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Global Physiotherapy 2016
November 17-18, 2016
Volume 6 Issue 6(Suppl) J Nov Physiother
ISSN: 2165-7025 JNP, an open access journal
conferenceseries .com
November 17-18, 2016 Atlanta, USA
Global Physiotherapy Congress
Sabah Gaber, J Nov Physiother 2016, 6:6(Suppl)
Accuracy of clinical examination in diagnosing lumbar radiculopathy
Sabah Gaber
King Abdulaziz Medical City, Saudi Arabia
Introduction: High percentage of out-patients who referred as LBP and radiculopathy were not diagnosed based on MRI or
CT scan findings.
Clinical Question: In case of LBP and radiculopathy, are clinical examinations as accurate as MRI and CT scan?
Summary Study Design: Study design of articles retrieved is a diagnostic systemic review and meta-analysis entitled by
“Neurological examination of the peripheral nervous system to diagnosis lumbar spinal disc herniation with suspected
radiculopathy” published on 8th Feb-2013 N H AL Nezari. The systematic review targeted an important common disorder
which is LBP with radiculopathy that may be dangerous if not diagnosed well and treated. The targeted clinical examination is
helpful and famous. It is essential in objective evaluation and decision making.
Results: This systemic review includes 14 diagnostic articles; the results are similar from study to study and were combined.
Results of each study were presented clearly and in form of forest plot for sensitivities and specificities: 3 on sensory tests; 3 on
motor tests (paresis and atrophy); and 2 on reflex testing. Regarding the test of heterogeneity only the diagnostic meta-analysis
software, developed by Zamora et al. was mentioned, which was used to pool the results of homogenous studies and it was not
mention while using the fixed effects model and the random effects model.
Conclusion: Neurological testing procedures have limited overall diagnostic accuracy. Pooled diagnostic accuracy values of the
tests were poor. All tests demonstrated: low sensitivity and moderate specificity. Neurological testing procedures in isolation do
not provide an acceptable LR to indicate a disc herniation in patients with suspected radiculopathy.
Biography
Sabah Gaber has graduated from Cairo University, Egypt 1979 with a Bachelor of Science in Physical Therapy. She holds Diploma in Osteopathic Manipulative
2016 and Post-graduate Diploma in Pelvic Rehabilitation 2012. She has attended specific courses as Cyrix, Mc Connell approaches and Women Health. She
has started her career from the Arab Contract Medical Center in Egypt and has done her Specialization in Musculoskeletal, especially in the Spine Disorders and
Rehabilitation. She played a crucial role in establishing new specialty Women Health Clinic and Education. She has initiated Osteopath in treating her patients.