Measuring shoulder external and internal rotation strength and range of motion: comprehensive intra-rater and inter-rater reliability study of several testing protocols

Cools, Ann; Wilde, Lieven De; Tongel, Alexander Van; Ceyssens, Charlotte; Ryckewaert, Robin; Cambier, Dirk

doi:10.1016/j.jse.2014.01.006

Cited by 196 publications

(220 citation statements)

References 27 publications

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“…Cools et al 14 found excellent levels of reliability and reproducibility in measurements of shoulder rotation, on every position tested, decubitus (sitting, prone and supine) and arm (neutral and 90° abduction). Although the prone position was used, the authors report that there was more confidence for the sitting and supine positions.…”

Section: Discussionmentioning

confidence: 96%

“…The reliability of handheld dynamometry for shoulder rotators has been a subject of many studies, showing high or moderate results of intra-examiner reliability [4][5][6][7][12][13][14][15][16] . However, studies evaluating the position of 90° abduction of the shoulder are still scarce, a position of greater joint instability and very representative of activities related to throwing sports 7,14,15 . Additionally, the evaluation by professionals with little clinical experience has not been addressed.…”

Section: Introductionmentioning

confidence: 99%

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Confiabilidade inter e intra-avaliador na medida de força dos músculos rotadores do ombro em diferentes posições com a dinamometria isométrica

2017

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RESUMO O dinamômetro manual é um equipamento portátil e de fácil uso na prática clínica. Entretanto, sua utilização necessita de parâmetros de confiabilidade e reprodutibilidade em posições de ombro com e sem estabilização. O objetivo deste estudo foi avaliar a confiabilidade inter e intraexaminador na medida de força dos músculos rotadores do ombro nas posições a 0° e 90° de abdução com avaliadores inexperientes. Vinte sujeitos (27,05±8,17 anos; 76,6±10,97kg; 1,74±0,07m) de ambos os sexos e sem queixas anteriores ou atuais de dor no ombro e cervical participaram do estudo. A avaliação dos rotadores mediais e laterais do ombro foi realizada por meio de um dinamômetro manual digital (MicroFET 2, Hoggan Health Industries, West Jordan, UT, USA) em duas posições: sentado, com 0° de abdução do ombro, e em supino, com 90° de abdução de ombro. A confiabilidade interexaminador e a reprodutibilidade intraexaminador foram avaliadas pelo coeficiente de correlação intraclasse (ICC) considerando o intervalo de confiança de 95% (p<0,05). Houve uma excelente reprodutibilidade na análise intra-avaliador e níveis de confiabilidade muito bons para as medidas interavaliador na maioria das variáveis analisadas. As posições de 0° e 90° de abdução do ombro demonstraram resultados confiáveis e reprodutíveis com a utilização do dinamômetro manual digital por avaliadores sem experiência clínica.

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Section: Discussionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

Confiabilidade inter e intra-avaliador na medida de força dos músculos rotadores do ombro em diferentes posições com a dinamometria isométrica

2017

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“…The order of the tests was randomized between sides and between the procedures, in order to control the procedure for learning effects and fatigue. Each test was repeated three times with a pause in between trials of 20 s [9,11,18]. For the eccentric strength measurement, the protocol of Johansson et al [18] was used.…”

Section: Testing Proceduresmentioning

confidence: 99%

Eccentric and isometric shoulder rotator cuff strength testing using a hand-held dynamometer: reference values for overhead athletes

Cools

Vanderstukken

Vereecken

et al. 2015

Knee Surg Sports Traumatol Arthrosc

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“…4 However, the studies regarding shoulder rotation strength (measured using hand held dynamometry) in tennis players are scarce. 23 In addition, to the authors' knowledge, only a single previous study analyzed the relationship between ER/IR strength ratio and shoulder pain history in amateur tennis players. 4 IR and ER strength of the shoulder muscles has also been related to performance in tennis, more specifically with serve speed, considered the most important shot in competitive tennis.…”

mentioning

confidence: 99%

A Comparative Study of Passive Shoulder Rotation Range of Motion, Isometric Rotation Strength and Serve Speed Between Elite Tennis Players With and Without History of Shoulder Pain

Moreno-Pérez

Elvira

Fernández-Fernández

et al. 2018

Intl J Sports Phys Ther

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Background: Glenohumeral internal rotation deficit and external rotation strength have been associated with the development of shoulder pain in overhead athletes.Objective: To examine the bilateral passive shoulder rotational range of motion (ROM), the isometric rotational strength and unilateral serve speed in elite tennis players with and without shoulder pain history (PH and NPH, respectively) and compare between dominant and non-dominant limbs and between groups.Study Design: Cohort study.Methods: Fifty-eight elite tennis players were distributed into the PH group (n = 20) and the NPH group (n = 38). Serve velocity, dominant and non-dominant passive shoulder external and internal rotation (ER and IR) ROM, total arc of motion (TAM: the sum of IR and ER ROM), ER and IR isometric strength, bilateral deficits and ER/IR strength ratio were measured in both groups. Questionnaires were administered in order to classify characteristics of shoulder pain. Results:The dominant shoulder showed significantly reduced IR ROM and TAM, and increased ER ROM compared to the non-dominant shoulder in both groups. Isometric ER strength and ER/IR strength ratio were significantly lower in the dominant shoulder in the PH group when compared with the NPH group. No significant differences between groups were found for serve speed. Conclusion:These data show specific adaptations in the IR, TAM and ER ROM in the dominant shoulder in both groups. Isometric ER muscle weakness and ER/IR strength ratio deficit appear to be associated with history of shoulder injuries in elite tennis players. It would be advisable for clinicians to use the present information to design injury prevention programs. Level of evidence: 2

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Measuring shoulder external and internal rotation strength and range of motion: comprehensive intra-rater and inter-rater reliability study of several testing protocols

Cited by 196 publications

References 27 publications

Confiabilidade inter e intra-avaliador na medida de força dos músculos rotadores do ombro em diferentes posições com a dinamometria isométrica

Confiabilidade inter e intra-avaliador na medida de força dos músculos rotadores do ombro em diferentes posições com a dinamometria isométrica

Eccentric and isometric shoulder rotator cuff strength testing using a hand-held dynamometer: reference values for overhead athletes

A Comparative Study of Passive Shoulder Rotation Range of Motion, Isometric Rotation Strength and Serve Speed Between Elite Tennis Players With and Without History of Shoulder Pain

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