Inter‐rater Reliability of Real‐Time Ultrasound to Measure Acromiohumeral Distance

Mackenzie, Tanya Anne; Bdaiwi, Alya H.; Herrington, Lee; Cools, Ann

doi:10.1016/j.pmrj.2015.11.004

Cited by 17 publications

(30 citation statements)

References 21 publications

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“…[28][29][30] reported similar degrees of reliability for both measurements, although dynamic evaluation presents another issue with acromiohumeral distance measurements. Mackenzie et al 20 reported ICC scores that were fair to good for inter-rater reliability of acromiohumeral distance measurements in all three of the shoulder positions tested (neutral, 0.88; passive arm abduction, 0.65; active arm abduction, 0.68). Desmeules et al 14 observed a more pronounced dynamic narrowing during abduction from 0° to 45°, which might indicate that the shorter acromiohumeral distance in shoulder impingement syndrome patients could be due to increased superior translation of the humeral head caused by rotator cuff failure or pain inhibition.…”

Section: Discussionmentioning

confidence: 98%

“…It was revealed that a random sample of 100 subjects, each measured twice, produced a two-sided 95% confidence interval (CI) with width of 0.200 when the estimated intraclass correlation is 0.700 using a one-way random-effects analysis of variance model. 20 A 5-10-mHz linear probe was used in B mode (Mindray Medical International Co., Ltd., Shenzhen, China). The supraspinatus tendon thickness, acromiohumeral distance, and occupation ratio were measured by two observers with at least two years of experience using musculoskeletal ultrasonography.…”

Section: Methodsmentioning

confidence: 99%

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Intra- and Inter-Rater Reliability of Ultrasound Measurements of Supraspinatus Tendon Thickness, Acromiohumeral Distance, and Occupation Ratio in Patients With Shoulder Impingement Syndrome

et al. 2020

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Objectives: This study aims to evaluate the intra-and inter-rater reliability coefficients of the supraspinatus tendon thickness, acromiohumeral distance, and occupation ratio in patients with shoulder impingement syndrome. Patients and methods: The study included 83 patients (21 males, 62 females; mean age 51.6±11.0 years; range, 26 to 70 years) with shoulder impingement syndrome. The supraspinatus tendon thickness, acromiohumeral distance, and occupation ratio values were obtained one week apart by two observers. The intraclass correlation coefficient (ICC), minimum detectable change, and standard error of measurement were calculated. Results: The first observer had excellent intra-rater reliability in all measurements (ICC >0.90) with minimum detectable change of 0.740-0.047 mm and standard error of measurement of 0.017-0.26 mm. The second observer had excellent intra-rater reliability in supraspinatus tendon thickness and acromiohumeral distance measurements (ICC >0.90) with minimum detectable change of 0.498-0.770 mm and standard error of measurement of 0.18-0.28 mm and good intra-rater reliability in the occupation ratio measurement (ICC; 0.75-0.90) with minimum detectable change of 0.060 mm and standard error of measurement of 0.022 mm. Inter-rater reliability coefficients were 0.916 (95% confidence interval [CI]; 0.873-0.945) for supraspinatus tendon thickness, 0.943 (95% CI; 0.914-0.963) for acromiohumeral distance with minimum detectable change of 0.673 mm and standard error of measurement of 0.243 mm and 0.790 (%95 CI; 0.693-0.853) for occupation ratio with minimum detectable change of 0.077 mm and standard error of measurement of 0.028 mm. Conclusion: These findings suggest that ultrasonographic measurements of the supraspinatus tendon thickness, acromiohumeral distance and occupation ratio can be reliable and consistent for clinical evaluation of patients with shoulder impingement syndrome in terms of supporting diagnosis and monitoring the treatment effect.

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Section: Discussionmentioning

confidence: 98%

Section: Methodsmentioning

confidence: 99%

Intra- and Inter-Rater Reliability of Ultrasound Measurements of Supraspinatus Tendon Thickness, Acromiohumeral Distance, and Occupation Ratio in Patients With Shoulder Impingement Syndrome

et al. 2020

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“…Furthermore, during the pre-intervention ultrasound exam, three images of the AHD were taken during 90˚ elbow flexion with the thumb facing upwards, as has been done previously and proven good reliability ( Figure 2). 21 Self-reported subject characteristics: Participants were asked to self-report sociodemographic variables (age, sex, and height), characteristics of the injury (traumatic or nontraumatic etiology, date of injury, completeness of the injury, and neurological lesion level), medication intake due to pain in the upper extremities in the last three months, and the 13item Physical Activity Scale for Individuals with Physical Disabilities (PASIPD). The PASIPD has good construct validity and test-retest reliability.…”

