An Instrument-Assisted Coracoid Pain Test: An Exploratory Diagnostic Accuracy Study

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 s...
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Gespeichert in:

Autor*in:	Michel GCAM Mertens [verfasserIn] Mira Meeus [verfasserIn] Louise Pieters [verfasserIn] Mercè Balasch-Bernat [verfasserIn] Lirios Dueñas [verfasserIn] Olivier Verborgt [verfasserIn] Filip Struyf [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2022

Schlagwörter:	frozen shoulder diagnostic test accuracy coracoid pain test diagnostic tests

Übergeordnetes Werk:	In: International Journal of Environmental Research and Public Health - MDPI AG, 2005, 19(2022), 12735, p 12735
Übergeordnetes Werk:	volume:19 ; year:2022 ; number:12735, p 12735

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc Journal toc

DOI / URN:	10.3390/ijerph191912735

Katalog-ID:	DOAJ028259254

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allfields	10.3390/ijerph191912735 doi (DE-627)DOAJ028259254 (DE-599)DOAJ30c6d65cc9f94be18eadc563b91b3766 DE-627 ger DE-627 rakwb eng Michel GCAM Mertens verfasserin aut An Instrument-Assisted Coracoid Pain Test: An Exploratory Diagnostic Accuracy Study 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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. frozen shoulder diagnostic test accuracy coracoid pain test diagnostic tests Medicine R Mira Meeus verfasserin aut Louise Pieters verfasserin aut Mercè Balasch-Bernat verfasserin aut Lirios Dueñas verfasserin aut Olivier Verborgt verfasserin aut Filip Struyf verfasserin aut In International Journal of Environmental Research and Public Health MDPI AG, 2005 19(2022), 12735, p 12735 (DE-627)477992463 (DE-600)2175195-X 16604601 nnns volume:19 year:2022 number:12735, p 12735 https://doi.org/10.3390/ijerph191912735 kostenfrei https://doaj.org/article/30c6d65cc9f94be18eadc563b91b3766 kostenfrei https://www.mdpi.com/1660-4601/19/19/12735 kostenfrei https://doaj.org/toc/1661-7827 Journal toc kostenfrei https://doaj.org/toc/1660-4601 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2153 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 19 2022 12735, p 12735
spelling	10.3390/ijerph191912735 doi (DE-627)DOAJ028259254 (DE-599)DOAJ30c6d65cc9f94be18eadc563b91b3766 DE-627 ger DE-627 rakwb eng Michel GCAM Mertens verfasserin aut An Instrument-Assisted Coracoid Pain Test: An Exploratory Diagnostic Accuracy Study 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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. frozen shoulder diagnostic test accuracy coracoid pain test diagnostic tests Medicine R Mira Meeus verfasserin aut Louise Pieters verfasserin aut Mercè Balasch-Bernat verfasserin aut Lirios Dueñas verfasserin aut Olivier Verborgt verfasserin aut Filip Struyf verfasserin aut In International Journal of Environmental Research and Public Health MDPI AG, 2005 19(2022), 12735, p 12735 (DE-627)477992463 (DE-600)2175195-X 16604601 nnns volume:19 year:2022 number:12735, p 12735 https://doi.org/10.3390/ijerph191912735 kostenfrei https://doaj.org/article/30c6d65cc9f94be18eadc563b91b3766 kostenfrei https://www.mdpi.com/1660-4601/19/19/12735 kostenfrei https://doaj.org/toc/1661-7827 Journal toc kostenfrei https://doaj.org/toc/1660-4601 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2153 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 19 2022 12735, p 12735
