The Experts below are selected from a list of 327 Experts worldwide ranked by ideXlab platform
Francisco Xavier De Araujo - One of the best experts on this subject based on the ideXlab platform.
-
measurement properties of the craniocervical Flexion Test a systematic review
Physical Therapy, 2020Co-Authors: Francisco Xavier De Araujo, Giovanni E Ferreira, Mauricio Scholl Schell, Marcelo Peduzzi De Castro, Daniel Cury Ribeiro, Marcelo Faria SilvaAbstract:OBJECTIVE: Patients with neck pain commonly have altered activity of the neck muscles. The craniocervical Flexion Test (CCFT) is used to assess the function of the deep neck flexor muscles in patients with musculoskeletal neck disorders. Systematic reviews summarizing the measurement properties of the CCFT are outdated. The objective of this study was to systematically review the measurement properties of the CCFT for assessing the deep neck flexor muscles. METHODS: The data sources MEDLINE, EMBASE, Physiotherapy Evidence Database (PEDro), Cochrane Central Register of Controlled Trials (CENTRAL), Scopus, and Science Direct were searched in April 2019. Studies of any design that reported at least 1 measurement property of the CCFT for assessing the deep neck flexor muscles were selected. Two reviewers independently extracted data and rated the risk of bias of individual studies using the Consensus-Based Standards for the Selection of Health Measurement Instruments (COSMIN) risk-of-bias checklist. The overall rating for each measurement property was classified as "positive," "indeterminate," or "negative." The overall rating was accompanied with a level of evidence. RESULTS: Fourteen studies were included in the data synthesis. The ratings were positive and the level of evidence was moderate for interrater and intrarater reliability and convergent validity. There were conflicting rating and level of evidence for discriminative validity. Measurement error was indeterminate, with an unknown level of evidence. Responsiveness was negative, with a limited level of evidence. A limitation of this study was that only papers published in English were included. CONCLUSIONS: The CCFT is a valid and reliable Test that can be used in clinical practice as an assessment Test. Because of the conflicting and low-quality evidence, caution is advised when the CCFT as a discriminative Test and as an outcome measure. Future well-designed studies are warranted.
-
measurement properties of the craniocervical Flexion Test a systematic review protocol
BMJ Open, 2018Co-Authors: Francisco Xavier De Araujo, Giovanni E Ferreira, Mauricio Scholl Schell, Marcelo Peduzzi De Castro, Marcelo Faria SilvaAbstract:Introduction Neck pain is the leading cause of years lived with disability worldwide and it accounts for high economic and societal burden. Altered activation of the neck muscles is a common musculoskeletal impairment presented by patients with neck pain. The craniocervical Flexion Test with pressure biofeedback unit has been widely used in clinical practice to assess function of deep neck flexor muscles. This systematic review will assess the measurement properties of the craniocervical Flexion Test for assessing deep cervical flexor muscles. Methods and analysis This is a protocol for a systematic review that will follow the Preferred Reporting Items for Systematic Review and Meta-Analysis statement. MEDLINE (via PubMed), EMBASE, PEDro, Cochrane Central Register of Controlled Trials (CENTRAL), Scopus and Science Direct will be systematically searched from inception. Studies of any design that have investigated and reported at least one measurement property of the craniocervical Flexion Test for assessing the deep cervical flexor muscles will be included. All measurement properties will be considered as outcomes. Two reviewers will independently rate the risk of bias of individual studies using the updated COnsensus-based Standards for the selection of health Measurement Instruments risk of bias checklist. A structured narrative synthesis will be used for data analysis. Quantitative findings for each measurement property will be summarised. The overall rating for a measurement property will be classified as ‘positive’, ‘indeterminate’ or ‘negative’. The overall rating will be accompanied with a level of evidence. Ethics and dissemination Ethical approval and patient consent are not required since this is a systematic review based on published studies. Findings will be submitted to a peer-reviewed journal for publication. PROSPERO registration number CRD42017062175.
Kensuke Ochi - One of the best experts on this subject based on the ideXlab platform.
