement syndrome.
The systematic review comprised search on PubMed, PEDro, Cochrane Library and Google Scholar databases. For prospective cohort studies published in peer-reviewed English-language journals without any time limit, at least fully describing one clinical test. Only studies with free full text available were included. Data extracted included sensitivity and specificity for each clinical test, and variations were sorted out by the 3 reviewers by discussion.
Of the 4137 studies identified, 2951(71.3%) were on PubMed, 119(2.9%) PEDro, 5(0.1%) Cochrane Library and 1062(25.7%) Google Scholar. After screening out all the studies that did not match the detailed inclusion criterion, 3(0.07%) studies were selected for review; 1(33.3%) each done in Spain, Turkey and France. Overall, there were 181 aged 15-82 years; 85(47%) males and 96(53%) females. Supraspinatus palpation test had a sensitivity of 92%, while the modified Neer test had specificity of 95.56% in terms of ruling out subacromial impingement syndrome.
Supraspinatus palpation and modified Neer tests were found to be the most effective in the diagnosis of subacromial impingement syndrome.
确定肩峰下撞击综合征的临床诊断试验的敏感性和特异性。
系统综述包括在 PubMed、PEDro、Cochrane 图书馆和 Google Scholar 数据库上的检索。对于发表在同行评议的英文期刊上且无时间限制的前瞻性队列研究，至少要充分描述一种临床检查。仅纳入可提供全文的研究。提取的数据包括每个临床检查的敏感性和特异性，由 3 位审稿人通过讨论对变异进行分类。
在确定的 4137 项研究中，2951 项（71.3%）来自于 PubMed，119 项（2.9%）来自 PEDro，5 项（0.1%）来自 Cochrane Library，1062 项（25.7%）来自 Google Scholar。在筛选出所有不符合详细纳入标准的研究后，有 3 项（0.07%）研究被选中进行综述；分别来自西班牙、土耳其和法国，各有 1 项。总体上，患者年龄为 15-82 岁，181 例；男性 85 例（47%），女性 96 例（53%）。肩峰下压痛试验的敏感性为 92%，改良 Neer 试验的特异性为 95.56%，用于排除肩峰下撞击综合征。
肩峰下压痛和改良 Neer 试验被认为是诊断肩峰下撞击综合征最有效的方法。
