Empty Can Test or Jobe's Test | How to Perform the Empty Can Test
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郷間 光正 on Instagram: "【棘上筋断裂評価の精度】 棘上筋断裂の評価として Full can test と Empty can test は 臨床でよく用いられる徒手検査です。 両者は見た目が似ていますが、 診断特性には多少違いがあります。 - Full can test- ・感度：70% ・特異度：81% 偽陽性が比較的少なく、 「断裂がない」ことを確認する目的に向く検査。 - Empty can test- ・感度：88% ・特異度：62% 感度が高く、「断裂を疑うスクリーニング」として有用。 これらのことから ✔ 見逃したくない場合は→ Empty can ✔ 確認したい 場合は Full can という役割の違いを理解して使い分けることが重要だと思います。 ※私はPTなのであくまで評価ですが🙇 またEmpty canでは ・肩甲骨前傾 ・インピンジメント肢位 ・三角筋や疼痛の影響 を受けやすく、「陽性＝棘上筋断裂」と短絡しないことも重要だと思っています。 徒手検査は 単独で診断するものではなく、 問診・動作・他検査と統合して解釈するものですので、検査の「やり方
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