Date of Award
2006
Degree Type
Thesis
Degree Name
Master of Science
Program
Kinesiology
Supervisor
Dr. Dianne Bryant
Second Advisor
Dr. Peter Fowler
Abstract
We conducted a systematic review and meta-analysis to evaluate current knowledge regarding the diagnostic validity ofthe physical examination maneuvers for shoulder pathology. We performed a literature search using the databases MEDLINE, CINAHL and EMBASE. Two independent reviewers assessed the titles and abstracts identified in the literature search. This was followed by a full text review ofstudies identified in the titles and abstracts review. A total of 55 articles were eligible for inclusion into the review. Overall, studies were ofpoor methodological quality and demonstrated a high degree ofbetween study heterogeneity for studies evaluating the same test. In some cases, heterogeneity could be explained by removing studies with poor methodological quality. The results indicate that the diagnostic validity ofthese clinical tests remains uncertain. A methodologically rigorous study was proposed to determine the validity ofthe physical examination maneuvers for rotator cuffpathology, labral lesions, instability and acromioclavicular abnormalities.
Recommended Citation
Somerville, Lyndsay E., "DETERMINING THE DIAGNOSTIC VALIDITY OF PHYSICAL EXAMINATION MANEUVERS FOR SHOULDER PATHOLOGY: A ' SYSTEMATIC REVIEW AND META-ANALYSIS" (2006). Digitized Theses. 5003.
https://ir.lib.uwo.ca/digitizedtheses/5003