tailieunhanh - Báo cáo y học: "Accuracy of spinal orthopaedic tests: a systematic review"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Accuracy of spinal orthopaedic tests: a systematic review. | Chiropractic Osteopathy BioMed Central Review Accuracy of spinal orthopaedic tests a systematic review Rob Simpson and Hugh Gemmell Open Access Address Anglo-European College of Chiropractic 13-15 Parkwood Road Bournemouth UK Email Rob Simpson - simpsonr@ Hugh Gemmell - hgemmell@ Corresponding author Published 31 October 2006 Received II July 2006 Chiropractic Osteopathy 2006 14 26 doi 1746-1 340-14-26 Accepted 31 October 2006 This article is available from http content 14 1 26 2006 Simpson and Gemmell licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background The purpose of this systematic review was to critically appraise the literature on the accuracy of orthopaedic tests for the spine. Methods Multiple orthopaedic texts were reviewed to produce a comprehensive list of spine orthopaedic test names and synonyms. A search was conducted in MEDLINE MANTIS CINAHL AMED and the Cochrane Library for relevant articles from inception up to December 2005. The studies were evaluated using the tool for quality assessment for diagnostic accuracy studies QUADAS . Results Twenty-one papers met the inclusion criteria. The QUADAS scores ranged from 4 to 12 of a possible 14. Twenty-nine percent of the studies achieved a score of 10 or more. The papers covered a wide range of tests for spine conditions. Conclusion There was a lack of quantity and quality of orthopaedic tests for the spine found in the literature. There is a lack of high quality research regarding the accuracy of spinal orthopaedic tests. Due to this lack of evidence it is suggested that over-reliance on single orthopaedic tests is not appropriate. Background An orthopaedic test is defined as a procedure designed to