Section: Data Collectionmentioning

confidence: 99%

Changes in supraspinatus and biceps tendon thickness: influence of fatiguing propulsion in wheelchair users with spinal cord injury

et al. 2019

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“…Participants were seated upright, and the upper limb was positioned on a pillow placed on their lap, the shoulder in 608 of abduction; the elbow in 908 of flexion by using a goniometer, and the hand in neutral with the thumb pointing upward. We measured AHD at 608 of shoulder abduction, as acoustic shadows might occur in higher ranges of shoulder abduction, 26,27 and US measurement of AHD at 608 of shoulder abduction has shown excellent reliability in asymptomatic individuals 27 and patients with subacromial impingement syndrome. 28 The transducer was placed on the lateral surface of the acromion in the coronal plane and was parallel with the long axis of the humerus, where the shortest distance between the humerus and acromion was observed.…”

Section: Data Collectionmentioning

confidence: 99%

“…The measurements were repeated 3 times, and the mean value was calculated. Researchers 26,27,29,30 have shown good interrater and intrarater reliability in the US measurement of AHD in healthy individuals.…”

Section: Data Collectionmentioning

confidence: 99%

Shoulder-Rotator Strength, Range of Motion, and Acromiohumeral Distance in Asymptomatic Adolescent Volleyball Attackers

Harput

Guney

Toprak

et al. 2016

Journal of Athletic Training

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Objective: To investigate shoulder-rotator strength, internalrotation (IR) and external-rotation (ER) range of motion (ROM), and acromiohumeral distance (AHD) in asymptomatic adolescent volleyball attackers to determine if they have risk factors for injury.Design: Cross-sectional study. Setting: University laboratory. Participants: Thirty-nine adolescent high school-aged volleyball attackers (22 boys, 17 girls; age ¼ 16.0 6 1.4 years, height ¼ 179.2 6 9.0 cm, mass ¼ 67.1 6 10.9 kg, body mass index ¼ 20.7 6 2.6 kg/m 2 ). Main Outcome Measure(s): Shoulder IR and ER ROM, total-rotation ROM, glenohumeral IR deficit, AHD, and concentric and eccentric strength of the shoulder internal and external rotators were tested bilaterally.Results: External-rotation ROM was greater (t 38 ¼ 4.92, P , .001), but IR ROM (t 38 ¼ À8.61, P , .001) and total ROM (t 38 ¼ À3.55, P ¼ .01) were less in the dominant shoulder, and 15 athletes had a glenohumeral IR deficit (IR ROM loss . 188). We observed greater concentric internal-rotator (t 38 ¼ 2.89, P ¼ .006) and eccentric external-rotator (t 38 ¼ 2.65, P ¼ .01) strength in the dominant than in the nondominant shoulder. The AHD was less in the dominant shoulder (t 38 ¼ À3.60, P , .001).Conclusions: Adolescent volleyball attackers demonstrated decreased IR ROM, total ROM, and AHD and increased ER ROM in their dominant shoulder. Therefore, routine screening of adolescent athletes and designing training programs for hazardous adaptive changes could be important in preventing shoulder injuries.Key Words: ultrasonography, sports, glenohumeral joint, muscle strength Key PointsAsymptomatic adolescent volleyball attackers demonstrated less internal-rotation range of motion (ROM), total ROM, and acromiohumeral distance and more external-rotation ROM in the dominant than in the nondominant shoulder, which might put them at risk for shoulder injuries. Routinely screening adolescent athletes and designing training programs to address hazardous adaptive changes could help prevent shoulder injuries.

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Inter‐rater Reliability of Real‐Time Ultrasound to Measure Acromiohumeral Distance

Abstract: RTUS was found to have fair to good inter-rater reliability as a tool to measure acromiohumeral distance with the shoulder in a neutral position and with 60° of both active and passive arm abduction.

Cited by 17 publications

References 21 publications

Intra- and Inter-Rater Reliability of Ultrasound Measurements of Supraspinatus Tendon Thickness, Acromiohumeral Distance, and Occupation Ratio in Patients With Shoulder Impingement Syndrome

Intra- and Inter-Rater Reliability of Ultrasound Measurements of Supraspinatus Tendon Thickness, Acromiohumeral Distance, and Occupation Ratio in Patients With Shoulder Impingement Syndrome

Changes in supraspinatus and biceps tendon thickness: influence of fatiguing propulsion in wheelchair users with spinal cord injury

Shoulder-Rotator Strength, Range of Motion, and Acromiohumeral Distance in Asymptomatic Adolescent Volleyball Attackers

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