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An Instrument-Assisted coracoid pain test: an exploratory diagnostic accuracy study

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An Instrument-Assisted coracoid pain test: an exploratory diagnostic accuracy study

dc.contributor.author	GCAM Mertens, Michel
dc.contributor.author	Meeus, Mira
dc.contributor.author	Pieters, Louise
dc.contributor.author	Balasch Bernat, M.
dc.contributor.author	Dueñas Moscardó, Lirios
dc.contributor.author	Verborgt, Olivier
dc.contributor.author	Struyf, Filip
dc.date.accessioned	2022-10-11T13:58:20Z
dc.date.available	2022-10-11T13:58:20Z
dc.date.issued	2022
dc.identifier.citation	GCAM Mertens, Michel Meeus, Mira Pieters, Louise Balasch Bernat, M. Dueñas Moscardó, Lirios Verborgt, Olivier Struyf, Filip 2022 An Instrument-Assisted coracoid pain test: an exploratory diagnostic accuracy study International Journal Of Environmental Research And Public Health 19 12735
dc.identifier.uri	https://hdl.handle.net/10550/84159
dc.description.abstract	The coracoid pain test (CPT) could contribute to the diagnosis of frozen shoulder (FS) with palpation. However, due to assessor performance these values might be unreliable. Therefore, the aim was to explore the diagnostic accuracy of an instrument-assisted CPT and two alternative approaches (pain severity and side comparison) for assistance in the diagnosis of FS. Patients with FS and healthy age-matched controls were recruited. All participants underwent the instrument-assisted CPT on both shoulders with a pressure algometer. Sensitivity, specificity, and likelihood ratios were determined for the three approaches. In total, 35 patients with FS and 35 healthy participants were included. The original approach was positive in eight participants (11.4%), with only sufficient specificity to draw a conclusion. The pain severity approach was positive in 31 participants (44.3%) with sufficient sensitivity, specificity and likelihood ratios. The side comparison approach was positive in 10 participants (14.3%) with excellent specificity and positive likelihood ratio. The specificity of the instrument-assisted CPT can be used to increase the probability of FS with both the original and alternative approaches. Only the pain severity approach can draw a conclusion with a negative test result. This study should be repeated with a cross-sectional design to strengthen and confirm the conclusions.
dc.language.iso	eng
dc.relation.ispartof	International Journal Of Environmental Research And Public Health, 2022, vol. 19, p. 12735
dc.subject	Diagnòstic
dc.subject	Fisioteràpia
dc.title	An Instrument-Assisted coracoid pain test: an exploratory diagnostic accuracy study
dc.type	journal article	es_ES
dc.date.updated	2022-10-11T13:58:20Z
dc.identifier.doi	10.3390/ijerph191912735
dc.identifier.idgrec	154831
dc.rights.accessRights	open access	es_ES