-
shoulder internal rotation elbow Flexion Test for diagnosing cubital tunnel syndrome
Journal of Shoulder and Elbow Surgery, 2012Co-Authors: Kensuke Ochi, Yukio Horiuchi, Aya Tanabe, Makoto Waseda, Yasuhito Kaneko, Takahiro KoyanagiAbstract:Background Shoulder internal rotation enhances symptom provocation attributed to cubital tunnel syndrome. We present a modified elbow Flexion Test—the shoulder internal rotation elbow Flexion Test—for diagnosing cubital tunnel syndrome. Methods Fifty-five ulnar nerves in cubital tunnel syndrome patients and 123 ulnar nerves in controls were examined with 5 seconds each of elbow Flexion, shoulder internal rotation, and shoulder internal rotation elbow Flexion Tests before and after treatment (surgery in 18; conservative in others). For the shoulder internal rotation elbow Flexion Test position, 90° abduction, maximum internal rotation, and 10° Flexion of the shoulder were combined with the elbow Flexion Test position. The Test was considered positive if any symptom for cubital tunnel syndrome developed Results The sensitivities/specificities of the 5-second elbow Flexion, shoulder internal rotation, and shoulder internal rotation elbow Flexion Tests were 25%/100%, 58%/100%, and 87%/98%, respectively. Sensitivity differences between the shoulder internal rotation elbow Flexion Test and the other two Tests were significant. Shoulder internal rotation elbow Flexion Test results and cubital tunnel syndrome symptoms were significantly correlated. Influence of the shoulder internal rotation elbow Flexion Test on the ulnar nerve was seen in 8 of 10 cubital tunnel syndrome nerves but not in controls. Conclusions The 5-second shoulder internal rotation elbow Flexion Test is specific, easy and quick provocative Test for diagnosing cubital tunnel syndrome.
-
comparison of shoulder internal rotation Test with the elbow Flexion Test in the diagnosis of cubital tunnel syndrome
Journal of Hand Surgery (European Volume), 2011Co-Authors: Kensuke Ochi, Yukio Horiuchi, Aya Tanabe, Kozo Morita, Kentaro Takeda, Ken NinomiyaAbstract:Purpose To compare the shoulder internal rotation Test—a new, provocative Test—with the elbow Flexion Test in the diagnosis of cubital tunnel syndrome (CubTS). Methods Twenty-five patients with CubTS were examined before and after surgery with 10 seconds each of the elbow Flexion and shoulder internal rotation Tests. Fifty-four asymptomatic individuals and 14 neuropathy patients with a diagnosis other than CubTS were also examined as control cases. For the shoulder internal rotation Test, the patient's upper extremity was kept at 90° abduction, maximum internal rotation, and 10° Flexion at the shoulder, with 90° elbow Flexion and neutral position of the forearm and wrist, with finger extension. Test results were considered positive if any slight symptom attributable to CubTS occurred within 10 seconds. Extraneural pressure inside the cubital tunnel was intraoperatively measured with the positions of both the elbow Flexion and shoulder internal rotation Tests, in 15 of the CubTS cases. Statistical analyses were performed using Student's t -Test with a confidence level of 95%. Results The preoperative sensitivity in CubTS cases was 80% in the 10-second shoulder internal rotation Test and 36% in the 10-second elbow Flexion Test, and these differences were significant. None of the control cases had positive results in either Test. All the CubTS cases improved with surgery; after surgery, neither Test provoked symptoms in any surgical patient. The extraneural pressure increased in both provocative positions with no significant difference. Conclusions Positive results for the 10-second shoulder internal rotation Test were more sensitive than that for the elbow Flexion Test of the same duration and seemed specific to CubTS. Type of study/level of evidence Diagnostic III.
-
association between the elbow Flexion Test and extraneural pressure inside the cubital tunnel
Journal of Hand Surgery (European Volume), 2011Co-Authors: Kensuke Ochi, Yukio Horiuchi, Noriaki Nakamichi, Kozo Morita, Eijiro Okada, Takayuki HasegawaAbstract:Purpose The elbow Flexion Test is a standard, provocative diagnostic Test for cubital tunnel syndrome (CubTS). The purpose of this study was to investigate the association between the elbow Flexion Test and the degree of extraneural pressure in the cubital tunnel of CubTS patients. Methods Extraneural pressure on the ulnar nerve in the cubital tunnel was evaluated using 0.7-mm thickness catheter during surgery of 25 CubTS cases and compared with the results of preoperative elbow Flexion Testing. Statistic analysis was performed using Student's t -Test with a confidence level of 95% (p Results Forty-eight percent of the patients were positive for the elbow Flexion Test. Mean extraneural pressure was significantly higher in maximum elbow Flexion than in maximum elbow extension (p Conclusions Our results suggested that the mechanism of provocation of symptoms of CubTS by the elbow Flexion could not be explained simply by dynamic pressure in the cubital tunnel, and other pathophysiological factors could also be contributing. Type of study/level of evidence Diagnostic III.
