Year: 2011
Type: dissertation
Abstract: This thesis had two major purposes: (1) to review the literature for the most valid physical examination tests for the shoulder and (2) to produce a video demonstrating the correct performing techniques of the tests and how they should be interpreted. \n \nData for the literature review was collected from systematic reviews found from PubMed, Google Scholar and Cochrane databases. In these articles 14 clinical tests were found to be valid enough. Two of them are for impingement, six for full-thickness rotator cuff tears, three for anterior instability, one for labral tears and two for acromioclavicular joint pathologies. A 30–minute video was produced, demonstrating the performing techniques of the tests. \n \nThere are few high quality studies of the validity of the physical examination tests for the shoulder. The results of those studies suggest that most of the tests do not have consistent evidence of being acceptably valid for clinical purposes. However, the included tests seem to have value in affecting the likelihood of the condition of interest, especially when interpreted with a nomogram. Nonetheless, the results should be interpreted cautiously since the current evidence is inconsistent. \n \nOur video provides an evidence-based collection of the most valid physical examination tests for the shoulder with instructions of how to interpret the results. Therefore, it may help physiotherapists evaluate the underlying pathology with greater precision.
Source: Theseus (Ammattikorkeakoulujen)
Authors: Tero Pasanen, Heikki Kivistö
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W2275286442