Rehabilitation and Therapy Commons^™

Clinical Predictors Of A Positive Response To Guided Diagnostic Block Into The Subacromial Bursa, Angela Cadogan, Mark Laslett, Wayne Hing, Peter Mcnair, Stephen Taylor

Wayne Hing

Objective: To compare the accuracy of combinations of clinical examination findings for predicting a positive response to injection of local anaesthetic into the subacromial bursa.

Design: Prospective, cohort, diagnostic validity design. Subjects: Consecutive patients with shoulder pain recruited from primary care physiotherapy and general medical practices.

Methods: All subjects underwent a standardised clinical examination (index test) followed by a diagnostic injection of xylocaineTM into the subacromial bursa (reference standard test) performed under ultrasound guidance. Clinical examination variables associated with a positive anaesthetic response (≥ 80% post-injection reduction in pain intensity) were identified (p

Results: Of the 196 subjects who received …

Shoulder Pain In Primary Care: Diagnostic Accuracy Of Clinical Examination Tests For Non-Traumatic Acromioclavicular Joint Pain, Angela Cadogan, Peter Mcnair, Mark Laslett, Wayne Hing

Wayne Hing

Background: Despite numerous methodological flaws in previous study designs and the lack of validation in primary care populations, clinical tests for identifying acromioclavicular joint (ACJ) pain are widely utilised without concern for such issues. The aim of this study was to estimate the diagnostic accuracy of traditional ACJ tests and to compare their accuracy with other clinical examination features for identifying a predominant ACJ pain source in a primary care cohort. Methods: Consecutive patients with shoulder pain were recruited prospectively from primary health care clinics. Following a standardised clinical examination and diagnostic injection into the subacromial bursa, all participants received …

Interexaminer Reliability Of Orthopaedic Special Tests Used In The Assessment Of Shoulder Pain, Angela Cadogan, Mark Laslett, Wayne Hing, Peter Mcnair, Maynard Williams

Wayne Hing

Orthopaedic special tests (OST) are commonly used in the assessment of the painful shoulder to assist to rule-in or rule-out specific pathology. A small number of tests with high levels of diagnostic accuracy have been identified but interexaminer reliability data is variable or lacking. The aim of this study was to determine the interexaminer reliability of a group of OST with demonstrated diagnostic accuracy at primary care level. Forty consecutive subjects with shoulder pain were recruited. Six tests were performed by two examiners (physiotherapists) on the same day. Tests included the active compression test, Hawkins–Kennedy test, drop-arm test, crank test, …