Anatomy-Physiotherapy-logo

  • Italiano (Italia)
  • Français (France)
  • Portuguese (PT)
  • Deutsch (Deutschland)
  • Spanish (ES)
  • English (UK)
New english website, click here ->

           

  • Articles
    Evidence based articles
    • Musculoskeletal
      • Upper extremity
      • Lower extremity
      • Spine
    • Other
      • Nervous
      • Circulatory
      • Nutrition
      • Aging
      • Pain
      • Various
  • Art & Design
    Anatomy related art
  • Videos
    Webinars & more
  • Create account
    Personal pages & favourites
  • Login
    Login to A&P
Anatomy-Physiotherapy-logo
13 Apr2017

13 April 2017.

Written by Chris Murphy
Posted in Lumbar

13-04-2017 07:49:45
c2ithealth
Image by: c2ithealth

Validity of a test for diagnosing lumbar spinal stenosis

Current practice is in need of robust clinical tests to facilitate diagnosis and guide treatment. The current validation study sought to identify the modified extension test (MExT) as a diagnostic tool for acquired lumbar spinal stenosis (ALSS). The results revealed a highly sensitive but poorly specific test.

Lower back pain is an epidemic that has shown its effects all over the world, none more notable than its effects on disability. ALSS represents a degenerative sub-classification of back pain that is well-represented in an aging population, however, lacks a clinical diagnostic test sufficient to assist medical examination. Thus, the authors have pursued the validation of MExT as a diagnostic test as well sought to identify its correlation to grading and location.

The population represented those aged 50 years and older with a 6-week history of accepted symptomology for ALSS and compared against ensuing findings on MRI. Tests for sensitivity, specificity, and likelihood ratios were used in analysis of data to determine test performance and validity.

Results of the current study revealed a MExT to have a high sensitivity that lends support in ruling out a diagnosis of ALSS. The low specificity however, did not meet a clinical level of acceptability to aid in ruling in ALSS.  Further analysis failed to find significant correlation between grade or location. It was suggested further large center trials would be needed to affirm the validity of MExT for ALSS. 

> From: Dobbs, Man Ther 25 (2017) 27-34. All rights reserved to Elsevier Ltd. Click here for the online summary.

flemingptconsultants
Image by: flemingptconsultants

Please log in or create an account to place comments. It's free and takes only a minute.

About the Author
Chris Murphy
Chris graduated in 2007 as a Physiotherapist and since that time he has worked in both private and public practice as well asperformed mentoring&...

Latest articles from this auhtor

  • Scapula-focused approaches in patients with shoulder pain
  • Use of manual therapy with exercise in ankle injuries
  • Hip ROM and groin pain in athletes
  • Quadriceps training with blood flow restriction in knee pain
  • Clinical tests for diagnosing gluteal tendinopathy
 

 

Login

  • Forgot your password?
  • Forgot your username?
  • Create an account
AP banner Sono 1

Related

Sub Menu

  • Musculoskeletal
    • Upper extremity
      • Shoulder
      • Elbow
      • Wrist
      • Hand
    • Lower extremity
      • Hip
      • Knee
      • Ankle
      • Foot
    • Spine
      • Pelvis
      • Lumbar
      • Thoracic
      • Rib cage
      • Cervical
  • Other
    • Nervous
    • Circulatory
    • Nutrition
    • Aging
    • Pain
    • Various

Newsletter

Subscribe to our weekly newsletter to receive all articles of the week in your mailbox.

 

Partners

enraf nonius

apa

fontys

vpt

kiné care

ICMSU

  • Home
  • About
  • Team
  • Advertise
  • Contact
  • Terms of Service
  • Privacy Policy
  • Jobs
  • Newsletter archive
AP-SMALL-WHITECopyright 2010 - 2021 Anatomy & Physiotherapy. All Rights Reserved.

Privacy Policy

AdBlock detected

We want to keep offering top-notch content for free. In order to keep up with the additional costs that we incurr with scaling our website, we need your help! Please turn off your adblocker or consider donating a small amount.

http://www.anatomy-physiotherapy.com/donate

Close
You can also just close this popup. It shows only once.
isApp.it
  • Articles
    Evidence based articles
    • Musculoskeletal
      • Upper extremity
        • Shoulder
        • Elbow
        • Wrist
        • Hand
      • Lower extremity
        • Hip
        • Knee
        • Ankle
        • Foot
      • Spine
        • Pelvis
        • Lumbar
        • Thoracic
        • Rib cage
        • Cervical
    • Other
      • Nervous
      • Circulatory
      • Nutrition
      • Aging
      • Pain
      • Various
  • Art & Design
    Anatomy related art
  • Videos
    Webinars & more
  • Create account
    Personal pages & favourites
  • Login
    Login to A&P
You are now being logged in using your Facebook credentials