Predictive aspects of the abduction external rotation test among male industrial and office workers

Toomingas, Allan; Nilsson, Tohr; Hagberg, Mats; Lundström, Ronnie

doi:10.1002/(sici)1097-0274(199901)35:1<32::aid-ajim5>3.0.co;2-q

Cited by 9 publications

(2 citation statements)

References 23 publications

(24 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Clinical examinations are valuable when searching for morbidity contrasts, as they have a higher precision and they usually increase specificity, but on the other hand they decrease sensitivity. Also of note is that specific clinical signs may predict future symptoms, signs and sick leave (Toomingas et al 1999;Viikari-Juntura et al 2000).…”

Section: Introductionmentioning

confidence: 99%

Clinical signs and physical function in neck and upper extremities among elderly female computer users: the NEW study

et al. 2004

View full text Add to dashboard Cite

The aim of the study was to present the prevalence of clinical signs and symptoms among female computer users above 45 years, both in a group with self-reported neck/shoulder trouble (NS cases) and in a group without such trouble (NS controls). The hypothesis was that computer users with self-reported neck/shoulder trouble have more clinical findings than those not reporting trouble, and that a corresponding pattern holds true for physical function. In total 42 and 61 questionnaire-defined NS cases and NS controls participated and went through a clinical examination of the neck and upper extremities and five physical function tests: maximal voluntary contraction (MVC) of shoulder elevation, abduction, and handgrip, as well as endurance at 30% MVC shoulder elevation and a physical performance test. Based on clinical signs and symptoms, trapezius myalgia (38%), tension neck syndrome (17%) and cervicalgia (17%) were the most frequent diagnoses among NS cases, and were significantly more frequent among NS cases than NS controls. A total of 60% of the subjects with reported trouble had one or several of the diagnoses located in the neck/shoulder. Physical function of the shoulder was lower in subjects with self-reported trouble as well as in the subgroup of NS cases with clinical diagnoses. In conclusion, the present clinical diagnoses and physical function tests differed between NS cases and NS controls, and are therefore recommended to be included as quantitative objective measures in assessing musculoskeletal health. Physical function tests should be further developed in order to be able to detect pre-stages of work-related disorders for preventive strategies.

show abstract

Section: Introductionmentioning

confidence: 99%

Clinical signs and physical function in neck and upper extremities among elderly female computer users: the NEW study

et al. 2004

View full text Add to dashboard Cite

show abstract

“…Positive responses to the outward abduction test and Roos’ test indicating a brachial plexopathy have been identified in a significant number of symptomatic workers [46,47] with variable prevalence between occupational subgroups. Although these tests should not be considered diagnostic, it has been demonstrated that they can predict future upper limb pain and signs of neuropathy [48]. …”

Section: Discussionmentioning

confidence: 99%

Neurological Examination of the Upper Limb: A Study of Construct Validity

Jepsen¹,

Laursen²,

Kreiner³

et al. 2009

TONEUJ

View full text Add to dashboard Cite

Objective:We have previously demonstrated that neurological individual findings and patterns can be reliably assessed in the examination of the upper limb and also that they are related to pain, weakness, and/or numbness/tingling. This study aimed to study further aspects of the construct validity of the neurological examination.Methods:Blinded to patient-characteristics, two examiners assessed the function of 16 muscles, the sensibility in 7 territories, and the nerve-mechanosensitivity at 20 locations in 82 upper limbs. Based on anatomical patterns and pre-designed algorithms, one or both examiners rated neuropathy as “possible” or “definite” in 40 limbs and also determined the location( s). We developed and tested hypotheses on anatomically and regionally related locations of nerve afflictions (a selective vulnerability of neurons, double and multiple crush, and a tendency to regional spread) and examined the stability of the internal structure of the constructs in different situations. The interrelations of findings were analyzed by hypothesis testing and factor analyses, and the homogeneity of location profiles was analyzed by a conditional likelihood test.Results:Out of 30 limbs with related locations of neuropathy, the findings of each examiner correlated positively (gamma > 0.35) in 22/25, respectively. The patterns of the interrelations identified by the two examiners were similar, with no evidence of any heterogeneity of location profiles for either examiner.Conclusions:This study supports the validity of the physical examination. However, feasibility of its application requires the demonstration of further aspects of construct validity and a favorable influence on patient-management and/or prevention.

show abstract

Reliability of physical examination of the upper extremity among keyboard operators

Salerno¹,

Franzblau²,

Werner³

et al. 2000

Am. J. Ind. Med.

View full text Add to dashboard Cite

Background Physical examination is a traditional outcome measure in epidemiological research. Its value as a reliable measure depends, in part, on the prevalence of positive findings. The purpose of this paper is to determine the empirical reliability of physical examination and anthropometry in a field study of upper extremity disorders among keyboard operators. Methods Two experienced examiners independently performed common provocative tests and procedures in physical examinations of the neck and upper extremity among 160 keyboard operators. Two additional examiners conducted anthropometric surveys among 137 workers. Inter‐examiner reliability was assessed with observed agreement, kappa statistics, and intra‐class correlations (ICC). Results Observed agreement was between 96% and 100% for neck and upper extremity signs, muscle stretch reflexes, and muscle strength, however, with the exception of provocative tests, reliability statistics were unstable. Among the provocative tests, Phalen and Tinel tests had modest agreement after adjusting for chance (κ range: 0.20–0.43). The carpal compression test had the best reliability (κ=0.60 and κ=0.67, left and right side, respectively). The ICCs for anthropometry ranged from 0.36–0.91. Conclusions Results from the study showed that statistically, except for the carpal compression test, physical examination contributed minimal reliable information. This was attributed mainly to the low prevalence of positive findings, and generally mild nature of upper extremity disorders in this population. The results are the best estimate of what would be found in a field study with experienced examiners. While it may reduce bias, separating physical examination from medical history may contribute to the poor reliability of findings. With a shift toward reliable measures, resources can be allocated to more effective tools, like questionnaires, in epidemiological research of upper extremity disorders among keyboard operators. Am. J. Ind. Med. 37:423–430, 2000. © 2000 Wiley‐Liss, Inc.

show abstract

Predictive aspects of the abduction external rotation test among male industrial and office workers

Cited by 9 publications

References 23 publications

Clinical signs and physical function in neck and upper extremities among elderly female computer users: the NEW study

Clinical signs and physical function in neck and upper extremities among elderly female computer users: the NEW study

Neurological Examination of the Upper Limb: A Study of Construct Validity

Reliability of physical examination of the upper extremity among keyboard operators

Contact Info

Product

Resources

About