Fyzio Klim

10/03/2026

21/12/2022

Veselé Vánoce a šťastný nový rok přeje Fyzioklim!

28/03/2022

Nové srovnání dětských BF celoročních nízkých bot najdete na

Porovnáváme 16 nejoblíbenějších značek dětských barefoot bot

24/04/2018

Zkušená novinářka a publicistka Renata Červenková vystihla prý „slabou chvíli“ renomovaného fyzioterapeuta. Kývl na spolupráci a výsledkem je obsáhlá…

01/01/2018

Přeji vám to nejkrásnější sklouznutí do roku 2018! Ať je celý rok plný štěstí, pohody, inspirace a příjemných překvapení ;-)! Vaše rehabilitace Fyzio Klim!

08/12/2017

15/11/2017

Objevili jsme se v 2. vydání časopisu SVAL 2017!

Časopis je v elektronické podobě k přečtení zde: https://issuu.com/tomad.doleal/docs/sval2-i

Pěkné počtení Vám přeje,

Váš Fyzioklim!

https://m.facebook.com/story.php?story_fbid=1435520556544113&id=412638868832292

První číslo Students' Voluntarily Associated Literature (SVAL) — elektronického časopisu pro studenty fyzioterapie. | Vedení časopisu: Bětka Motlová ([email protected]) | Grafická úprava: Tomáš D. Doležal ([email protected])

15/09/2017

🔬📚
The Lever Sign For ACL Rupture
💡
A new clinical test for the diagnosis of ACL rupture is described:
The so-called “Lever Sign”
💡
Lelli, et al., (2016), performed a prospective study on 4 groups of patients based on MRI findings and Clinical Phase.
💡
The hypothesis was the manual test would be diagnostic for both partial and complete tears of the ACL regardless of the elapsed time from injury.
📝📝📝
METHODS:
400 patients were evaluated and divided into 4, equal-sized groups:
Group A (acute phase with positive MRI for complete ACL rupture)
Group B (chronic phase with positive MRI for complete ACL rupture)
Group C (acute phase with positive MRI for partial ACL rupture)
Group D (chronic phase with positive MRI for partial ACL rupture). .
📝
Clinical assessment was performed with:
Lachman test
Anterior Drawer test
Pivot Shift test
Lever Sign test
📝
[A]
The Lever Sign test involves placing a fulcrum under the patient’s calf and applying a downward force to the quadriceps.
📝
Depending on whether the ACL is intact or not:
the patient’s heel will either
[B]
rise off of the examination table .
[C]
or remain down. .
📝
Additionally, the Lever Sign test was performed on the un-injured leg of all 400 patients as a control.
🔬🔬🔬
RESULTS:
All tests were nearly 100 % sensitive for patients with chronic, complete tears of the ACL. .
🔬
However, for patients with acute, partial tears, the sensitivity was much lower for:
Lachman test (0.42)
Anterior Drawer test (0.29)
Pivot Shift test (0.11)
🔬
But sensitivity for the Lever Sign test was (1.00) for patients with acute, partial tears
❗️❗️❗️
CONCLUSIONS:
In general, chronic, complete tears were most successfully diagnosed but acute, partial tears were least successfully diagnosed. .
❗️
The Lever Sign test is more sensitive to correctly diagnosing both acute and partial tears of the ACL compared with other common manual tests. .
🙌🏼🙌🏼🙌🏼
CLINICAL RELEVANCE:
Some ACL ruptures may be more accurately diagnosed with the Lever Sign
📚📚📚
SOURCE:
Lelli, et al. 2016. The “Lever Sign”: a new clinical test for the diagnosis of anterior cruciate ligament rupture.