Assessment of cam morphology of the hip with ultra sound imaging by physical therapists is reliable and valid
| Autor: | Liliane Mandema, Eric Bakker, Brigitte Mooij, Igor Tak, Peter van Veldhoven, Ruud Groeneweg |
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| Přispěvatelé: | Graduate School, APH - Methodology, Master Evidence Based Practice |
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Radiography Concurrent validity Primary health care Physical Therapy Sports Therapy and Rehabilitation Sensitivity and Specificity 03 medical and health sciences 0302 clinical medicine medicine Femoracetabular Impingement Humans Orthopedics and Sports Medicine Reliability (statistics) Aged Ultrasonography Observer Variation 030222 orthopedics Femoroacetabular Impingement Syndrome business.industry Ultrasound Reproducibility of Results 030229 sport sciences General Medicine Gold standard (test) Middle Aged Physical Therapists Physical therapy Female Hip Joint Ultra sound business |
| Zdroj: | Physical therapy in sport, 32, 167-172. Elsevier BV |
| ISSN: | 1466-853X |
| Popis: | Background: Femoroacetabular impingement syndrome is considered present when a combination of clinical symptoms, signs and morphological features of the hip co-exist. Imaging is increasingly popular in primary health care settings with physical therapists performing ultrasound (US). Objective: The aim of this study was to assess the diagnostic accuracy and inter-rater reliability of ultrasound in determining presence of cam morphology. Design: A concurrent validity and inter-rater reliability study. Methods: The presence of cam morphology of the hip was determined by α angle measures using Kinovea software. A cam was defined present when the α angle >60°. The index test was US and radiographs served as a gold standard. Results: Correlation between the radiographic α angle and ultrasound measures was r = 0.82 (p < 0.01). Inter-rater reliability was high with an ICC of 0.74 (95% CI 0.61–0.84). The predictive value for presence of cam morphology had a sensitivity of 79% and a specificity of 94%. The positive predictive value was 79% whereas the negative predictive value was 94%. Total accuracy was 90%. Conclusions: Ultrasound conducted by trained physical therapists is a valid, reliable, specific and sensitive diagnostic tool to assess the presence of cam morphology. |
| Databáze: | OpenAIRE |
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