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Accuracy of the Most Common Provocation Tests for Diagnosing Carpal Tunnel Syndrome: A Systematic Review With Meta-analysis / Sergio Nunez de Arenas-Arroya in Journal of Orthopaedic & Sports Physical Therapy, vol.52, 08 (Aout 2022)
[article]
in Journal of Orthopaedic & Sports Physical Therapy > vol.52, 08 (Aout 2022) . - p. 522-531
Titre : Accuracy of the Most Common Provocation Tests for Diagnosing Carpal Tunnel Syndrome: A Systematic Review With Meta-analysis Type de document : article de périodique Auteurs : Sergio Nunez de Arenas-Arroya ; [et al.] Année de publication : 2022 Article en page(s) : p. 522-531 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus Mesh]Syndrome du canal carpien
[Thésaurus HELB]:Paramédical:Méta-analysesRésumé : Objective
To estimate the screening performances of the most important provocation tests for diagnosing carpal tunnel syndrome (CTS).
Design
Diagnostic test accuracy systematic review with meta-analysis.
Literature Search
We systematically searched the MEDLINE, Scopus, Web of Science, and Cochrane databases from inception to November 2020.
Study Selection Criteria
Observational studies comparing the accuracies of the Durkan test (DT), the hand elevation test (HET), the Phalen test (PT), the Tinel test (TT), and the upper-limb neurodynamic test specific to the median nerve (ULNT1) with electrodiagnosis for screening for CTS.
Data Synthesis
Random-effects models for the diagnostic odds ratio (dOR) values computed by Moses' constant for a linear model and 95% confidence intervals (CIs) were used to calculate the accuracy of these tests. Hierarchical summary receiver operating characteristic curve analyses were used to summarize the overall test performance.
Results
Thirty-seven studies were included in the meta-analysis, with a total sample of 2662 wrists for DT, 864 wrists for HET, 6361 wrists for PT, 6094 wrists for TT, and 571 wrists for ULNT1. The pooled dORs for screening for CTS were 15.84 (95% CI: 3.78, 66.38) for DT, 128.63 (95% CI: 40.64, 407.12) for HET, 7.23 (95% CI: 4.06, 12.86) for PT, 5.31 (95% CI: 3.49, 8.09) for TT, and 1.78 (95% CI: 0.61, 5.19) for ULNT1.
Conclusion
HET has the best clinical performance for detecting CTS and should be considered the first screening test of choice during the physical examination. The most common tests (DT, PT, and TT) have good accuracies for screening for CTS.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité J Périodique Erasme - périodiques Périodiques Disponible Exercise Increases Pain Self-efficacy in Adults With Nonspecific Chronic Low Back Pain: A Systematic Review and Meta-analysis / Yannick Gilanyi in Journal of Orthopaedic & Sports Physical Therapy, vol. 53,06 (juin 2023)
[article]
in Journal of Orthopaedic & Sports Physical Therapy > vol. 53,06 (juin 2023) . - p. 335-342
Titre : Exercise Increases Pain Self-efficacy in Adults With Nonspecific Chronic Low Back Pain: A Systematic Review and Meta-analysis Type de document : article de périodique Auteurs : Yannick Gilanyi ; [et al.] Année de publication : 2023 Article en page(s) : p. 335-342 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus Mesh]Lombalgie
[Thésaurus HELB]:Paramédical:Méta-analyses
[Thésaurus HELB]:Paramédical:thérapie physiqueRésumé : OBJECTIVE: To determine the effect of exercise on pain self-efficacy in adults with nonspecific chronic low back pain (NSCLBP).
DESIGN: Intervention systematic review with meta-analysis
LITERATURE SEARCH: We searched the Cochrane Central Register of Controlled Trials (CENTRAL), PubMed, Embase, PsycINFO, and CINAHL databases from October 20, 2018, to March 23, 2022.
SELECTION CRITERIA: We included randomized controlled trials that compared the effect of exercise on pain self-efficacy to control, in adults with NSCLBP.
DATA SYNTHESIS: We conducted a meta-analysis using a random-effects model. We evaluated the risk of bias using the Cochrane risk-of-bias tool (RoB 2) and judged the certainty of evidence using the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) framework.
