Acromiohumeral distance measurement in rotator cuff tendinopathy: is there a reliable, clinically applicable method? A systematic review

McCreesh, Karen; Crotty, James M.; Lewis, Jeremy

doi:10.1136/bjsports-2012-092063

Cited by 104 publications

(99 citation statements)

References 38 publications

(118 reference statements)

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“…Ranges of AHD are reported between 6mm and 16mm in healthy individuals [21,22]. Studies using the RTUS method to measure this distance have recorded values ranging between 5.6mm and 13.4mm [6,[23][24][25][26][27][28]. These findings are similar to this study measurements, which ranged between 5mm and 14mm.…”

Section: Discussionsupporting

confidence: 82%

“…It is necessary to determine whether the measurement really represents what is being measured: therefore, evaluating the reliability of the ultrasound is important, since such reliability indicates the extent to which scores for a subject sample can be reproduced in the same participants in subsequent tests [6]. In the main, ICC values reflected good to excellent reliability, suggesting that the use of RTUS to determine the resting position in the humeral head in varying arm positions is reliable.…”

Section: Discussionmentioning

confidence: 99%

“…However; an important initial step in developing the use of RTUS further is to evaluate its reliability. As such, a reliable method of measurement could be used to assess the impact of rehabilitation or an intervention program for shoulder syndrome due to the liability of the measurement relating to the degree to which it is consistent and free from error [6].…”

Section: Introductionmentioning

confidence: 99%

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Assessment of the reliability of real time ultrasound scanning to measure the humeral head position in a number of glenohumeral joint positions

Bdaiwi¹,

Herrington²,

Almangoush³

et al. 2014

Phys Ther Rehabil

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The aim of the current study is to assess the intra-rater and inter-rater reliability of real time ultrasound scanning in measuring static humeral head position. Real time ultrasound scanning, an experimental clinical measurement, was used to record measurements of the humeral head position in a sample of (20) healthy volunteers [9 male, 11 female]. While the participant was seated in a standardized chair, Hips and knees were positioned at 90 degrees of flexion. The humeral head position of each subject was imaged at three ultrasound view [anterior, posterior and superior] in a different arm positions; images were repeated three times for each position by the same examiner on the same day to assess Intra-rater reliability. The Images were then analysed by the researcher and a second investigator to assess inter-tester reliability. Intra-rater and inter-rater reliability were quantified by using the intraclass correlation coefficient and standard error of measurement, the smallest detectable difference values were calculated and were used to estimate the magnitude of change that is predictable to exceed measurement error. The intra-rater reliability for all positions was found to be excellent for all tests ranged from 0.83 to 0.99 respectively. Inter -rater reliability between examiners was found to be good to excellent for all test positions ranged from 0.66 to 0.98, and the standard error of measurement for all positions was less than the calculated mean. This study demonstrates that real time ultrasound scanning is a reliable method of assessing the location of the humeral head in a number of arm positions in healthy subjects when measured by the same examiner and this may suggest that RTUS could be used to assess the impact of rehabilitation programme or surgical interventions for shoulder pathology.

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Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Assessment of the reliability of real time ultrasound scanning to measure the humeral head position in a number of glenohumeral joint positions

Bdaiwi¹,

Herrington²,

Almangoush³

et al. 2014

Phys Ther Rehabil

View full text Add to dashboard Cite

show abstract

“…A recent systematic review study also suggested that the ultrasonographic measurement of AHD is closely aligned with the measurements using radiograph, magnetic resonance imaging (MRI), and computed tomography. 19 The reliability of AHD measurement by ultrasound has been assessed in many studies. For example, excellent intra-rater reliability (0.87-0.94) and moderate-toexcellent inter-rater reliability (0.64-0.92) of the AHD have been demonstrated using ultrasound in ablebodied individuals with healthy and impinged shoulders.…”

Section: Introductionmentioning

confidence: 99%

Ultrasonographic measurement of the acromiohumeral distance in spinal cord injury: Reliability and effects of shoulder positioning

Lin

Boninger

Day

et al. 2014

The Journal of Spinal Cord Medicine

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Objective: To investigate the reliability of ultrasonographic measurement of acromiohumeral distance (AHD) and the effects of shoulder positioning on AHD among manual wheelchair users (MWUs) with spinal cord injury (SCI) and an able-bodied control group. Methods: Ten MWUs with SCI and 10 able-bodied subjects participated in this study. The ultrasonographic measurements of AHD from each subject were obtained by two raters during passive and active scapular plane arm elevation in neutral, 45°, 90°with and without resistance and in a weight relief raise position. The measurements were recorded again by each rater using the same procedures after a 30-minute time interval. All raters were blinded to each other's measurements. Setting: University Laboratories and Veteran Affairs Healthcare System. Results: Intra-rater (intraclass correlation coefficient, ICC > 0.83) and inter-rater (ICC > 0.78) reliability was excellent for both the MWUs with SCI and able-bodied groups across all arm positions except for the 45°p osition in the control group for one of the raters (intra-rater: ICC < 0.40 and inter-rater: ICC < 0.60). AHD significantly reduced when the shoulder was in the 90°arm elevated positions with or without resistance. Conclusion: Findings from our study demonstrated that ultrasonography is a reliable means to evaluate AHD in both able bodied and individuals with SCI, who are known to have significant shoulder pathology. This technique could be used to develop reference measures and to identify changes in AHD caused by interventions.

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“…It has also previously been shown that sonography is the most reliable method of measuring the acromiohumeral distance. 8 Different studies have used different methods to measure the acromiohumeral distance. The measurement between the acromium and the humeral head seems to be the most popular 4 ; however there was still variation in the measurement points.…”

mentioning

confidence: 99%

Development of an Anthropomorphic Shoulder Phantom Model That Simulates Bony Anatomy for Sonographic Measurement of the Acromiohumeral Distance

Adusumilli

McCreesh

Evans

2014

J of Ultrasound Medicine

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The purpose of this project was to create a sonographic phantom model of the shoulder that was accurate in bone configuration. Its main purpose was for operator training to measure the acromiohumeral distance. A computerized 3‐dimensional model of the superior half of the humerus and scapula was rendered and 3‐dimensionally printed. The bone model was embedded in a gelatin compound and set in a shoulder‐shaped mold. The materials used had speeds of sound that were well matched to soft tissue and epiphyseal bone. The model was specifically effective in simulating the acromiohumeral distance because of its accurate bone geometry.

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Acromiohumeral distance measurement in rotator cuff tendinopathy: is there a reliable, clinically applicable method? A systematic review

Abstract: The results support the reliability of ultrasound and CT or MRI for the measurement of AHD; however, more studies in symptomatic populations are required. The reliability of AHD measurement using radiographs has not been supported by the studies reviewed.

Cited by 104 publications

References 38 publications

Assessment of the reliability of real time ultrasound scanning to measure the humeral head position in a number of glenohumeral joint positions

Assessment of the reliability of real time ultrasound scanning to measure the humeral head position in a number of glenohumeral joint positions

Ultrasonographic measurement of the acromiohumeral distance in spinal cord injury: Reliability and effects of shoulder positioning

Development of an Anthropomorphic Shoulder Phantom Model That Simulates Bony Anatomy for Sonographic Measurement of the Acromiohumeral Distance

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