Sensitivity vs Specificity
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Sensitivity vs Specificity
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The only way you're going to be "specific" for a spinal manipulation or mobilization is to remove two vertebrae from the body and mess around with them. Specificity is neither possible or needed. Manipulation and mobilization are effective, but since vertebrae are attached to each other by ligaments and muscles, capsules, not to mention surrounded by connective tissues and nerves, no one technique is ever specific. You try moving just two links in a chain without moving others. I know detractors
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The only way you're going to be "specific" for a spinal manipulatio…
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MOVING VALGUS STRESS TEST FOR MEDIAL COLLATERAL LIGAMENT INSUFFICIENCY OF THE ELBOW If your patient is presenting after a trauma of the elbow and with medial elbow pain, one of the first things you want to test (after excluding a fracture) is the integrity of the ligaments. The moving valgus stress test is used to assess the medial collateral ligament at the elbow. According to a small study of O'Driscoll et al. (2017) the Moving Valgus Stress test has a sensitivity of 100% and a specificity of
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Moving Patellar Apprehension Test for Patellar Dislocation Patellar dislocation can have several underlying anatomical factors including but not limited to abnormal bony anatomy of the trochlea and patella, mechanical misalignment of the lower limb as well as static and dynamic deficiency of soft tissue stabilizers. The traditional patellar apprehension test as well as CTs or MRI may fail to detect patients with patellar instability due to its static nature – especially outside of an acute event
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