Skip to Main content Skip to Navigation
Master Thesis

Examen clinique de l'épaule : sensibilité et spécificité de quatre tests d'instabilité antérieure d'épaule

Abstract : Background: The anterior shoulder instability is a very common pathology, especially for the young people ; it’s very often from a traumatic injury and it can have long-term consequences for the patient. To diagnose it, we could use many tools among which some that the physiotherapist can use, the physical examination tests, such as the anterior apprehension test, the relocation test, the release test and the load and shift test. Objectives: We found several tests to diagnose this pathology, among which we chose 4 tests : the anterior apprehension test, the relocation test, the release test and the load and shift test. From the studies describing them, we will try to compare the validity of these tests against a reference test. The goal of this is to determine if one of these tests is more efficient than the others to diagnose the anterior shoulder instability. Methods: We searched through the 3 databases Pubmed, Pedro and Cochrane to select studies published between 2000 and 2020. We analysed the methodological quality of each of the 7 studies included, then, extracted and analysed the data concerning the sensitivity and specificity for each test. Results: The included studies showed that the differents tests have almost the same usefulness, but it could differ a lot according to the criteria used to assess the patient. We found a greater usefulness for the apprehension test and the relocation test using apprehension instead of pain as a criteria. Even if the release test seems to be the most useful, it cannot be performed within an apprehension test. A combination of tests have a greater diagnostic usefulness. Discussion: The methodological quality of our review, judged to be adequate according to the AMSTAR evaluation model and the few articles we found for some tests lead us to be tempered with our conclusion. Moreover, the included studies didn’t all use the same reference test nor the same assessment criteria ; The population included may presents a lot of differences. The risk of biases comming from it is another threat for this work’s conclusion validity. More studies are needed for each test to obtain more accurate results.
Document type :
Master Thesis
Complete list of metadata

https://dumas.ccsd.cnrs.fr/dumas-03358692
Contributor : Ifmk Amu Connect in order to contact the contributor
Submitted on : Wednesday, September 29, 2021 - 3:14:24 PM
Last modification on : Friday, October 8, 2021 - 3:26:32 AM

File

139_SHELLARD David.pdf
Files produced by the author(s)

Identifiers

  • HAL Id : dumas-03358692, version 1

Collections

Citation

David Shellard. Examen clinique de l'épaule : sensibilité et spécificité de quatre tests d'instabilité antérieure d'épaule. Médecine humaine et pathologie. 2021. ⟨dumas-03358692⟩

Share

Metrics

Record views

3