The validity and accuracy of clinical tests used to detect labral pathology of the shoulder–a systematic review.

Wendy Munro and Raymond Healy

This review systematically evaluates the evidence for the accuracy of clinical tests used to detect labral pathology of the shoulder.  Databases were searched to identify 15 studies evaluating 15 clinical tests for labral pathology against Magnetic Resonance Imaging MRI or surgery. Six accurate tests; Biceps Load I, Biceps Load II, Internal Rotation Resistance, Crank, Kim and Jerk tests were identified from high quality single studies in selected populations. Subgroup analysis identified varying results of accuracy in the Crank test and the Active Compression (AC) test when evaluated in more than one study. Further evaluation is needed before these tests can be used with confidence.

Manual Therapy, 2009, 14(2), 119-130

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Neck Pain

Out of all 291 conditions studied in the Global Burden of Disease 2010 Study, neck pain ranked 4th highest in terms of disability and 21st in terms of overall burden.

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