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Original Article

Inter- and intrarater reliability of goniometry and hand held dynamometry for patients with subacromial impingement syndrome

초록

영어

The purpose of this study was to examine the intra- and interrater reliability of measuring shoulder range of motion (ROM) and strength among patients diagnosed with subacromial impingement syndrome (SAIS). Twenty-five patients (14 female patients; mean age, 60.4± 7.84 years) diagnosed with SAIS were assessed to determine the intrarater reliability for glenohumeral ROM. Twenty-five patients (16 female patients; mean age, 60.4± 7.80 years) and 76 asymptomatic volunteers (52 female volunteers; mean age, 29.4± 14.1 years) were assessed for interrater reliability. Dependent variables were active shoulder ROM and isometric strength. Intrarater reliability was fair-to-excellent for the SAIS patients (intraclass correlation coefficient [ICC], 0.52–0.97; standard error of measurement [SEM], 4.4°–9.9° N; coefficient of variation [CV], 7.1%–44.9%). Based on the ICC, 11 of 12 parameters (92%) displayed an excellent reliability (ICC> 0.75). The interrater reliability showed fair-to-excellent results (SAIS patients: ICC, 0.13–0.98; SEM, 2.3°–8.8°; CV, 3.6%–37.0%; controls: ICC, 0.11–0.96; SEM, 3.0°–35.4°; CV, 5.6%– 26.4%). In accordance with the intrarater reliability, glenohumeral adduction ROM was the only parameter with an ICC below 0.75 for both samples. Painful shoulder ROM in the SAIS patients showed no influence on the quality of reliability for measurement. Therefore, these protocols should be considered reliable assessment techniques in the prevention, diagnosis, and treatment of painful shoulder conditions such as SAIS.

목차

Abstract
 INTRODUCTION
 MATERIALS AND METHODS
  Design
  Subjects
  Measurements
  Statistical analysis
 RESULTS
 DISCUSSION
 CONFLICT OF INTEREST
 REFERENCES

저자정보

  • Georg Fieseler Division for Shoulder Surgery and Sports Orthopedics, Helios Clinic, Warburg/Westfalen, Germany
  • Kevin G. Laudner School of Kinesiology and Recreation, Illinois State University, Normal, IL, USA
  • Lars Irlenbusch Department of Orthopedic and Trauma Surgery, Martin-Luther-University Halle-Wittenberg, Halle (Saale), Germany
  • Henrike Meyer Department of Orthopedic and Trauma Surgery, Martin-Luther-University Halle-Wittenberg, Halle (Saale), Germany
  • Stephan Schulze Department of Orthopedic and Trauma Surgery, Martin-Luther-University Halle-Wittenberg, Halle (Saale), Germany
  • Karl-Stefan Delank Department of Orthopedic and Trauma Surgery, Martin-Luther-University Halle-Wittenberg, Halle (Saale), Germany
  • Souhail Hermassi Tunisian Researches Laboratory “Sport Performance Optimization”, Tunis, Tunisia
  • Thomas Bartels SportsClinic Halle, Center for Joint Surgery, Halle (Saale), Germany
  • René Schwesig Department of Orthopedic and Trauma Surgery, Martin-Luther-University Halle-Wittenberg, Halle (Saale), Germany

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