Marcelo Faria Silva - One of the best experts on this subject based on the ideXlab platform.
-
measurement properties of the craniocervical Flexion Test a systematic review
Physical Therapy, 2020Co-Authors: Francisco Xavier De Araujo, Giovanni E Ferreira, Mauricio Scholl Schell, Marcelo Peduzzi De Castro, Daniel Cury Ribeiro, Marcelo Faria SilvaAbstract:OBJECTIVE: Patients with neck pain commonly have altered activity of the neck muscles. The craniocervical Flexion Test (CCFT) is used to assess the function of the deep neck flexor muscles in patients with musculoskeletal neck disorders. Systematic reviews summarizing the measurement properties of the CCFT are outdated. The objective of this study was to systematically review the measurement properties of the CCFT for assessing the deep neck flexor muscles. METHODS: The data sources MEDLINE, EMBASE, Physiotherapy Evidence Database (PEDro), Cochrane Central Register of Controlled Trials (CENTRAL), Scopus, and Science Direct were searched in April 2019. Studies of any design that reported at least 1 measurement property of the CCFT for assessing the deep neck flexor muscles were selected. Two reviewers independently extracted data and rated the risk of bias of individual studies using the Consensus-Based Standards for the Selection of Health Measurement Instruments (COSMIN) risk-of-bias checklist. The overall rating for each measurement property was classified as "positive," "indeterminate," or "negative." The overall rating was accompanied with a level of evidence. RESULTS: Fourteen studies were included in the data synthesis. The ratings were positive and the level of evidence was moderate for interrater and intrarater reliability and convergent validity. There were conflicting rating and level of evidence for discriminative validity. Measurement error was indeterminate, with an unknown level of evidence. Responsiveness was negative, with a limited level of evidence. A limitation of this study was that only papers published in English were included. CONCLUSIONS: The CCFT is a valid and reliable Test that can be used in clinical practice as an assessment Test. Because of the conflicting and low-quality evidence, caution is advised when the CCFT as a discriminative Test and as an outcome measure. Future well-designed studies are warranted.
-
measurement properties of the craniocervical Flexion Test a systematic review protocol
BMJ Open, 2018Co-Authors: Francisco Xavier De Araujo, Giovanni E Ferreira, Mauricio Scholl Schell, Marcelo Peduzzi De Castro, Marcelo Faria SilvaAbstract:Introduction Neck pain is the leading cause of years lived with disability worldwide and it accounts for high economic and societal burden. Altered activation of the neck muscles is a common musculoskeletal impairment presented by patients with neck pain. The craniocervical Flexion Test with pressure biofeedback unit has been widely used in clinical practice to assess function of deep neck flexor muscles. This systematic review will assess the measurement properties of the craniocervical Flexion Test for assessing deep cervical flexor muscles. Methods and analysis This is a protocol for a systematic review that will follow the Preferred Reporting Items for Systematic Review and Meta-Analysis statement. MEDLINE (via PubMed), EMBASE, PEDro, Cochrane Central Register of Controlled Trials (CENTRAL), Scopus and Science Direct will be systematically searched from inception. Studies of any design that have investigated and reported at least one measurement property of the craniocervical Flexion Test for assessing the deep cervical flexor muscles will be included. All measurement properties will be considered as outcomes. Two reviewers will independently rate the risk of bias of individual studies using the updated COnsensus-based Standards for the selection of health Measurement Instruments risk of bias checklist. A structured narrative synthesis will be used for data analysis. Quantitative findings for each measurement property will be summarised. The overall rating for a measurement property will be classified as ‘positive’, ‘indeterminate’ or ‘negative’. The overall rating will be accompanied with a level of evidence. Ethics and dissemination Ethical approval and patient consent are not required since this is a systematic review based on published studies. Findings will be submitted to a peer-reviewed journal for publication. PROSPERO registration number CRD42017062175.
Yukio Horiuchi - One of the best experts on this subject based on the ideXlab platform.
