Interobserver and intraobserver reliability of the measurement of shoulder internal rotation by vertebral level

Edwards, T. Bradley; Bostick, R.Douglas; Greene, Craig C.; Baratta, R.; Drez, David

doi:10.1067/mse.2002.119853

Cited by 62 publications

(41 citation statements)

References 9 publications

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“…Rather than using vertebral level as an end point, which may be unreliable, 10 we quantified the measure according to spine length. Prior to asking the subject to move the thumb up the back, we measured the length of the spine from the first thoracic spinous process (T1) to the level of the iliac crests (IC) at midline, which were determined by palpation and marked.…”

Section: Measurements Proceduresmentioning

confidence: 99%

A Randomized Controlled Comparison of Stretching Procedures for Posterior Shoulder Tightness

McClure

Balaicuis²,

Heiland³

et al. 2007

J Orthop Sports Phys Ther

239

229

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Posterior capsule tightness of the shoulder has been suggested as a causative or perpetuating factor in shoulder impingement syndrome and labral lesions. 13,15,23,25,[30][31][32] Harryman et al 14 have shown that selective tightening of the posterior portion of the shoulder capsule causes anterior and superior translation of the humeral head with passive shoulder flexion. The abnormal humeral head motion can result in a decrease in the subacromial space during overhead activities. This approximation of the humeral head and acromion can lead to compression of tissues in that region and may be associated with limited shoulder flexion, internal rotation, and horizontal adduction. 27Warner et al 28 found that patients with shoulder impingement syndrome were limited in passive internal rotation range of motion (ROM) compared to healthy subjects and attributed this limitation to posterior capsular tightness. Myers et al 20 demonstrated that throwing athletes with symptomatic internal impingement had reduced glenohumeral internal rotation and also reduced glenohumeral adduction reflecting posterior shoulder tightness compared to matched asymptomatic subjects. Burkhart et al 5,7 suggest that contracture of the posterior-inferior glenohumeral capsule, evidenced by a lack of internal rotation with the arm abducted to 90°, is an essential cause of superior labral lesions. This assertion was based on a large series (n = 124) of throwers with arthroscopically proven superior labral lesion, all of whom demonstrated at least a 25° lack of shoulder internal rotation compared to the nonthrowing side. 5,7 The authors suggest that a tightened posterior-inferior capsule pushes the humeral head superiorly and posteriorly with the arm in the cocked throwing position, and this concept has t Study deSign: Randomized controlled trial.t ObjectiveS: To compare changes in shoulder internal rotation range of motion (ROM), for 2 stretching exercises, the "cross-body stretch" and the "sleeper stretch," in individuals with posterior shoulder tightness. t backgrOund: Recently, some authors have expressed the belief that the sleeper stretch is better than the cross-body stretch to address glenohumeral posterior tightness because the scapula is stabilized.t MethOdS: Fifty-four asymptomatic subjects (20 males, 34 females) participated in the study. The control group (n = 24) consisted of subjects with a between-shoulder difference in internal rotation ROM of less than 10°, whereas those subjects with more than a 10° difference were randomly assigned to 1 of 2 intervention groups, the sleeper stretch group (n = 15) or the crossbody stretch group (n = 15). Shoulder internal rotation ROM, with the arm abducted to 90° and scapula motion prevented, was measured before and after a 4-week intervention period. Subjects in the control group were asked not to engage in any new stretching activities, while subjects in the 2 stretching groups were asked to perform stretching exercises on the more limited side only, once daily for 5 repetitions, holding each s...

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Section: Measurements Proceduresmentioning

confidence: 99%

A Randomized Controlled Comparison of Stretching Procedures for Posterior Shoulder Tightness

McClure

Balaicuis²,

Heiland³

et al. 2007

J Orthop Sports Phys Ther

239

229

View full text Add to dashboard Cite

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“…34 Riddle et al 34 suggest that a lack of uniform scapular stabilization by testers may lead to this poor interrater reliability. While several other methods have been developed for measuring shoulder IR or posterior shoulder tightness, 1,3,11,24,30,38 they require 2 clinicians to obtain the measurement 30,38 or have equally poor interrater reliability, or do not accurately measure shoulder IR. 1,3,11,15,24 Due to the influence of tightness of the posterior glenohumeral soft tissues on glenohumeral IR 7,13,14,18,27,30,33,37,39,42 and shoulder kinematics, 5,14,16,17,20,23,27,29,30,35,40 stretching of the posterior glenohumeral tissues to restore glenohumeral IR ROM is a common aspect of shoulder rehabilitation.…”

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confidence: 99%

Reliability of Shoulder Internal Rotation Passive Range of Motion Measurements in the Supine Versus Sidelying Position

Lunden¹,

Muffenbier²,

Giveans³

et al. 2010

Journal of Orthopaedic & Sports Physical Therapy

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“…2,8,11,15,16,17,18,20,22 Traditional impairment measures have been reported to have insufficient reliability 4,7,9 and validity. 7,18 Inconsistent relationships are also found among measurements of range of motion (ROM), strength, and function.…”

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confidence: 99%

“…7,18 Inconsistent relationships are also found among measurements of range of motion (ROM), strength, and function. 2,4,7,9,18 Given the inadequate reliability and validity of impairment measures, functional outcome measures are often used as the primary mean of evaluating effectiveness of intervention in patients with various shoulder pathologies. 8,17,20,21 Although patients' self-reports of functional status are generally reliable and valid outcome measures, 8,17,20,21 they may have specific limited applications.…”

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confidence: 99%

Reliability of Function-Related Tests in Patients with Shoulder Pathologies

Yang¹,

Lin²

2006

J Orthop Sports Phys Ther

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Study Design: Nonexperimental. Objective: To investigate the intertester and intratester reliability of a battery of function-related tests in patients with shoulder pathologies and associated reduced range of motion. Background: A battery of function-related tests has the potential to complement assessment of functional limitation in patients who have shoulder pathologies. Methods and Measures: Three function-related tests (hand to neck, hand to scapula, and hand to opposite scapula) were conducted on 46 patients with shoulder pathologies, and 46 age-and gender-matched control subjects. The tests were performed by 2 independent physiotherapists to test intertester reliability. Intratester reliability was examined by investigating the reproducibility of the tests performed twice, with 3 to 5 days between tests, by the same physiotherapist. Comparison of the scores on the function-related tests between patients and controls was evaluated. A correlation matrix was calculated to test the level of association among the tests.

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Interobserver and intraobserver reliability of the measurement of shoulder internal rotation by vertebral level

Cited by 62 publications

References 9 publications

A Randomized Controlled Comparison of Stretching Procedures for Posterior Shoulder Tightness

A Randomized Controlled Comparison of Stretching Procedures for Posterior Shoulder Tightness

Reliability of Shoulder Internal Rotation Passive Range of Motion Measurements in the Supine Versus Sidelying Position

Reliability of Function-Related Tests in Patients with Shoulder Pathologies

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