Publication: Inter-observer reliability of physical examination in the painful shoulder: supraspinatus tendinopathy
Authors
Moreno Fernández, José Manuel ; Martínez Martínez, Francisco ; Santonja Medina, Fernando
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Publisher
Peertechz Publications Private Limited
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DOI
https://doi.org/10.36959/987/240
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info:eu-repo/semantics/article
Description
© 2019 Moreno-Fernandez JM, et al. This manuscript version is made available under the CC-BY 4.0 license http://creativecommons.org/licenses/by/4.0/
This document is the Published Manuscript version of a Published Work that appeared in final form in Archives of Sports Medicine and Physiotherapy. To access the final edited and published work see https://doi.org/10.36959/987/240
Abstract
Objectives: Our hypothesis is that there is enough concordance in the implementation and interpretation of the
orthopaedic maneuvers by expert explorers. The aim of our study was to analyze the inter-observer reliability of special
orthopaedic maneuvers aimed at the physical examination of the supraspinatus tendon.
Setting: Secondary care; referral hospital for the Region de Murcia (Spain) fifth level of care.
Participants: 66 patients, 32 men and 34 women, were explored. The patients included were adults (≥ 18 years), who
suffered one-sided omalgia during at least 3 months.
Exclusion criteria were: Bilateral shoulder pain, fractures or previous dislocations, osteoarthritis and advanced retractable
capsulitis, previous surgeries, less than 3 months of the last shoulder infiltration, cervical-brachialgias or neurological affectation,
and the existence of obvious deficiency in the collaboration or understanding of the orders effected by the explorer.
Primary and secondary outcome measures: The physical assessment was conducted by two experienced explorers.
The drop-arm test, the Jobe empty-can test, the full-can test and shrug sign, were carried out according to the original
descriptions. Inter-observer concordance was studied.
Results: The highest levels of inter-explorer concordance were found in the drop-arm test (0.799 PABAK with an 84,
62% of agreement). The full-can test and shrug sign showed a good reliability, while the Jobe test presented a moderate
reliability.
Conclusions: The drop-arm test, empty-can test, full-can test and shrug sign met the minimum criteria of percentage
of agreement > 75% and 0.60 inter-observer reliability, by what were considered to be appropriate for their use in
physical examination. Therefore, we consider that they are reproducible tests in medical practice for the diagnosis of the
pathology of the supraspinatus tendon.
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Citation
Archives of Sports Medicine, 2019, Vol 3, Issue 1, pp. 129-133
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Este ítem está sujeto a una licencia Creative Commons. http://creativecommons.org/licenses/by/4.0/