New method to assess scapular upward rotation in subjects with shoulder pathology.

STUDY DESIGN: Test-retest repeated measures and correlational design. OBJECTIVES: To examine the reliability and validity of a 'modified' digital inclinometer to assess scapular upward rotation during humeral elevation in the scapular plane BACKGROUND: Evidence exists that scapular motion is related...

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Publicado en:Journal of Orthopaedic & Sports Physical Therapy Vol. 31; no. 2; pp. 81 - 90
Autores principales: Johnson MP, McClure PW, Karduna AR
Formato: pictorial research tables/charts Journal Article
Publicado: JOSPT, Inc. d/b/a Movement Science Media 2001 Feb
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2001 Feb
      vid: 31
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      pub: JOSPT, Inc. d/b/a Movement Science Media
      place: Alexandria, Virginia
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        atl: New method to assess scapular upward rotation in subjects with shoulder pathology.
      aug:
        au:
          Johnson MP
          McClure PW
          Karduna AR
        affil: Assistant Professor, Department of Physical Therapy, University of the Sciences in Philadelphia, 600 South 43rd Street, Philadelphia, PA 19104-4495. E-mail: m.johnso@usip.edu
      sug:
        subj:
          Shoulder Pathology
          Scapula Physiology
          Rotation Evaluation
          Clinical Assessment Tools
          Instrument Validation
          Reliability and Validity
          Range of Motion Evaluation
          Biophysical Instruments
          Comparative Studies
          Intraclass Correlation Coefficient
          Pearson's Correlation Coefficient
          Intrarater Reliability
          Kinematics
          Biomechanics
          Body Weights and Measures
          Adult
          Descriptive Statistics
          Concurrent Validity
          Criterion-Related Validity
          Paired T-Tests
          Confidence Intervals
          Analysis of Variance
          Repeated Measures
          Data Analysis Software
          Human
          Adult: 19-44 years
      ab: STUDY DESIGN: Test-retest repeated measures and correlational design. OBJECTIVES: To examine the reliability and validity of a 'modified' digital inclinometer to assess scapular upward rotation during humeral elevation in the scapular plane BACKGROUND: Evidence exists that scapular motion is related to shoulder pathology; however, evaluation and treatment planning for shoulder rehabilitation often fails to include an objective assessment of scapular motion. METHODS AND MEASURES: Two-dimensional measurements by the inclinometer were taken with the arm in a static position. These data were compared to 3-dimensional measurements obtained using a magnetic tracking device with the arm fixed and during arm movement. Both methods were used to assess scapular upward rotation positions with the arm at rest and at 60 degrees , 90 degrees , and 120 degrees of humeral elevation in the scapular plane. Both scapulae were tested on a total of 39 subjects, 16 with shoulder pathology and 23 without. Reliability was assessed using repeated measurements from the inclinometer. Validity was assessed using 2 separate comparisons: inclinometer and magnetic tracking device under static arm conditions and inclinometer and magnetic tracking device during active arm elevation. Reliability and validity were assessed at all 4 arm positions. RESULTS: Intraclass correlation coefficients (ICC [3,1]) varied from 0.89 to 0.96. Pearson Product Moment correlation coefficients, used to assess validity of the static inclinometer, varied from r = 0.74 to 0.92 compared with the static magnetic tracking measures, and from r = 0.59 to 0.73 compared with the active magnetic tracking measures taken during arm elevation. CONCLUSIONS: The 'modified' digital inclinometer demonstrated good to excellent intrarater reliability and good to excellent validity when measuring scapular upward rotation during static positions of humeral elevation in the scapular plane.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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