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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2020; 55(03): 293-297
DOI: 10.1055/s-0039-1700832
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Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Acurácia do teste de força muscular da cinesiologia aplicada para disfunção sacroilíaca[*]

Article in several languages: português | English
Jaisson Agne Estrázulas 
1   Faculdade de Educação Física e Fisioterapia, Universidade Federal do Amazonas (UFAM), Manaus, Brasil
,
Lauro Sinval Bueno
2   Bacharel em Fisioterapia, Manaus (AM), Brasil
,
Luana Rocha de Oliveira Lombardi
2   Bacharel em Fisioterapia, Manaus (AM), Brasil
,
Jansen Atier Estrázulas
3   Universidade do Estado do Amazonas (UEA), Manaus, Brasil
,
Tiótrefis Gomes Fernandes
1   Faculdade de Educação Física e Fisioterapia, Universidade Federal do Amazonas (UFAM), Manaus, Brasil
,
Juliana Albuquerque Baltar
1   Faculdade de Educação Física e Fisioterapia, Universidade Federal do Amazonas (UFAM), Manaus, Brasil
4   Programa de Pós-graduação em Medicina, Universidade Federal de São Paulo, SP, Brasil
› Author Affiliations
Further Information

Publication History

25 September 2018

22 January 2019

Publication Date:
27 February 2020 (online)

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Resumo

Objetivo Investigar a acurácia do teste de força muscular da cinesiologia aplicada para disfunção sacroilíaca, comparando-o com quatro testes ortopédicos validados.

Métodos Trata-se de uma pesquisa transversal de acurácia desenvolvida em uma clínica particular da cidade de Manaus no mês de fevereiro de 2017. A amostra teve 20 indivíduos, com mediana de idade 33,5 anos. Foram aplicados quatro testes: distração, thigh thrust, compressão e thrust sacral, e o diagnóstico foi confirmado quando três destes testes deram positivo. Logo após, foi aplicado o teste da cinesiologia aplicada para o músculo piriforme.

Resultados A prevalência de disfunção da articulação sacroilíaca observada foi de 45%, tendo o teste thigh thrust alta especificidade, e o teste thrust sacral, alta sensibilidade. O teste da cinesiologia aplicada obteve bons resultados (sensibilidade: 0,89; especificidade: 0,82; valor preditivo positivo: 0,80; valor preditivo negativo: 0,82; acurácia: 0,85; área abaixo da curva de característica de operação do receptor [COR]: 0,85).

Conclusão O teste de força muscular da cinesiologia aplicada, de grande viabilidade clínica, mostrou ter boa acurácia no diagnóstico da disfunção da articulação sacroilíaca, e maior poder discriminatório da disfunção existente, em comparação aos demais testes.

Palavras-chave

articulação sacroilíaca - cinesiologia aplicada - sensibilidade e especificidade

* Trabalho desenvolvido na Universidade Federal do Amazonas, Manaus, AM, Brasil.


 

