Comprehensive classification test of scapular dyskinesis: A reliability study. Issue 3 (June 2015)

• Record Type: Journal Article
• Authors: Huang, Tsun-Shun; Huang, Han-Yi; Wang, Tyng-Guey; Tsai, Yung-Shen; Lin, Jiu-Jenq
• Is Part Of: Manual therapy. Volume 20:Issue 3(2015:Jun.)
• Page Start: 427
• Page End: 432
• Publication Date: 2015-06
• Subjects: Manipulation (Therapeutics) -- Periodicals; Physical therapy -- Periodicals; Neuromuscular diseases -- Treatment -- Periodicals; Manipulation, Orthopedic; Musculoskeletal Diseases -- therapy; Neuromuscular Diseases -- therapy; Physical Therapy; Manipulation (Thérapeutique) -- Périodiques; Physiothérapie -- Périodiques; Maladies neuromusculaires -- Traitement -- Périodiques; Manipulation (Therapeutics); Neuromuscular diseases -- Treatment; Physical therapy; Electronic journals; Periodicals; Electronic journals; 615.82
• DOI: 10.1016/j.math.2014.10.017
• Languages: English
• ISSNs: 1356-689X

Abstract

<abstract xml:lang="en" abstract-type="author" id="abs0010"> <title id="sectitle0010">Abstract</title> <sec> <title id="sectitle0015">Background</title> <p id="abspara0010">Assessment of scapular dyskinesis (SD) is of clinical interest, as SD is believed to be related to shoulder pathology. However, no clinical assessment with sufficient reliability to identify SD and provide treatment strategies is available.</p> </sec> <sec> <title id="sectitle0020">Objectives</title> <p id="abspara0015">The purpose of this study was to investigate the reliability of the comprehensive SD classification method.</p> </sec> <sec> <title id="sectitle0025">Design</title> <p id="abspara0020">Cross-sectional reliability study.</p> </sec> <sec> <title id="sectitle0030">Method</title> <p id="abspara0025">Sixty subjects with unilateral shoulder pain were evaluated by two independent physiotherapists with a visual-based palpation method. SD was classified as single abnormal scapular pattern [inferior angle (pattern I), medial border (pattern II), superior border of scapula prominence or abnormal scapulohumeral rhythm (pattern III)], a mixture of the above abnormal scapular patterns, or normal pattern (pattern IV). The assessment of SD was evaluated as subjects performed bilateral arm raising/lowering movements with a weighted load in the scapular plane. Percentage of agreement and kappa coefficients were calculated to determine reliability.</p> </sec> <sec> <title id="sectitle0035">Results</title> <p id="abspara0030">Agreement between the 2 independent physiotherapists was 83% (50/60, 6 subjects as pattern III and 44 subjects as pattern IV) in the raising phase and 68% (41/60, 5 subjects as pattern I, 12 subjects as pattern II, 12 subjects as pattern IV, 12 subjects as mixed patterns I and II) in the lowering phase. The kappa coefficients were 0.49–0.64.</p> </sec> <sec> <title id="sectitle0040">Conclusions</title> <p id="abspara0035">We concluded that the visual-based palpation classification method for SD had moderate to substantial inter-rater reliability. The appearance of different types of SD was more pronounced in the lowering phase than in the raising phase of arm movements.</p> </sec> </abstract>