-
shoulder internal rotation elbow Flexion Test for diagnosing cubital tunnel syndrome
Journal of Shoulder and Elbow Surgery, 2012Co-Authors: Kensuke Ochi, Yukio Horiuchi, Aya Tanabe, Makoto Waseda, Yasuhito Kaneko, Takahiro KoyanagiAbstract:Background Shoulder internal rotation enhances symptom provocation attributed to cubital tunnel syndrome. We present a modified elbow Flexion Test—the shoulder internal rotation elbow Flexion Test—for diagnosing cubital tunnel syndrome. Methods Fifty-five ulnar nerves in cubital tunnel syndrome patients and 123 ulnar nerves in controls were examined with 5 seconds each of elbow Flexion, shoulder internal rotation, and shoulder internal rotation elbow Flexion Tests before and after treatment (surgery in 18; conservative in others). For the shoulder internal rotation elbow Flexion Test position, 90° abduction, maximum internal rotation, and 10° Flexion of the shoulder were combined with the elbow Flexion Test position. The Test was considered positive if any symptom for cubital tunnel syndrome developed Results The sensitivities/specificities of the 5-second elbow Flexion, shoulder internal rotation, and shoulder internal rotation elbow Flexion Tests were 25%/100%, 58%/100%, and 87%/98%, respectively. Sensitivity differences between the shoulder internal rotation elbow Flexion Test and the other two Tests were significant. Shoulder internal rotation elbow Flexion Test results and cubital tunnel syndrome symptoms were significantly correlated. Influence of the shoulder internal rotation elbow Flexion Test on the ulnar nerve was seen in 8 of 10 cubital tunnel syndrome nerves but not in controls. Conclusions The 5-second shoulder internal rotation elbow Flexion Test is specific, easy and quick provocative Test for diagnosing cubital tunnel syndrome.
-
comparison of shoulder internal rotation Test with the elbow Flexion Test in the diagnosis of cubital tunnel syndrome
Journal of Hand Surgery (European Volume), 2011Co-Authors: Kensuke Ochi, Yukio Horiuchi, Aya Tanabe, Kozo Morita, Kentaro Takeda, Ken NinomiyaAbstract:Purpose To compare the shoulder internal rotation Test—a new, provocative Test—with the elbow Flexion Test in the diagnosis of cubital tunnel syndrome (CubTS). Methods Twenty-five patients with CubTS were examined before and after surgery with 10 seconds each of the elbow Flexion and shoulder internal rotation Tests. Fifty-four asymptomatic individuals and 14 neuropathy patients with a diagnosis other than CubTS were also examined as control cases. For the shoulder internal rotation Test, the patient's upper extremity was kept at 90° abduction, maximum internal rotation, and 10° Flexion at the shoulder, with 90° elbow Flexion and neutral position of the forearm and wrist, with finger extension. Test results were considered positive if any slight symptom attributable to CubTS occurred within 10 seconds. Extraneural pressure inside the cubital tunnel was intraoperatively measured with the positions of both the elbow Flexion and shoulder internal rotation Tests, in 15 of the CubTS cases. Statistical analyses were performed using Student's t -Test with a confidence level of 95%. Results The preoperative sensitivity in CubTS cases was 80% in the 10-second shoulder internal rotation Test and 36% in the 10-second elbow Flexion Test, and these differences were significant. None of the control cases had positive results in either Test. All the CubTS cases improved with surgery; after surgery, neither Test provoked symptoms in any surgical patient. The extraneural pressure increased in both provocative positions with no significant difference. Conclusions Positive results for the 10-second shoulder internal rotation Test were more sensitive than that for the elbow Flexion Test of the same duration and seemed specific to CubTS. Type of study/level of evidence Diagnostic III.
-
association between the elbow Flexion Test and extraneural pressure inside the cubital tunnel
Journal of Hand Surgery (European Volume), 2011Co-Authors: Kensuke Ochi, Yukio Horiuchi, Noriaki Nakamichi, Kozo Morita, Eijiro Okada, Takayuki HasegawaAbstract:Purpose The elbow Flexion Test is a standard, provocative diagnostic Test for cubital tunnel syndrome (CubTS). The purpose of this study was to investigate the association between the elbow Flexion Test and the degree of extraneural pressure in the cubital tunnel of CubTS patients. Methods Extraneural pressure on the ulnar nerve in the cubital tunnel was evaluated using 0.7-mm thickness catheter during surgery of 25 CubTS cases and compared with the results of preoperative elbow Flexion Testing. Statistic analysis was performed using Student's t -Test with a confidence level of 95% (p Results Forty-eight percent of the patients were positive for the elbow Flexion Test. Mean extraneural pressure was significantly higher in maximum elbow Flexion than in maximum elbow extension (p Conclusions Our results suggested that the mechanism of provocation of symptoms of CubTS by the elbow Flexion could not be explained simply by dynamic pressure in the cubital tunnel, and other pathophysiological factors could also be contributing. Type of study/level of evidence Diagnostic III.
