التفاصيل البيبلوغرافية
| العنوان: |
Three-dimensional assessment of the asymptomatic and post-stroke shoulder: intra-rater test–retest reliability and within-subject repeatability of the palpation and digitization approach. |
| المؤلفون: |
Pain, Liza A. M., Baker, Ross, Sohail, Qazi Zain, Richardson, Denyse, Zabjek, Karl, Mogk, Jeremy P. M., Agur, Anne M. R. |
| المصدر: |
Disability & Rehabilitation; Jul2019, Vol. 41 Issue 15, p1826-1834, 9p |
| مصطلحات موضوعية: |
BIOMECHANICS, CLAVICLE, COMPUTER input-output equipment, CONFIDENCE intervals, HUMERUS, RANGE of motion of joints, MEDICAL protocols, DIAGNOSIS of musculoskeletal system diseases, PALPATION, POSTURE, REGRESSION analysis, RESEARCH evaluation, RESEARCH funding, SCAPULA, SHOULDER joint, SHOULDER pain, STATISTICAL reliability, MEASUREMENT of angles (Geometry), DATA analysis software, STROKE rehabilitation, INTRACLASS correlation |
| مصطلحات جغرافية: |
CANADA |
| مستخلص: |
Purpose: Altered three-dimensional (3D) joint kinematics can contribute to shoulder pathology, including post-stroke shoulder pain. Reliable assessment methods enable comparative studies between asymptomatic shoulders of healthy subjects and painful shoulders of post-stroke subjects, and could inform treatment planning for post-stroke shoulder pain. The study purpose was to establish intra-rater test–retest reliability and within-subject repeatability of a palpation/digitization protocol, which assesses 3D clavicular/scapular/humeral rotations, in asymptomatic and painful post-stroke shoulders. Methods: Repeated measurements of 3D clavicular/scapular/humeral joint/segment rotations were obtained using palpation/digitization in 32 asymptomatic and six painful post-stroke shoulders during four reaching postures (rest/flexion/abduction/external rotation). Intra-class correlation coefficients (ICCs), standard error of the measurement and 95% confidence intervals were calculated. Results: All ICC values indicated high to very high test–retest reliability (≥0.70), with lower reliability for scapular anterior/posterior tilt during external rotation in asymptomatic subjects, and scapular medial/lateral rotation, humeral horizontal abduction/adduction and axial rotation during abduction in post-stroke subjects. All standard error of measurement values demonstrated within-subject repeatability error ≤5° for all clavicular/scapular/humeral joint/segment rotations (asymptomatic ≤3.75°; post-stroke ≤5.0°), except for humeral axial rotation (asymptomatic ≤5°; post-stroke ≤15°). Conclusions: This noninvasive, clinically feasible palpation/digitization protocol was reliable and repeatable in asymptomatic shoulders, and in a smaller sample of painful post-stroke shoulders. In the clinical setting, a reliable and repeatable noninvasive method for assessment of three-dimensional (3D) clavicular/scapular/humeral joint orientation and range of motion (ROM) is currently required. The established reliability and repeatability of this proposed palpation/digitization protocol will enable comparative 3D ROM studies between asymptomatic and post-stroke shoulders, which will further inform treatment planning. Intra-rater test–retest repeatability, which is measured by the standard error of the measure, indicates the range of error associated with a single test measure. Therefore, clinicians can use the standard error of the measure to determine the "true" differences between pre-treatment and post-treatment test scores. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
