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dc.contributor.authorAune, Alice Tongaeng
dc.date.accessioned2013-07-17T12:17:33Z
dc.date.available2013-07-17T12:17:33Z
dc.date.issued2012-10-31eng
dc.date.submitted2012-10-31eng
dc.identifier.urihttp://hdl.handle.net/1956/6832
dc.description.abstractObjective Shoulder pain is a common complaint in the population. For optimal treatment, it is important with valid and reliable tests. The aim of the present study was to evaluate the discriminate ability of four physical tests used to assess subacromial impingement syndrome. Research question “How is the discrimination ability of four physical tests in diagnosing subacromial impingement syndrome confirmed by diagnostic ultrasound?” Methods The study is a cross sectional study assessing the diagnostic accuracy of four physical shoulder tests. The participants (n=17, Male 53%, mean age: 47) were recruited after being diagnosed by ultrasound. 16 participants without shoulder pain were also recruited. Sensitivity, specificity, positive and negative predictive values and diagnostic accuracy of the tests were examined. Result The diagnostic accuracy of Neers, Hawkins, Jobe and Painful Arc tests was 64%, 71%, 82% and 64% respectively (sensitivity was 77%, 92%, 77%, 70% and specificity was 25%, 0%, 100%, 50%) compared with other shoulder pathology. Compared to the asymptomatic participants, the diagnostic acccuracy of Neers, Hawkins, Jobe og Painful Arc Tests was 90%, 90%, 90% and 86% respectively (sensitivity was 77%, 92%, 77%, 70% and spesificity 100%, 88%, 100%, 100%). Conclusion Compared to other shoulder pathology, Neers, Hawkins and Painful Arc Tests demonstrated little probability of impingement with negative test results, while Jobe Test indicated a high chance of impingement with positv test result. The test with the highest diagnostic accuracy was Jobe test. Compared to the asypthmatic participants, Neers, Jobe and Painful Arc Tests indicated high likelihood for impingement with a positv test result. In contrast, Hawkins Test indicated little probability of impingement with a negative test result.eng
dc.description.abstractBakgrunn Skuldersmerter er en av de vanligste plagene i befolkningen. For å kunne gi optimal behandling er det viktig å diagnostisere skulderlidelsene med tester som er valide og reliable. Målet med denne studien var derfor å evaluere den diagnostike nøyaktigheten til fire av de mest anvendte impingementtester for skulderen. Problemstilling ”Hvor diagnostisk nøyaktig er fire kliniske provokasjonstester for subacromialt impingement ved bruk av ultralyd som referanseramme?” Metode Denne studien er en tverrsnittsstudie av diagnostisk nøyaktighet. Halvparten av deltagerne (n=17, 53% menn, gjennomsnittsalder: 47) ble fortløpende rekruttert etter diagnostisering ved hjelp av ultralyd. I tillegg ble 16 deltakere uten skulderplager rekruttert. Sensitivitet, spesifisitet, positiv- og negativ prediktiv verdi, positiv- og negativ og nøyaktigheten av testene ble beregnet i en 2x2 tabell. Resultater Neers, Hawkins, Jobe og Painful Arc hadde henholdsvis 64%, 71%, 82% og 64% nøyaktighet (sensitivitet 77%, 92%, 77%, 70%, spesifisitet 25%, 0%, 100%, 50%) sammenliknet med annen skulderpatologi. Ved sammenlikning med friske hadde Neers, Hawkins, Jobe og Painful Arc henholdsvis 90%, 90%, 90% og 86% nøyaktighet (sensitivitet 77%, 92%, 77%, 70%, spesifisitet 100%, 88%, 100%, 100%). Konklusjon Neers, Hawkins og Painful Arc test indikerte ved sammenlikning mot annen skulderpatologi liten sannsynligheten av impingement ved negativ test, mens Jobe test indikerte at sjansen for impingement var meget stor ved positiv test. Jobe test viste også den høyeste nøyaktigheten med 82% treffsikkerhet. Ved sammenlikning mot friske indikerer Neers, Jobe og Painful Arc at sjansen for impingement var stor ved positiv test. Hawkins test indikerte i motsetning at sjansen for impingement var liten ved negativ test.eng
dc.format.extent7782428 byteseng
dc.format.mimetypeapplication/pdfeng
dc.language.isonobeng
dc.publisherThe University of Bergeneng
dc.subjectSkuldersmerteeng
dc.subjectskuldereng
dc.subjectsubacromialt impingement syndromeng
dc.subjectManuellterapieng
dc.subjectFysioterapieng
dc.subject.meshShoulder Impingement Syndromeeng
dc.subject.meshMusculoskeletal Manipulationseng
dc.titleDiagnostisk nøyaktighet ved fire kliniske provokasjonstester for subacromialt impingementeng
dc.typeMaster thesiseng
dc.type.degreeMaster i Klinisk masterstudium for fysioterapeuter i manuell terapi (MFMTnob
dc.type.courseMANT395eng
dc.subject.archivecodeMastergradeng
dc.subject.nus761901eng
dc.type.programMAMD-MANTeng
dc.rights.holderCopyright the author. All rights reserved
bora.peerreviewedNot peer reviewedeng


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