Aya Tanabe - One of the best experts on this subject based on the ideXlab platform.
-
shoulder internal rotation elbow Flexion Test for diagnosing cubital tunnel syndrome
Journal of Shoulder and Elbow Surgery, 2012Co-Authors: Kensuke Ochi, Yukio Horiuchi, Aya Tanabe, Makoto Waseda, Yasuhito Kaneko, Takahiro KoyanagiAbstract:Background Shoulder internal rotation enhances symptom provocation attributed to cubital tunnel syndrome. We present a modified elbow Flexion Test—the shoulder internal rotation elbow Flexion Test—for diagnosing cubital tunnel syndrome. Methods Fifty-five ulnar nerves in cubital tunnel syndrome patients and 123 ulnar nerves in controls were examined with 5 seconds each of elbow Flexion, shoulder internal rotation, and shoulder internal rotation elbow Flexion Tests before and after treatment (surgery in 18; conservative in others). For the shoulder internal rotation elbow Flexion Test position, 90° abduction, maximum internal rotation, and 10° Flexion of the shoulder were combined with the elbow Flexion Test position. The Test was considered positive if any symptom for cubital tunnel syndrome developed Results The sensitivities/specificities of the 5-second elbow Flexion, shoulder internal rotation, and shoulder internal rotation elbow Flexion Tests were 25%/100%, 58%/100%, and 87%/98%, respectively. Sensitivity differences between the shoulder internal rotation elbow Flexion Test and the other two Tests were significant. Shoulder internal rotation elbow Flexion Test results and cubital tunnel syndrome symptoms were significantly correlated. Influence of the shoulder internal rotation elbow Flexion Test on the ulnar nerve was seen in 8 of 10 cubital tunnel syndrome nerves but not in controls. Conclusions The 5-second shoulder internal rotation elbow Flexion Test is specific, easy and quick provocative Test for diagnosing cubital tunnel syndrome.
-
comparison of shoulder internal rotation Test with the elbow Flexion Test in the diagnosis of cubital tunnel syndrome
Journal of Hand Surgery (European Volume), 2011Co-Authors: Kensuke Ochi, Yukio Horiuchi, Aya Tanabe, Kozo Morita, Kentaro Takeda, Ken NinomiyaAbstract:Purpose To compare the shoulder internal rotation Test—a new, provocative Test—with the elbow Flexion Test in the diagnosis of cubital tunnel syndrome (CubTS). Methods Twenty-five patients with CubTS were examined before and after surgery with 10 seconds each of the elbow Flexion and shoulder internal rotation Tests. Fifty-four asymptomatic individuals and 14 neuropathy patients with a diagnosis other than CubTS were also examined as control cases. For the shoulder internal rotation Test, the patient's upper extremity was kept at 90° abduction, maximum internal rotation, and 10° Flexion at the shoulder, with 90° elbow Flexion and neutral position of the forearm and wrist, with finger extension. Test results were considered positive if any slight symptom attributable to CubTS occurred within 10 seconds. Extraneural pressure inside the cubital tunnel was intraoperatively measured with the positions of both the elbow Flexion and shoulder internal rotation Tests, in 15 of the CubTS cases. Statistical analyses were performed using Student's t -Test with a confidence level of 95%. Results The preoperative sensitivity in CubTS cases was 80% in the 10-second shoulder internal rotation Test and 36% in the 10-second elbow Flexion Test, and these differences were significant. None of the control cases had positive results in either Test. All the CubTS cases improved with surgery; after surgery, neither Test provoked symptoms in any surgical patient. The extraneural pressure increased in both provocative positions with no significant difference. Conclusions Positive results for the 10-second shoulder internal rotation Test were more sensitive than that for the elbow Flexion Test of the same duration and seemed specific to CubTS. Type of study/level of evidence Diagnostic III.