In Volume 3, Issue 1 of the JSMAHS you will find Professional research abstracts, as well as Under Graduate student research abstracts, case reports, and critically appraised topics.
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Grooms, Dustin

Martinez, Austin

Simon, Janet

Starkey, Chad, PhD, AT, FNATA

English

Bowling Green State University: ScholarWorks@BGSU

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association Volume 3 Issue 1 Ohio Athletic Trainers' Association Special Edition Article 6 May 2017 A Comparison of the Diagnostic Accuracy of Three Diagnostic Tests for ACL Lesions Austin Martinez Ohio University, am676514@ohio.edu Dustin Grooms Ohio University, groomsd@ohio.edu Janet Simon Ohio University, simonj1@ohio.edu Chad Starkey PhD, AT, FNATA Ohio University, starkeyc@ohio.edu Follow this and additional works at: https://scholarworks.bgsu.edu/jsmahs  Part of the Biomechanics Commons, Exercise Science Commons, Motor Control Commons, Other Kinesiology Commons, Rehabilitation and Therapy Commons, Sports Medicine Commons, and the Sports Sciences Commons Recommended Citation Martinez, Austin; Grooms, Dustin; Simon, Janet; and Starkey, Chad PhD, AT, FNATA (2017) "A Comparison of the Diagnostic Accuracy of Three Diagnostic Tests for ACL Lesions," Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association: Vol. 3 : Iss. 1 , Article 6. DOI: 10.25035/jsmahs.03.01.06 Available at: https://scholarworks.bgsu.edu/jsmahs/vol3/iss1/6 This Professional/Faculty Abstract is brought to you for free and open access by the Journals at ScholarWorks@BGSU. It has been accepted for inclusion in Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association by an authorized editor of ScholarWorks@BGSU. Martinez, Grooms, Simon, Starkey Comparison Diagnosic Accuracy ACL Lesion JSMAHS. 2017;3(1). Professional Abstract.   A Comparison of the Diagnostic Accuracy of Three Diagnositc Tests for ACL Lesions Austin A. Martinez, MS, ATC, Dustin Grooms, PhD, ATC, CSCS, Janet E. Simon, PhD, ATC, Chad Starkey, PhD, ATC, FNATA Division of Athletic Training, School of Applied Health Sciences and Wellness, Ohio University ________________________________________________________________________________________________________________CONTEXT  The diagnostic accuracy of the Lever Sign (LS) in detecting acute anterior cruciate ligament (ACL) lesions is not well documented.  OBJECTIVE To assess the diagnostic accuracy of the LS in relation to the Lachman’s Test (LT), and Drawer Test (DT) in the detection of acute ACL lesions, including a population with an intact ACL.   DESIGN AND SETTING Retrospective record review; collegiate and high school athletes.   PARTICIPANTS A total of 70 records were collected and reviewed over 1 year consisting of 46 (66%) males and 24 (34%) females. Average age of the patients were 17.6±2.0 years, 50 (71%) records were collected from high school athletics and 20 (29%) from collegiate athletics.  INTERVENTION Data were reviewed through a knee inventory report form distributed to participating athletic trainers. The report form collected de-identified information pertaining to an acute (< 72 hours postinjury) knee injury. Data included: Date of initial injury, date and time of clinician examination, sex, age, participation level, knee girth measurement, clinician findings from the LT, DT and LS,     diagnostic technique findings, athletic trainer diagnosis and definitive diagnosis.  MAIN OUTCOME MEASURES Based on the disposition of the patient four reference standards were used in this study: Arthroscopy, magnetic resonance imaging, physician diagnosis, and functional return to play. The DT and LT were performed 69 times and the LS 42 times. A 2 x 2 contingency table including 95% confidence intervals was created. A receiver operating characteristic (ROC) curve was calculated. Data were then grouped by findings: laxity and 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 produced an area under the curve (AUC) of .88. The LT and DT produced an AUC of .83 and .77. Forty percent of patients reported pain when the LS was performed on an ACL lesion and 13% when 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 in the detection of acute complete ACL lesions. The LS had a decreased frequency of patient-perceived pain, decreasing the chance of false   Journal of Sports Medicine and Allied Health Science | Vol. 3 | Issue. 1 | OATA Annual Symposium Special Edition   1Martinez et al.: Comparison Diagnostic Accuracy ACL LesionPublished by ScholarWorks@BGSU, 2017Martinez, Grooms, Simon, Starkey Comparison Diagnosic Accuracy ACL Lesion JSMAHS. 2017;3(1). Professional Abstract.   negatives. We propose that clinicians can use the LS in the assessment of ACL lesions.   KEY POINTS • The LS produced the greatest diagnostic accuracy in the detection of acute complete ACL lesions, but was not statistically different from the LT or the DT.        • The LS had a decreased frequency of patient-perceived pain when performed on an acute knee injury compared to the other 2 tests, potentially decreasing the probability of a false negative.  KEY WORDS: acute knee injury, diagnostic accuracy       Journal of Sports Medicine and Allied Health Science | Vol. 3 | Issue. 1 | OATA Annual Symposium Special Edition   2Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association, Vol. 3, Iss. 1 [2017], Art. 6https://scholarworks.bgsu.edu/jsmahs/vol3/iss1/6DOI: 10.25035/jsmahs.03.01.06

A Comparison of the Diagnostic Accuracy of Three Diagnostic Tests for ACL Lesions

https://scholarworks.bgsu.edu/cgi/viewcontent.cgi?article=1097&context=jsmahs

A Comparison of the Diagnostic Accuracy of Three Diagnostic Tests for ACL Lesions

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