지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 82 - 88 (7page)
이용수
초록· 키워드
오류제보하기
Methods: The first phase involved the construction of the application using the Delphi method. In the second phase, the application was validated with a sample of 250 patients with shoulder pathology. Validity was measured for each diagnostic group using sensitivity, specificity, and positive and negative likelihood ratio (LR(+) and LR(–)). The correct classification ratio (CCR) for each patient and the factors related to worse classification were calculated using multivariate binary logistic regression (odds ratio, 95% confidence interval). Results: The mean time to complete the application was 15 ± 7 minutes. The validity values were the following: LR(+) 7.8 and LR(–) 0.1 for cervical radiculopathy, LR(+) 4.1 and LR(–) 0.4 for glenohumeral arthrosis, LR(+) 15.5 and LR(–) 0.2 for glenohumeral instability, LR(+) 17.2 and LR(–) 0.2 for massive rotator cuff tear, LR(+) 6.2 and LR(–) 0.2 for capsular syndrome, LR(+) 4.0 and LR(–) 0.3 for subacromial impingement/rotator cuff tendinopathy, and LR(+) 2.5 and LR(–) 0.6 for acromioclavicular arthropathy. A total of 70% of the patients had a CCR greater than 85%. Factors that negatively affected accuracy were massive rotator cuff tear, acromioclavicular arthropathy, age over 55 years, and high pain intensity (p < 0.05). Conclusions: The developed application achieved an acceptable validity for most pathologies. Because the tool had a limited capacity to identify the full clinical picture in the same patient, improvements and new studies applied to other groups of patients are required.
목차
등록된 정보가 없습니다.
참고문헌 (17)
참고문헌 신청
Urwin M / 1998 / Estimating the burden of musculoskeletal disorders in the community : the comparative prevalence of symptoms at different anatomical sites, and the relation to social deprivation / Ann Rheum Dis 57(11):649~655
Linsell L / 2006 / Prevalence and incidence of adults consulting for shoulder conditions in UK primary care; patterns of diagnosis and referral / Rheumatology(Oxford) 45(2):215~221
Kennedy CA / 2006 / Prognosis in soft tissue disorders of the shoulder : predicting both change in disability and level of disability after treatment / Phys Ther 86(7):1013~1037
Kooijman MK / 2015 / Pain intensity, neck pain and longer duration of complaints predict poorer outcome in patients with shoulder pain : a systematic review / BMC Musculoskelet Disord 16:288
Kooijman M / 2013 / Patients with shoulder syndromes in general and physiotherapy practice : an observational study / BMC Musculoskelet Disord 14:128
Linsell L / 2006 / Prevalence and incidence of adults consulting for shoulder conditions in UK primary care; patterns of diagnosis and referral / Rheumatology(Oxford) 45(2):215~221
Kennedy CA / 2006 / Prognosis in soft tissue disorders of the shoulder : predicting both change in disability and level of disability after treatment / Phys Ther 86(7):1013~1037
Kooijman MK / 2015 / Pain intensity, neck pain and longer duration of complaints predict poorer outcome in patients with shoulder pain : a systematic review / BMC Musculoskelet Disord 16:288
Kooijman M / 2013 / Patients with shoulder syndromes in general and physiotherapy practice : an observational study / BMC Musculoskelet Disord 14:128
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