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allfieldsGer	10.3390/ijerph191912735 doi (DE-627)DOAJ028259254 (DE-599)DOAJ30c6d65cc9f94be18eadc563b91b3766 DE-627 ger DE-627 rakwb eng Michel GCAM Mertens verfasserin aut An Instrument-Assisted Coracoid Pain Test: An Exploratory Diagnostic Accuracy Study 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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. frozen shoulder diagnostic test accuracy coracoid pain test diagnostic tests Medicine R Mira Meeus verfasserin aut Louise Pieters verfasserin aut Mercè Balasch-Bernat verfasserin aut Lirios Dueñas verfasserin aut Olivier Verborgt verfasserin aut Filip Struyf verfasserin aut In International Journal of Environmental Research and Public Health MDPI AG, 2005 19(2022), 12735, p 12735 (DE-627)477992463 (DE-600)2175195-X 16604601 nnns volume:19 year:2022 number:12735, p 12735 https://doi.org/10.3390/ijerph191912735 kostenfrei https://doaj.org/article/30c6d65cc9f94be18eadc563b91b3766 kostenfrei https://www.mdpi.com/1660-4601/19/19/12735 kostenfrei https://doaj.org/toc/1661-7827 Journal toc kostenfrei https://doaj.org/toc/1660-4601 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2153 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 19 2022 12735, p 12735
allfieldsSound	10.3390/ijerph191912735 doi (DE-627)DOAJ028259254 (DE-599)DOAJ30c6d65cc9f94be18eadc563b91b3766 DE-627 ger DE-627 rakwb eng Michel GCAM Mertens verfasserin aut An Instrument-Assisted Coracoid Pain Test: An Exploratory Diagnostic Accuracy Study 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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. frozen shoulder diagnostic test accuracy coracoid pain test diagnostic tests Medicine R Mira Meeus verfasserin aut Louise Pieters verfasserin aut Mercè Balasch-Bernat verfasserin aut Lirios Dueñas verfasserin aut Olivier Verborgt verfasserin aut Filip Struyf verfasserin aut In International Journal of Environmental Research and Public Health MDPI AG, 2005 19(2022), 12735, p 12735 (DE-627)477992463 (DE-600)2175195-X 16604601 nnns volume:19 year:2022 number:12735, p 12735 https://doi.org/10.3390/ijerph191912735 kostenfrei https://doaj.org/article/30c6d65cc9f94be18eadc563b91b3766 kostenfrei https://www.mdpi.com/1660-4601/19/19/12735 kostenfrei https://doaj.org/toc/1661-7827 Journal toc kostenfrei https://doaj.org/toc/1660-4601 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2153 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 19 2022 12735, p 12735
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author	Michel GCAM Mertens
spellingShingle	Michel GCAM Mertens misc frozen shoulder misc diagnostic test accuracy misc coracoid pain test misc diagnostic tests misc Medicine misc R An Instrument-Assisted Coracoid Pain Test: An Exploratory Diagnostic Accuracy Study
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topic_title	An Instrument-Assisted Coracoid Pain Test: An Exploratory Diagnostic Accuracy Study frozen shoulder diagnostic test accuracy coracoid pain test diagnostic tests
topic	misc frozen shoulder misc diagnostic test accuracy misc coracoid pain test misc diagnostic tests misc Medicine misc R
topic_unstemmed	misc frozen shoulder misc diagnostic test accuracy misc coracoid pain test misc diagnostic tests misc Medicine misc R
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title	An Instrument-Assisted Coracoid Pain Test: An Exploratory Diagnostic Accuracy Study
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author_browse	Michel GCAM Mertens Mira Meeus Louise Pieters Mercè Balasch-Bernat Lirios Dueñas Olivier Verborgt Filip Struyf
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title_sort	instrument-assisted coracoid pain test: an exploratory diagnostic accuracy study
title_auth	An Instrument-Assisted Coracoid Pain Test: An Exploratory Diagnostic Accuracy Study
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.
abstractGer	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.
abstract_unstemmed	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.
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title_short	An Instrument-Assisted Coracoid Pain Test: An Exploratory Diagnostic Accuracy Study
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author2	Mira Meeus Louise Pieters Mercè Balasch-Bernat Lirios Dueñas Olivier Verborgt Filip Struyf
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