RESULTS: Seventeen trials were included, of which eight (n = 1121 participants; 60.6% female; mean age: 49.6 years) were included in the meta-analysis. Exercise increased pain self-efficacy by 3.02 points (95% confidence interval: 1.72, 4.32) on the 60-point Pain Self-Efficacy Questionnaire. The certainty of evidence was moderate; all trials were at high risk of bias.
CONCLUSION: There was moderate-certainty evidence that exercise increased pain self-efficacy in adults with NSCLBP. Future research should investigate if this effect is meaningful, whether it increases with more targeted treatments to enhance pain self-efficacy, and the effects on outcomes for adults with NSCLBPPermalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire La revue systématique : il n'est jamais trop tard pour apprendre à (bien) lire... / Charlotte Beaudart in Medi-sphere le journal du généraliste, 525 (8 septembre 2016)
[article]
in Medi-sphere le journal du généraliste > 525 (8 septembre 2016) . - p. 35-38
Titre : La revue systématique : il n'est jamais trop tard pour apprendre à (bien) lire... Type de document : article de périodique Auteurs : Charlotte Beaudart Année de publication : 2016 Article en page(s) : p. 35-38 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus HELB]:Paramédical:lecture critique d'articles
[Thésaurus HELB]:Paramédical:littérature scientifique
[Thésaurus HELB]:Paramédical:Méta-analyses
[Thésaurus HELB]:Paramédical:Travail de fin d’études (T.F.E.) en santé
[Thésaurus Mesh]Revue de la littératurePermalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité M Périodique Erasme - périodiques Périodiques Disponible Which Interventions Enhance Pain Self-efficacy in People With Chronic Musculoskeletal Pain? A Systematic Review With Meta-analysis of Randomized Controlled Trials, Including Over 12 000 Participants / Javier Martinez-Calderon in Journal of Orthopaedic & Sports Physical Therapy, vol. 50, 8 (Aout 2020)
[article]
in Journal of Orthopaedic & Sports Physical Therapy > vol. 50, 8 (Aout 2020) . - p. 418-430
Titre : Which Interventions Enhance Pain Self-efficacy in People With Chronic Musculoskeletal Pain? A Systematic Review With Meta-analysis of Randomized Controlled Trials, Including Over 12 000 Participants Type de document : article de périodique Auteurs : Javier Martinez-Calderon ; [et al.] Année de publication : 2020 Article en page(s) : p. 418-430 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus HELB]:Paramédical:douleur chronique
[Thésaurus HELB]:Paramédical:Méta-analyses
[Thésaurus Mesh]Maladies ostéomusculaires
[Thésaurus Mesh]Revue de la littératureRésumé : Objective
To find out which interventions enhance pain self-efficacy in people with chronic musculoskeletal pain and to evaluate the reporting of interventions designed to enhance pain self-efficacy.
Design: Intervention systematic review with meta-analysis.
Literature Search
PubMed, Embase, Scopus, PsycINFO, CINAHL, PEDro, and the Cochrane Central Register of Controlled Trials were searched from inception up to September 2019.
Study Selection Criteria
Randomized controlled trials evaluating pain self-efficacy as a primary or secondary outcome in chronic musculoskeletal pain.
Data Synthesis
We used the Cochrane risk of bias tool and the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach to evaluate the risk of bias and the certainty of the evidence, respectively.
Results
Sixty randomized controlled trials were included (12 415 participants). There was a small effect of multicomponent, psychological, and exercise interventions improving pain self-efficacy at follow-ups of 0 to 3 months, a small effect of exercise and multicomponent interventions enhancing pain self-efficacy at follow-ups of 4 to 6 months, and a small effect of multicomponent interventions improving pain self-efficacy at follow-ups of 7 to 12 months. No interventions improved pain self-efficacy after 12 months. Self-management interventions did not improve pain self-efficacy at any follow-up time. Risk of bias, the nature of the control group, and the instrument to assess pain self-efficacy moderated the effects of psychological therapies at follow-ups of 7 to 12 months. The certainty of the evidence for all included interventions was low, due to serious risk of bias and indirectness. No trial reported the intervention in sufficient detail to allow full replication.
Conclusion
There was low-quality evidence of a small effect of multicomponent exercise and psychological interventions improving pain self-efficacy in people with chronic musculoskeletal pain.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité J Périodique Erasme - périodiques Périodiques Disponible