Diagnostic Validity of Criteria for Sacroiliac Joint Pain: A Systematic Review |
| |
| Authors: | Karolina M Szadek Peter van der Wurff Maurits W van Tulder Wouter W Zuurmond Roberto SGM Perez |
| |
| Affiliation: | 1. Department of Anesthesiology, VU University Medical Center, and EMGO Institute for Research in Extramural Medicine, VU University Medical Center Amsterdam, Amsterdam, The Netherlands;2. Division of Perioperative Medicine and Emergency Care, Department of Anesthesiology and Pain Treatment, University Medical Center, Utrecht, The Netherlands, and Department of Physiotherapy, Military Rehabilitation Centre “Aardenburg,” Doorn, The Netherlands;3. Institute of Health Sciences, Faculty of Earth and Life Sciences, VU University Amsterdam and EMGO Institute, VU University Medical Center, Amsterdam, The Netherlands;4. Department of Anesthesiology, VU University Medical Center, Amsterdam, The Netherlands;6. Department of Anesthesiology, VU University Medical Center, Amsterdam, The Netherlands, and EMGO Institute for Research in Extramural Medicine, VU University Medical Center Amsterdam, The Netherlands;1. Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium;2. Antwerp University Hospital, Physical Medicine and Rehabilitation, Edegem, Belgium;1. Department of Orthopaedic Surgery/Low Back Pain and Sacroiliac Joint Center, JCHO Sendai Hospital, Sendai, Japan;2. Department of Orthopaedic Surgery, Tohoku University School of Medicine, Sendai, Japan;1. Department of Physical Therapy, Duquesne University, Pittsburg, Pennsylvania, U.S.A.;2. Rangos School of Health Sciences, Duquesne University, Pittsburgh, Pennsylvania, U.S.A.;3. UPMC Center for Sports Medicine, Pittsburgh, Pennsylvania, U.S.A.;4. Hip Preservation Center, Baylor Scott&White Health System, Dallas, Texas, U.S.A.;5. Orthopedic Unit, Clínica Las Américas, Medellín, Colombia;6. GRINMADE Research Group, Universidad de Antioquia, Medellín, Colombia;1. Department of Orthopaedic Surgery, Fukushima Medical University School of Medicine, Fukushima City, Fukushima, Japan;2. Department of Sports Medicine, Fukushima Medical University School of Medicine, Koriyama City, Japan;1. Department of Orthopedics, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan;2. Department of Orthopedics, Kaohsiung Municipal Siaogang Hospital, Kaohsiung, Taiwan;3. College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan |
| |
| Abstract: | A systematic literature review was conducted to determine the diagnostic validity of the criteria for sacroiliac (SI) joint pain as proposed by the International Association for the Study of Pain (IASP). Databases were searched up to September 2007. Quality of the studies was assessed using a Quality Assessment of Diagnostic Accuracy Studies (QUADAS) tool. Sensitivity, specificity, and diagnostic odds ratios (DOR) were calculated together with 95% confidence intervals (CI). Statistical pooling was conducted for results of provocative tests. Eighteen studies were included. Five studies examined the pattern of SI joint pain, whereas another 5 examined stressing test specific for SI joint pain. None of the studies evaluated the diagnostic validity of the SI joint infiltration or the diagnostic validity of the IASP criteria set as a whole. In all studies, the SI joint selective infiltration was used as a gold standard; however, the technique, medications, and required pain relief after the infiltration varied considerably between the studies. Taking the double infiltration technique as reference test, the pooled data of the thigh thrust test (DOR, 18.461; CI, 5.82 to 58.53), compression test (DOR, 3.88; CI, 1.7 to 8.9), and 3 or more positive stressing tests (DOR, 17.16; CI, 7.6 to 39) showed discriminative power for diagnosing SI joint pain.PerspectiveThis review of clinical studies focused on the diagnostic validity of the IASP criteria for diagnosing SI joint pain. A meta-analysis showed that the thigh thrust test, the compression test, and 3 or more positive stressing tests have discriminative power for diagnosing SI joint pain. Because a gold standard for SI joint pain diagnosis is lacking, the diagnostic validity of tests related to the IASP criteria for SI joint pain should be regarded with care. |
| |
| Keywords: | |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