  • Referências

  • 1 Hoy D, Bain C, Williams G. , et al. A systematic review of the global prevalence of low back pain. Arthritis Rheum 2012; 64 (06) 2028-2037
    CrossrefPubMedGoogle Scholar
  • 2 van Tulder M, Becker A, Bekkering T. , et al; COST B13 Working Group on Guidelines for the Management of Acute Low Back Pain in Primary Care. Chapter 3. European guidelines for the management of acute nonspecific low back pain in primary care. Eur Spine J 2006; 15 (Suppl. 02) S169-S191
    CrossrefPubMedGoogle Scholar
  • 3 Strine TW, Hootman JM. US national prevalence and correlates of low back and neck pain among adults. Arthritis Rheum 2007; 57 (04) 656-665
    CrossrefPubMedGoogle Scholar
  • 4 Ramirez CR, Lemus DM. Disfunção da articulação sacro-ilíaca em jovens com dor lombar. Fisioter Mov 2010; 23 (03) 419-428
    CrossrefGoogle Scholar
  • 5 Rupert MP, Lee M, Manchikanti L, Datta S, Cohen SP. Evaluation of sacroiliac joint interventions: a systematic appraisal of the literature. Pain Physician 2009; 12 (02) 399-418
    PubMedGoogle Scholar
  • 6 Hansen HC, McKenzie-Brown AM, Cohen SP, Swicegood JR, Colson JD, Manchikanti L. Sacroiliac joint interventions: a systematic review. Pain Physician 2007; 10 (01) 165-184
    PubMedGoogle Scholar
  • 7 Kennedy DJ, Engel A, Kreiner DS, Nampiaparampil D, Duszynski B, MacVicar J. Fluoroscopically Guided Diagnostic and Therapeutic Intra-Articular Sacroiliac Joint Injections: A Systematic Review. Pain Med 2015; 16 (08) 1500-1518
    CrossrefPubMedGoogle Scholar
  • 8 Laslett M, Aprill CN, McDonald B, Young SB. Diagnosis of sacroiliac joint pain: validity of individual provocation tests and composites of tests. Man Ther 2005; 10 (03) 207-218
    CrossrefPubMedGoogle Scholar
  • 9 Robinson HS, Brox JI, Robinson R, Bjelland E, Solem S, Telje T. The reliability of selected motion- and pain provocation tests for the sacroiliac joint. Man Ther 2007; 12 (01) 72-79
    CrossrefPubMedGoogle Scholar
  • 10 Stuber KJ. Specificity, sensitivity, and predictive values of clinical tests of the sacroiliac joint: a systematic review of the literature. J Can Chiropr Assoc 2007; 51 (01) 30-41
    PubMedGoogle Scholar
  • 11 van der Wurff P, Buijs EJ, Groen GJ. A multitest regimen of pain provocation tests as an aid to reduce unnecessary minimally invasive sacroiliac joint procedures. Arch Phys Med Rehabil 2006; 87 (01) 10-14
    PubMedGoogle Scholar
  • 12 Simopoulos TT, Manchikanti L, Singh V. , et al. A systematic evaluation of prevalence and diagnostic accuracy of sacroiliac joint interventions. Pain Physician 2012; 15 (03) E305-E344
    CrossrefPubMedGoogle Scholar
  • 13 Hall S, Lewith G, Brien S, Little P. A review of the literature in applied and specialised kinesiology. Forsch Komplement Med 2008; 15 (01) 40-46
    CrossrefPubMedGoogle Scholar
  • 14 Gin RH, Green BN. George Goodheart, Jr., D.C., and a history of applied kinesiology. J Manipulative Physiol Ther 1997; 20 (05) 331-337
    PubMedGoogle Scholar
  • 15 Garten H. Education: Diplomate of the International College of Applied Kinesiology. Introduction and: Systemic Disorders, General Strategies. München: German Medical Society for Applied Kinesiology; 2008
    Google Scholar
  • 16 Schwartz SA, Utts J, Spottiswoode SJ. , et al. A double-blind, randomized study to assess the validity of applied kinesiology (AK) as a diagnostic tool and as a nonlocal proximity effect. Explore (NY) 2014; 10 (02) 99-108
    CrossrefPubMedGoogle Scholar
  • 17 Schmitt Jr WH, Leisman G. Correlation of applied kinesiology muscle testing findings with serum immunoglobulin levels for food allergies. Int J Neurosci 1998; 96 (3-4): 237-244
    CrossrefPubMedGoogle Scholar
  • 18 Peterson KB. A preliminary inquiry into manual muscle testing response in phobic and control subjects exposed to threatening stimuli. J Manipulative Physiol Ther 1996; 19 (05) 310-316
    PubMedGoogle Scholar
  • 19 Pollard H, Bablis P, Bonello R. Can the ileocecal valve point predict low back pain using manual muscle testing?. Chiropr J Aust 2006; 36 (02) 58-62
    Google Scholar
  • 20 Laslett M. Evidence-based diagnosis and treatment of the painful sacroiliac joint. J Manual Manip Ther 2008; 16 (03) 142-152
    CrossrefPubMedGoogle Scholar
  • 21 Eskander JP, Ripoll JG, Calixto F. , et al. Value of Examination Under Fluoroscopy for the Assessment of Sacroiliac Joint Dysfunction. Pain Physician 2015; 18 (05) E781-E786
    PubMedGoogle Scholar
  • 22 Szadek KM, van der Wurff P, van Tulder MW, Zuurmond WW, Perez RS. Diagnostic validity of criteria for sacroiliac joint pain: a systematic review. J Pain 2009; 10 (04) 354-368
    CrossrefPubMedGoogle Scholar
  • 23 Schmitt C, Hahn PT. A fisioterapia na síndrome do músculo piriforme: uma revisão da literatura. Rev UNINGÁ Rev. 2013; 16 (01) 18-21
    Google Scholar
  • 24 Lawson A, Calderon L. Interexaminer agreement for applied kinesiology manual muscle testing. Percept Mot Skills 1997; 84 (02) 539-546
    CrossrefPubMedGoogle Scholar
  • 25 Arnbak B, Jurik AG, Jensen RK, Schiøttz-Christensen B, van der Wurff P, Jensen TS. The diagnostic value of three sacroiliac joint pain provocation tests for sacroiliitis identified by magnetic resonance imaging. Scand J Rheumatol 2017; 46 (02) 130-137
    CrossrefPubMedGoogle Scholar
  • 26 Walter DS, Gavin DM. Applied Kinesiology. Synopsis. 2nd ed. Pueblo: Systems DC; 1988
    Google Scholar
  • 27 Oti J. The use of manual muscle testing to assess functional integration of high-threshold versus low-threshold alpha motor neurons. In: Proceedings of the International College of Applied Kinesiology; 2004
    PubMedGoogle Scholar
  • 28 Waxenegger I, Endler PC, Wulkersdorfer B, Spranger H. Individual prognosis regarding effectiveness of a therapeutic intervention using pre-therapeutic “kinesiology muscle test”. ScientificWorldJournal 2007; 7: 1703-1707
    CrossrefPubMedGoogle Scholar
  • 29 Cuthbert SC, Goodheart Jr GJ. On the reliability and validity of manual muscle testing: a literature review. Chiropr Osteopat 2007; 15: 4
    CrossrefPubMedGoogle Scholar