Intertester reliability of a classification system for shoulder pain

Carter, Thomas; Hall, Hamilton; McIntosh, Greg; Murphy, Jimmy; MacDougall, Janice; Boyle, Christina

doi:10.1016/j.physio.2010.12.003

Cited by 14 publications

(11 citation statements)

References 36 publications

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“…Poor reliability findings have been reported for tests used in physical examinations in general, with similar results in many other areas of the body [24]. In light of the poor reliability of shoulder examination tests, it has been suggested that expert clinicians consider their results within the context of the patient interview and patterns of physical examination findings, rather than relying on one key finding or outcome measure [24, 28, 29]. Considering the difficult nature of physical examinations of the shoulder and the limited reliability seen in face-to-face studies, the strong agreement found in this study between face-to-face and telerehabilitation assessment is convincing evidence for the validity of online physical assessments of the shoulder.…”

Section: Resultsmentioning

confidence: 99%

“…Stronger agreements were achieved for inter-rater reliability (73.1%) and intra-rater reliability (100%) combining same and similar agreements. Previous research on the reliability of face-to-face examinations of the shoulder reveals conflicting results [21, 29–31]. Some studies reported very good agreements (Pellecchia et al [31], 90.5% agreement, κ = 0.875; Carter et al [29], 80% agreement, κ = 0.664), whereas others report poorer agreement rates (De Winter et al [30]; 60% agreement, κ = 0.45, Bamji et al [21]; 46% agreement, no kappa recorded).…”

Section: Resultsmentioning

confidence: 99%

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Assessment and Diagnosis of Musculoskeletal Shoulder Disorders over the Internet

Steele

Lade

McKenzie

et al. 2012

International Journal of Telemedicine and Applications

118

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Shoulder disorders are common, debilitating, and represent a considerable burden on society. As primary contact practitioners, physiotherapists play a large role in the management and rehabilitation of people with these conditions. For those living outside of urban areas, however, access to physiotherapy can be limited. The aim of this study was to evaluate the validity and reliability of using a telerehabilitation system to collect physical examination findings and correctly identify disorders of the shoulder. Twenty-two participants with 28 shoulder disorders were recruited and underwent a face-to-face physical examination and a remote telerehabilitation examination. Examination findings and diagnoses from the two modes of assessment were used to determine validity and reliability of the new method. Diagnostic agreement and agreement on individual findings between the two methods were found to be consistent with the reliability of conventional assessment methods. This study provides important preliminary findings on the validity and reliability of musculoskeletal examinations conducted via telerehabilitation.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Assessment and Diagnosis of Musculoskeletal Shoulder Disorders over the Internet

Steele

Lade

McKenzie

et al. 2012

International Journal of Telemedicine and Applications

118

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“…We do have diagnostic methods like arthroscopy and MRI for diagnosis of shoulder disorders but either they are invasive or costly. One of the clinical characteristic through which shoulder problem can successfully be diagnosed isPain [8] . The intensity, location, type and duration of pain might help to diagnose the disease.…”

Section: Introductionmentioning

confidence: 99%

“…Use of pain map for specific disorder has been described for back and hip pain. In recent years, some attempts have been made to come up with some systematic methodology to understand these patterns in order to understand the etiology, chronicity and severity of shoulder pain [8,9] . No study has specifically reported distribution and type of pain in common shoulder disorders.…”

Section: Introductionmentioning

confidence: 99%

Utility of Pain Mapping in Shoulder Disorders

Singh

Mohammad

Gill

et al. 2015

International Journal of Orthopaedics

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BACKGROUND:The most common causes of shoulder pain are rotator cuff disorder, acromioclavicular joint disorder and glenohumeral joint disorder. Use of pain map for specific disorder has been described for back and hip pain. We conducted a study to assess the utility of pain maps in shoulder pathologies. AIMS:The aim of present study was to evaluate the utility of shoulder pain mapping as a diagnostic tool in common shoulder disorders. MATERIAL AND METHODS: This is a prospective hospital based cross-sectional study. One hundred and thirty patients with non-traumatic shoulder pain, swelling or stiffness of more than 3 months were studied. Clinical diagnosis was made by first investigator who was blinded for the results of pain maps done by the second investigator. Pain distribution, severity and type of pain were recorded by the patients on a pain diagram. Pain severity, type and distribution of pain in a particular disorder were then correlated with the clinical diagnosis. RESULTS: The mean age of the patients was 51.36+11.86 years (range: 23-69 years). A predominance of females was observed. The commonest cause of shoulder pain was Periarthritis (adhesive capsulitis) (43.1%) followed by SA impingement (13.8%), rotator

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“…Furthermore, objectively identifying maximal ROM during active motion, often requires direct intervention by the clinician, interrupting natural motion to take "snapshot" measurements or requiring the patient to conform to prescribed artificial motion constraints that might not always reflect normal movement. Despite attempts to standardise ROM measures [21][22][23][24], to date there is not a simple satisfactory method for evaluating active rotational ROM of the shoulder in real time. Not only does this pose a problem for supervising clinicians, but also for the patient attempting to carry out unsupervised exercises, with no meaningful way to evaluate correct performance or improvements in mobility.…”

Section: Introductionmentioning

confidence: 99%

Considerations for virtual environments for upper limb rehabilitation tasks

Powell

Simmonds

2014

Proceedings of the 7th International Conference on PErvasive Technologies Related to Assistive Environments

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Shoulder pain and dysfunction are relatively common, but traditional treatment approaches and their efficacy are beset with problems, due in part, to the lack of adherence to therapeutic exercise programmes. The use of novel technology to support rehabilitation is increasing in popularity, with some evidence that it may be able to decrease the perception of pain, and improve movement quality, engagement and compliance with therapy. However, indiscriminate use of off-the-shelf games technology or haphazard approaches to the design of rehabilitation applications and virtual environments may not only reduce the potential benefits, but may even exacerbate the underlying problems. We consider the potential and the pitfalls associated with the use of novel technology in virtual reality rehabilitation, and suggest some strategies for reducing the risks and optimising therapeutic outcomes in virtual environments.

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Intertester reliability of a classification system for shoulder pain

Abstract: This clearly defined system uses key elements of the history and examination to classify patients with shoulder pain. The kappa coefficient denotes good reproducibility.

Cited by 14 publications

References 36 publications

Assessment and Diagnosis of Musculoskeletal Shoulder Disorders over the Internet

Assessment and Diagnosis of Musculoskeletal Shoulder Disorders over the Internet

Utility of Pain Mapping in Shoulder Disorders

Considerations for virtual environments for upper limb rehabilitation tasks

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