Painful Jerk Test

Kim, Seung‐Ho; Park, Jae-Chul; Park, Jun-Sic; Oh, Irvin

doi:10.1177/0363546504265263

Cited by 104 publications

(23 citation statements)

References 22 publications

(47 reference statements)

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“…For studies that divided participants into two or more groups according to i) baseline characteristics [17,18] or ii) successful versus unsuccessful outcome [19], mean differences plus standard deviation and/or 95% confidence intervals (CI) for each group, and if available between groups are presented. Where studies have performed accuracy statistics for a clinical prediction rule, details of the former are presented [20,21].…”

Section: Resultsmentioning

confidence: 99%

“…Three of the controlled trials randomized participants into 2 or more groups, all of whom received some form of physiotherapy [18,22,23]; two divided participants into two groups according to differences in baseline characteristics and administered the same physiotherapy treatment to both groups [17,24]. …”

Section: Resultsmentioning

confidence: 99%

“…One study purposely did not exclude participants with cervical spine pathology [25]. Five studies only included participants with adhesive capsulitis [18,19,24-26], four studies only included participants with subacromial impingement syndrome [20,22,23,27], one study only included participants with posterior inferior instability of the shoulder [17] and one study only included participants with a positive posterior impingement sign and the presence of a posterosuperior glenoid labral lesion on MRI [28]. One study [29] used the International Classification of Diseases (ICD-9) codes [30] to divide “musculoskeletal shoulder pain” into 8 disease categories.…”

Section: Resultsmentioning

confidence: 99%

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Predicting response to physiotherapy treatment for musculoskeletal shoulder pain: a systematic review

Chester

Shepstone

Daniell

et al. 2013

BMC Musculoskelet Disord

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BackgroundPeople suffering from musculoskeletal shoulder pain are frequently referred to physiotherapy. Physiotherapy generally involves a multimodal approach to management that may include; exercise, manual therapy and techniques to reduce pain. At present it is not possible to predict which patients will respond positively to physiotherapy treatment. The purpose of this systematic review was to identify which prognostic factors are associated with the outcome of physiotherapy in the management of musculoskeletal shoulder pain.MethodsA comprehensive search was undertaken of Ovid Medline, EMBASE, CINAHL and AMED (from inception to January 2013). Prospective studies of participants with shoulder pain receiving physiotherapy which investigated the association between baseline prognostic factors and change in pain and function over time were included. Study selection, data extraction and appraisal of study quality were undertaken by two independent assessors. Quality criteria were selected from previously published guidelines to form a checklist of 24 items. The study protocol was prospectively registered onto the International Prospective Register of Systematic Reviews.ResultsA total of 5023 titles were retrieved and screened for eligibility, 154 articles were assessed as full text and 16 met the inclusion criteria: 11 cohort studies, 3 randomised controlled trials and 2 controlled trials. Results were presented for the 9 studies meeting 13 or more of the 24 quality criteria. Clinical and statistical heterogeneity resulted in qualitative synthesis rather than meta-analysis. Three studies demonstrated that high functional disability at baseline was associated with poor functional outcome (p ≤ 0.05). Four studies demonstrated a significant association (p ≤ 0.05) between longer duration of shoulder pain and poorer outcome. Three studies, demonstrated a significant association (p ≤ 0.05) between increasing age and poorer function; three studies demonstrated no association (p > 0.05).ConclusionAssociations between prognostic factors and outcome were often inconsistent between studies. This may be due to clinical heterogeneity or type II errors. Only two baseline prognostic factors demonstrated a consistent association with outcome in two or more studies; duration of shoulder pain and baseline function. Prior to developing a predictive model for the outcome of physiotherapy treatment for shoulder pain, a large adequately powered prospective cohort study is required in which a broad range of prognostic factors are incorporated.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Predicting response to physiotherapy treatment for musculoskeletal shoulder pain: a systematic review

Chester

Shepstone

Daniell

et al. 2013

BMC Musculoskelet Disord

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“…The instability exam should be completed with Gagey hyperabduction testing [16], where a substantial increase in abduction on the affected side can be indicative of injury to the inferior glenohumeral ligament complex. Assessment for a sulcus sign (inferior instability) [17] and a posterior jerk test (posterior instability) [18] are also important.…”

Section: Physical Exammentioning

confidence: 99%

Management of Humeral and Glenoid Bone Loss in Recurrent Glenohumeral Instability

Mascarenhas

Rusen

Saltzman

et al. 2014

Advances in Orthopedics

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Recurrent shoulder instability and resultant glenoid and humeral head bone loss are not infrequently encountered in the population today, specifically in young, athletic patients. This review on the management of bone loss in recurrent glenohumeral instability discusses the relevant shoulder anatomy that provides stability to the shoulder joint, relevant history and physical examination findings pertinent to recurrent shoulder instability, and the proper radiological imaging choices in its workup. Operative treatments that can be used to treat both glenoid and humeral head bone loss are outlined. These include coracoid transfer procedures and allograft/autograft reconstruction at the glenoid, as well as humeral head disimpaction/humeroplasty, remplissage, humeral osseous allograft reconstruction, rotational osteotomy, partial humeral head arthroplasty, and hemiarthroplasty on the humeral side. Clinical outcomes studies reporting general results of these techniques are highlighted.

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“…If the patient experiences a sudden painful jerk as the humeral head relocates, this is considered a positive test result. Reprinted with permission from Kim et al 38 …”

Section: Patient Assessmentmentioning

confidence: 99%

Evaluation and Management of Posterior Shoulder Instability

Tannenbaum

Sekiya

2011

Sports Health

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Context:Posterior shoulder instability is a commonly misdiagnosed disorder in many competitive athletes.Type of Study:Clinical review.Evidence Acquisition:Relevant studies on posterior shoulder instability from 1950 to 2010 in PubMed and Cochrane databases were reviewed.Results:A total of 107 studies were reviewed.Conclusion:Patients who have undergone at least 6 months of physical therapy and still experience instability symptoms should be considered for surgical stabilization directed at their underlying pathology.

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Painful Jerk Test

Abstract: The jerk test is a hallmark for predicting the prognosis of nonoperative treatment for posteroinferior instability. Shoulders with symptomatic posteroinferior instability and a painful jerk test have posteroinferior labral lesions.

Cited by 104 publications

References 22 publications

Predicting response to physiotherapy treatment for musculoskeletal shoulder pain: a systematic review

Predicting response to physiotherapy treatment for musculoskeletal shoulder pain: a systematic review

Management of Humeral and Glenoid Bone Loss in Recurrent Glenohumeral Instability

Evaluation and Management of Posterior Shoulder Instability

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