Kim test: Difference between revisions

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'''Original Editor '''- [[User:Sarah McBride|Sarah McBride]]


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== Purpose<br>  ==


add the purpose of this assessment technique here<br>
== Purpose  ==


== Technique<br> ==
Detection of a posteroinferior labral lesion.<br>  


Describe how to carry out this assessment technique here
== Technique ==
 
== Evidence ==
 
Provide the evidence for this technique here
 
== Resources  ==
 
add any relevant resources here
 
== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed])  ==
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== References  ==
 
References will automatically be added here, see [[Adding References|adding references tutorial]].
 
<references />
 
<br>
 
Test Description:


A - With the patient in a sitting position with the arm 90 degrees of abduction, the examiner holds the elbow and lateral aspect of the proximal arm, and a strong axial loading force is applied.  
A - With the patient in a sitting position with the arm 90 degrees of abduction, the examiner holds the elbow and lateral aspect of the proximal arm, and a strong axial loading force is applied.  


B - while the arm is elevated 45 degrees diagonally upward, downward and backward force is applied to the proximal arm. A sudden onset of posterior shoulder pain indicates a positive test result, regardless of accompanying posterior clunk of the humeral head.  
B - while the arm is&nbsp; elevated 45 degrees diagonally upward, downward and backward force is applied to the proximal arm. A sudden onset of posterior shoulder pain indicates a positive test result, regardless of accompanying posterior clunk of the humeral head.  


<br>  
{| width="100%" cellspacing="1" cellpadding="1"
|-
| [[Image:Kim test.jpg]]
|  {{#ev:youtube|3SidX4hb3m8|300}}<ref>Clinically Relevant Technologies, http://www.youtube.com/watch?v=1E-ShcJbueM; Accessed May 2011</ref>
|}


<br>
== Evidence  ==


[[Image:Kim test.jpg|Image:Kim_test.jpg]]
The sensitivity of the Kim test was 80%, specificity was 94%. The interexaminer reliability between 2 examiners was 0.91<ref name="Am J Sports Med">1. SH Kim et al. A Novel Test for Posteroinferior Labral Lesion of the Shoulder—A Comparison to the Jerk Test Am J Sports Med - 01-AUG-2005; 33(8): 1188-92</ref>.  


<br>  
The accuracy of the jerk test in detecting a posteroinferior labral lesion was the following: sensitivity, 73%; specificity, 98%<ref name="Am J Sports Med" />.


&nbsp;&nbsp;The sensitivity of the Kim test was 80%, specificity was 94%. The interexaminer reliability between 2 examiners was 0.91.  
The Kim test was more sensitive in detecting a predominantly inferior labral lesion, whereas the jerk test was more sensitive in detecting a predominantly posterior labral lesion. The sensitivity in detecting a posteroinferior labral lesion increased to 97% when the 2 tests were combined<ref name="Am J Sports Med" />. <br>


&nbsp;
== References  ==


The accuracy of the jerk test in detecting a posteroinferior labral lesion was the following: sensitivity, 73%; specificity, 98%.&nbsp;
<references />  
 
&nbsp;
 
The Kim test was more sensitive in detecting a predominantly inferior labral lesion, whereas the jerk test was more sensitive in detecting a predominantly posterior labral lesion. The sensitivity in detecting a posteroinferior labral lesion increased to 97% when the 2 tests were combined.
 
<br>  


&nbsp;
[[Category:Assessment]]
[[Category:Shoulder]]
[[Category:Special_Tests]]
[[Category:Shoulder - Special Tests]]
[[Category:Shoulder - Assessment and Examination]]
[[Category:Musculoskeletal/Orthopaedics]]
[[Category:EIM_Residency_Project]]
[[Category:Sports Medicine]]
[[Category:Sports Injuries]]
[[Category:Athlete Assessment]]

Latest revision as of 16:16, 29 August 2019

Original Editor - Sarah McBride

Top Contributors - Admin, Sarah McBride, Kim Jackson, Dan Rhon, Clinically Relevant, Evan Thomas, Naomi O'Reilly, Kai A. Sigel, WikiSysop, Wanda van Niekerk and Tony Lowe

Purpose[edit | edit source]

Detection of a posteroinferior labral lesion.

Technique[edit | edit source]

A - With the patient in a sitting position with the arm 90 degrees of abduction, the examiner holds the elbow and lateral aspect of the proximal arm, and a strong axial loading force is applied.

B - while the arm is  elevated 45 degrees diagonally upward, downward and backward force is applied to the proximal arm. A sudden onset of posterior shoulder pain indicates a positive test result, regardless of accompanying posterior clunk of the humeral head.

Kim test.jpg
[1]

Evidence[edit | edit source]

The sensitivity of the Kim test was 80%, specificity was 94%. The interexaminer reliability between 2 examiners was 0.91[2].

The accuracy of the jerk test in detecting a posteroinferior labral lesion was the following: sensitivity, 73%; specificity, 98%[2].

The Kim test was more sensitive in detecting a predominantly inferior labral lesion, whereas the jerk test was more sensitive in detecting a predominantly posterior labral lesion. The sensitivity in detecting a posteroinferior labral lesion increased to 97% when the 2 tests were combined[2].

References[edit | edit source]

  1. ↑ Clinically Relevant Technologies, http://www.youtube.com/watch?v=1E-ShcJbueM; Accessed May 2011
  2. ↑ 2.0 2.1 2.2 1. SH Kim et al. A Novel Test for Posteroinferior Labral Lesion of the Shoulder—A Comparison to the Jerk Test Am J Sports Med - 01-AUG-2005; 33(8): 1188-92
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