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You searched for id:"oai:etd.ohiolink.edu:ohiou1491775474846951". One record found.

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1. Martinez, Austin A. A Comparison of the Diagnostic Accuracy of Three Diagnostic Tests for Anterior Cruciate Ligament Lesions.

Degree: MS, Athletic Training (Health Sciences and Professions), 2017, Ohio University

Background: Introduced in 2014, the diagnostic accuracy of the Lever Sign (LS) in detecting acute complete anterior cruciate ligament (ACL) lesions is not well documented. Purpose: To assess the diagnostic accuracy of the LS, Lachman’s Test (LT), and Drawer Test (DT) in the detection of acute ACL lesions, including a population with an intact ACL. Methods: We reviewed the records of 70 acute (< 72 hours postinjury) knee injuries. Deidentified records were collected from high school and collegiate athletic trainers using a standardized form. Statistical Analysis: The DT and LT were performed 69 times and the LS 42 times. A 2 x 2 contingency table including 95% confidence intervals (CI) were created. A receiver operating characteristic (ROC) curve was created and data from the knee inventory form were filtered for patient-perceived pain. Results: The LS yielded a sensitivity of .85 and specificity of .97. The LT and DT yielded a sensitivity of .75 and .60 and a specificity of .94 and .96. ROC curves demonstrated that the LS, LT and DT produced an area under the curve (AUC) of .88, .83, and .77. Last, the patient-perceived pain at a frequency of 40% when the LS was performed on an ACL lesion and a frequency of 13% when the test was performed and an ACL lesion was not present. No statistically significant differences were identified among the 3 tests. Conclusion: Although not statistically significant, the LS produced a better diagnostic accuracy than the LT and DT in the detection of acute complete ACL lesions. The LS had a decreased frequency of patient-perceived pain when performed, decreasing the chance of a false negative. We propose that clinicians can use the LS in the assessment of suspected ACL lesions. Advisors/Committee Members: Starkey, Chad (Advisor).

Subjects/Keywords: Anatomy and Physiology; Biomechanics; Epidemiology; Health Care; Health Sciences; Kinesiology; Sports Medicine; Acute knee injury; Diagnostic accuracy

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6th Edition):

Martinez, A. A. (2017). A Comparison of the Diagnostic Accuracy of Three Diagnostic Tests for Anterior Cruciate Ligament Lesions. (Masters Thesis). Ohio University. Retrieved from http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1491775474846951

Chicago Manual of Style (16th Edition):

Martinez, Austin A. “A Comparison of the Diagnostic Accuracy of Three Diagnostic Tests for Anterior Cruciate Ligament Lesions.” 2017. Masters Thesis, Ohio University. Accessed December 17, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1491775474846951.

MLA Handbook (7th Edition):

Martinez, Austin A. “A Comparison of the Diagnostic Accuracy of Three Diagnostic Tests for Anterior Cruciate Ligament Lesions.” 2017. Web. 17 Dec 2017.

Vancouver:

Martinez AA. A Comparison of the Diagnostic Accuracy of Three Diagnostic Tests for Anterior Cruciate Ligament Lesions. [Internet] [Masters thesis]. Ohio University; 2017. [cited 2017 Dec 17]. Available from: http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1491775474846951.

Council of Science Editors:

Martinez AA. A Comparison of the Diagnostic Accuracy of Three Diagnostic Tests for Anterior Cruciate Ligament Lesions. [Masters Thesis]. Ohio University; 2017. Available from: http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1491775474846951

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