Clinical Tests to Diagnose Lumbar Segmental Instability: A Systematic Review

2011 ◽  
Vol 41 (3) ◽  
pp. 130-140 ◽  
Author(s):  
Abdullah M. Alqarni ◽  
Anthony G. Schneiders ◽  
Paul A. Hendrick
Keyword(s):  
Systematic Review ◽  
Clinical Tests ◽  
Segmental Instability ◽  
Lumbar Segmental Instability

scholarly journals Diagnostic accuracy of clinical tests for cam or pincer morphology in individuals with suspected FAI syndrome: a systematic review

2020 ◽  
Vol 6 (1) ◽  
pp. e000772 ◽  
Author(s):  
Rahel Caliesch ◽  
Martin Sattelmayer ◽  
Stephan Reichenbach ◽  
Marcel Zwahlen ◽  
Roger Hilfiker
Keyword(s):  
Systematic Review ◽  
Diagnostic Accuracy ◽  
Index Test ◽  
Test Results ◽  
Clinical Tests ◽  
Negative Test ◽  
Post Test ◽  
Pincer Morphology ◽  
Fai Syndrome ◽  
Quality Evidence

ObjectivesTo determine the diagnostic accuracy of clinical tests for cam or pincer morphology in individuals with suspected femoroacetabular impingement (FAI) syndrome and to evaluate their clinical utility.DesignA systematic review of studies investigating the diagnostic accuracy of clinical tests for cam and pincer morphology.Data sourcesPubMed, Embase, CINAHL and SPORTDiscus.Eligibility criteria for selecting studiesStudies investigating the diagnostic accuracy of clinical tests for cam, pincer or mixed morphology in symptomatic patients. Patients had to undergo an index test and a reference test able to identify cam or pincer morphology. Study results have to allow the calculation of true or false positives and/or negatives to calculate sensitivity, specificity, likelihood ratios (LR) and post-test probabilities.ResultsEight studies were included, investigating 17 tests and two test combinations. The studies reported a low specificity for all tests, ranging from 0.11 to 0.56. Sensitivity ranged from 0.11 to 1.00, with high sensitivities for the flexion-adduction-internal rotation (FADIR), foot progression angle walking (FPAW) and maximal squat tests. We estimated that negative test results on all of these three tests would result in a negative LR of 0.15. However, we judged the studies to provide low-quality evidence.ConclusionThere is low-quality evidence that negative test results reduce the post-test probability of cam or mixed morphologies and that consecutive testing with the FADIR, FPAW and maximal squat tests might be used as a clinical test combination. We would not recommend their use to confirm the diagnosis of FAI syndrome.PROSPERO registration numberCRD42018079116.

EMG activity and force during prone hip extension in individuals with lumbar segmental instability

2015 ◽  
Vol 20 (3) ◽  
pp. 440-444 ◽  
Author(s):  
Hee-Seok Jung ◽  
Sun-Young Kang ◽  
Joo-Hee Park ◽  
Heon-Seock Cynn ◽  
Hye-Seon Jeon
Keyword(s):  
Emg Activity ◽  
Segmental Instability ◽  
Lumbar Segmental Instability ◽  
Hip Extension

B211 Improvement of the intraoperative measurement system for evaluation of lumbar segmental instability

2013 ◽  
Vol 2013.24 (0) ◽  
pp. 125-126
Author(s):  
Fuminori Kobayashi ◽  
Yuki Maekawa ◽  
Shojiro Terashima ◽  
Kazuhiro Hasegawa ◽  
Ko Kitahara ◽  
...  
Keyword(s):  
Measurement System ◽  
Segmental Instability ◽  
Lumbar Segmental Instability

114 Operation test of the improved intraoperative measurement system for evaluation of lumbar segmental instability

2014 ◽  
Vol 2014.51 (0) ◽  
pp. _114-1_-_114-2_
Author(s):  
Fuminori Kobayashi ◽  
Yuki Maekawa ◽  
Shojiro Terashima ◽  
Kazuhiro Hasegawa ◽  
Ko Kitahara ◽  
...  
Keyword(s):  
Measurement System ◽  
Segmental Instability ◽  
Operation Test ◽  
Lumbar Segmental Instability
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