- Title
- Imaging and clinical tests for the diagnosis of long-standing groin pain in athletes: a systematic review
- Creator
- Drew, Michael K.; Osmotherly, Peter G.; Chiarelli, Pauline E.
- Relation
- Physical Therapy in Sport Vol. 15, Issue 2, p. 124-129
- Publisher Link
- http://dx.doi.org/10.1016/j.ptsp.2013.11.002
- Publisher
- Churchill Livingstone
- Resource Type
- journal article
- Date
- 2014
- Description
- Objectives: To examine the validity of clinical tests available for the diagnosis of longstanding groin pain in athletes. Design: Systematic review. Method: A published search strategy of MeSH terms in MEDLINE, CINAHL, EMBASE, and SportDiscuss. Inclusion criteria: diagnostic studies relating to athletic groin pain, professional or semi-professional athletes, symptoms lasting for more than six weeks, and not limited by age or gender. A priori exclusion criteria were utilised. Outcome measures: QUADAS tool, sensitivity and specificity, likelihood ratios and predictive values of the reported tests and investigations. Results: 577 Journal articles were identified. Five studies metall requirements. Sensitivity and specificity of clinical tests ranged between 30 and 100% and 88 and 95% respectively with negative likelihood ratio of 0.15-0.78 and positive likelihood ratios of 1.0-11.0. Sensitivity and specificity of investigations (MRI, herniography, and dynamic ultrasound) ranged between 68% and 100% as well as 33% and 100% respectively with negative likelihood ratios between 0 and 0.32 and positive likelihood ratios between 1.5 and 8.1. Conclusion: There is a lack of validated diagnostic clinical tests available for clinicians and a lack of symptomology being evaluated. It is recommended that a reference standard should be applied and data should be reported in sufficient detail to calculate diagnostic statistics that is useful to the clinician.
- Subject
- groin; athletic injury; diagnosis; systematic review
- Identifier
- http://hdl.handle.net/1959.13/1305075
- Identifier
- uon:20971
- Identifier
- ISSN:1466-853X
- Language
- eng
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