Musculoskeletal Injury, Musculoskeletal Pain
Conditions
Keywords
Diagnostic accuracy, Clinical examination, neck, back, shoulder, hip, knee, foot, ankle, stress fracture
Brief summary
This study examines the diagnostic accuracy of the clinical examination as compared to MRI findings
Detailed description
When patients get musculoskeletal pain and seek care, the healthcare professional performs a detailed clinical examination to determine a diagnosis and determine a plan of care which often includes imaging. There are only a few studies that have looked at the accuracy of the clinical examination in a primary care setting, most studies having been performed in a specialty practice treating Orthopedic or Sports injuries. In these practices, surgery has become and remains the gold standard. However, in primary care, often imaging like Magnetic Resonance Imaging (MRI) has become the the criterion standard. This double blind study will compare the diagnosis reached by clinical exam to the results found on MRI. In addition, the examining clinician will report their recommended plan of care after the examination.
Interventions
DIAGNOSTIC_TESTclinical examination
Thorough examination including history, screening, motion testing, strength testing, special testing
OTHERMRI
Low field MRI .25 Tesla
Sponsors
High Point University
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* Subjects 18-80 years old with musculoskeletal pain/dysfunction
Exclusion criteria
* Outside the inclusion age range, pain/dysfunction of other than musculoskeletal origin, those in whom MRI is contraindicated for example, with shrapnel in the body
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| likelihood ratios | 5 years | combination of sensitivity |
| Area under the curve | 5 years | measure of accuracy of the clinical exam |
Countries
United States
Outcome results
None listed