{"title":"介绍bk21 (Kacprzak)试验作为Lachman试验和Drop Leg试验诊断前交叉韧带撕裂的创伤较小的替代方法","authors":"B. Kacprzak, N. Siuba-Jarosz","doi":"10.47529/2223-2524.2021.2.3","DOIUrl":null,"url":null,"abstract":"Objective: despite the fact that anterior cruciate ligament injuries are the most common ligament injuries, the problem of making a quick and accurate diagnosis still exists. in our paper, we hypothesized that a modification of the Lachman test — BK21 (Kacprzak test), in comparison to the Lachman test and Drop Leg test will allow for a significant reduction of pain during the test, and thus for less muscular defense, more relaxation, and more reliable test results, whose sensitivity and specificity will be confirmed by magnetic resonance imaging.Materials and methods: using the patient’s subjective pain rating scale, the Numerical Rating Scale (NRS), we were able to easily assess which way of performing the test was less traumatic for the patient. a physical examination in the form of a comparison of those two visits was performed at the private medical office Orto Med Sport in 203 patients with suspected anterior cruciate ligament tear.Results: the BK21 modification (Kacprzak) test was on average 3 points less painful on the NRS scale than the classic Lachman test and 1 point less painful than the Drop Leg test, while the same principle of operation and analogous endpoints in both tests allow for high sensitivity and specificity of the test.Conclusion: the BK21 test was a less traumatic and painful alternative to the Lachman test.","PeriodicalId":309619,"journal":{"name":"Sports medicine: research and practice","volume":"1 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2021-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Presentation of the bk21 (Kacprzak) test as a less traumatic alternative to the Lachman test and Drop Leg test in diagnosing anterior cruciate ligament tear\",\"authors\":\"B. Kacprzak, N. Siuba-Jarosz\",\"doi\":\"10.47529/2223-2524.2021.2.3\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Objective: despite the fact that anterior cruciate ligament injuries are the most common ligament injuries, the problem of making a quick and accurate diagnosis still exists. in our paper, we hypothesized that a modification of the Lachman test — BK21 (Kacprzak test), in comparison to the Lachman test and Drop Leg test will allow for a significant reduction of pain during the test, and thus for less muscular defense, more relaxation, and more reliable test results, whose sensitivity and specificity will be confirmed by magnetic resonance imaging.Materials and methods: using the patient’s subjective pain rating scale, the Numerical Rating Scale (NRS), we were able to easily assess which way of performing the test was less traumatic for the patient. a physical examination in the form of a comparison of those two visits was performed at the private medical office Orto Med Sport in 203 patients with suspected anterior cruciate ligament tear.Results: the BK21 modification (Kacprzak) test was on average 3 points less painful on the NRS scale than the classic Lachman test and 1 point less painful than the Drop Leg test, while the same principle of operation and analogous endpoints in both tests allow for high sensitivity and specificity of the test.Conclusion: the BK21 test was a less traumatic and painful alternative to the Lachman test.\",\"PeriodicalId\":309619,\"journal\":{\"name\":\"Sports medicine: research and practice\",\"volume\":\"1 1\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2021-09-22\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Sports medicine: research and practice\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.47529/2223-2524.2021.2.3\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Sports medicine: research and practice","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.47529/2223-2524.2021.2.3","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
目的:尽管前交叉韧带损伤是最常见的韧带损伤,但仍然存在快速准确诊断的问题。在我们的论文中,我们假设Lachman测试的修改- BK21 (Kacprzak测试),与Lachman测试和Drop Leg测试相比,将允许在测试过程中显著减少疼痛,从而减少肌肉防御,更多放松,并且更可靠的测试结果,其敏感性和特异性将由磁共振成像证实。材料和方法:使用患者的主观疼痛评定量表,即数字评定量表(NRS),我们能够很容易地评估哪种方式进行测试对患者的创伤较小。在私人医疗办公室Orto Med Sport对203名疑似前交叉韧带撕裂的患者进行了体格检查,对这两次就诊进行了比较。结果:BK21改良(Kacprzak)试验在NRS量表上的疼痛程度比经典Lachman试验平均低3分,比Drop Leg试验平均低1分,而两种试验相同的操作原理和相似的终点使得该试验具有较高的灵敏度和特异性。结论:与Lachman试验相比,BK21试验是一种创伤和痛苦较小的替代方法。
Presentation of the bk21 (Kacprzak) test as a less traumatic alternative to the Lachman test and Drop Leg test in diagnosing anterior cruciate ligament tear
Objective: despite the fact that anterior cruciate ligament injuries are the most common ligament injuries, the problem of making a quick and accurate diagnosis still exists. in our paper, we hypothesized that a modification of the Lachman test — BK21 (Kacprzak test), in comparison to the Lachman test and Drop Leg test will allow for a significant reduction of pain during the test, and thus for less muscular defense, more relaxation, and more reliable test results, whose sensitivity and specificity will be confirmed by magnetic resonance imaging.Materials and methods: using the patient’s subjective pain rating scale, the Numerical Rating Scale (NRS), we were able to easily assess which way of performing the test was less traumatic for the patient. a physical examination in the form of a comparison of those two visits was performed at the private medical office Orto Med Sport in 203 patients with suspected anterior cruciate ligament tear.Results: the BK21 modification (Kacprzak) test was on average 3 points less painful on the NRS scale than the classic Lachman test and 1 point less painful than the Drop Leg test, while the same principle of operation and analogous endpoints in both tests allow for high sensitivity and specificity of the test.Conclusion: the BK21 test was a less traumatic and painful alternative to the Lachman test.