Sensitivity of the Ottawa Rules

Lucchesi, Gary M; Jackson, Raymond; Peacock, W. Franklin; Cerasani, Chiara; Swor, Robert A.

doi:10.1016/s0196-0644(95)70229-6

Cited by 70 publications

(44 citation statements)

References 10 publications

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“…112,114 The Ottawa ankle rules for radiography (Table 2) and the Ottawa foot rules for radiography (Table 3) each use 3 inclusion criteria. 61,98,99,103,104,110 The Ottawa ankle rules are 100% sensitive and 40% specific. The Canadian cervical spine rules (Table 4) use high-risk and low-risk factors.…”

Section: Indications For Radiography If Any Of the Following Are Presentmentioning

confidence: 99%

Musculoskeletal Imaging in Physical Therapist Practice

Deyle¹

2005

J Orthop Sports Phys Ther

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This article presents an overview of current concepts of evidence-based diagnosis using a variety of imaging modalities for a broad spectrum of musculoskeletal conditions and syndromes. There is limited but increasing evidence that physical therapists appropriately use diagnostic studies in clinical practice. Pathology revealed by diagnostic studies must be viewed in the context of the complete examination, as pathology is common in the asymptomatic population. Special Key Words: clinical decision rule, diagnosis, diagnostic imagingD iagnostic imaging is an important tool for the differential diagnosis of many musculoskeletal conditions. Physical therapists working in direct access roles are assuming greater diagnostic responsibility. The role of musculoskeletal imaging in physical therapist practice is therefore becoming increasingly important.127 Availability of diagnostic studies to physical therapists may vary greatly depending upon many factors within the practice setting. US Army physical therapists functioning as direct access providers have long held privileges for ordering imaging studies and laborator y tests considered essential to their diagnostic role. 7,12,43,47,48 Physical therapists who do not have the privilege to order imaging studies, especially with the greater direct access role conferred to physical therapists, should still be familiar with the indications and role of diagnostic radiology. In these situations, physical therapists should establish the proper professional interactions with individuals who can facilitate ordering necessary imaging studies. The Evidence Regarding the Use of Musculoskeletal Imaging Studies by Physical TherapistsThere is limited but increasing evidence that physical therapists appropriately use diagnostic studies in clinical practice. A study comparing the care administered by physical therapists with orthopaedic surgeons in the primary management of musculoskeletal problems determined that the physical therapists were most cost effective, with no

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Section: Indications For Radiography If Any Of the Following Are Presentmentioning

confidence: 99%

Musculoskeletal Imaging in Physical Therapist Practice

Deyle¹

2005

J Orthop Sports Phys Ther

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“…It was conducted at a 929 bed community teaching hospital with an annual census of 76,488 emergency department visits (Luchessi, Jackson, Peacock, Cerasani, & Swor, 1995).…”

Section: Ottawa Ankle Rulesmentioning

confidence: 99%

Application of the Ottawa Ankle Rules to Evaluate Ankle and Foot Injuries by Army Nurse Practitioners

Wall¹

1999

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Public reporting burden for the collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to a penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. During deployment, the ANP should expect to care for male and female soldiers.Therefore, this study is relevant to Adult, Family, and Women s Health Nurse Practitioners. The study was conducted via a survey, which was designed by the researcher using the Ottawa Ankle Rules as a guideline. The exploration of the utilization of the Ottawa Ankle Rules by Army Nurse Practitioners was accomplished in this study through a quantitative, descriptive research methodology. The population included all active duty Army Adult, Family, and Women s Health Nurse Practitioners.Experts reviewed the tool. The total population of 105 was included in the mailing of the survey, and 90 surveys were returned. Data was analyzed using the comparative method, and reported in order to describe the population, and the tendencies of that population to use the Ottawa Ankle Rules.

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“…All 32 midfoot fractures were identified through the use of the OAR. OAR are better at predicting the need for x-ray than clinical suspicion alone, in cases of BAT in non-pregnant adults (Lucchesi, Jackson, Peacock, Cerasani, & Swor, 1995;Stiell et al, 1993) (see Table 2, Studies Using the Ottawa Ankle Rules to Predict Fracture). -238 (73%) received nurse-requested x-ray: 20% had fractures.…”

Section: Ottawa Ankle Rulesmentioning

confidence: 99%

“…The goal of the field-assigned FNP or PA requires an emphasis on early determination of fracture, and a quick return of motion, strength, and proprioception. Miller and Hergenroeder (1990) (Auleley et al, 1997;Lucchesi et al, 1995;McBride, 1997;Pigman et al, 1994;Salt, & Clancy, 1997;Verma et al, 1997) and is better than clinical suspicion alone in detecting fracture (Lucchesi et al, 1995).…”

Section: Conclusion Samplementioning

confidence: 99%

Use Of Ottawa Ankle Decision Rules To Evaluate Blunt Ankle Trauma Case Studies By United States Air Force Health Care Providers

Novak¹

1999

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Sensitivity of the Ottawa Rules

Cited by 70 publications

References 10 publications

Musculoskeletal Imaging in Physical Therapist Practice

Musculoskeletal Imaging in Physical Therapist Practice

Application of the Ottawa Ankle Rules to Evaluate Ankle and Foot Injuries by Army Nurse Practitioners

Use Of Ottawa Ankle Decision Rules To Evaluate Blunt Ankle Trauma Case Studies By United States Air Force Health Care Providers

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