Comprehensive classification test of scapular dyskinesis: A reliability study
Journal
Manual Therapy
Journal Volume
20
Journal Issue
3
Pages
427-432
Date Issued
2015
Author(s)
Abstract
Background: Assessment of scapular dyskinesis (SD) is of clinical interest, as SD is believed to be related to shoulder pathology. However, no clinical assessment with sufficient reliability to identify SD and provide treatment strategies is available. Objectives: The purpose of this study was to investigate the reliability of the comprehensive SD classification method. Design: Cross-sectional reliability study. Method: Sixty subjects with unilateral shoulder pain were evaluated by two independent physiotherapists with a visual-based palpation method. SD was classified as single abnormal scapular pattern [inferior angle (pattern I), medial border (pattern II), superior border of scapula prominence or abnormal scapulohumeral rhythm (pattern III)], a mixture of the above abnormal scapular patterns, or normal pattern (pattern IV). The assessment of SD was evaluated as subjects performed bilateral arm raising/lowering movements with a weighted load in the scapular plane. Percentage of agreement and kappa coefficients were calculated to determine reliability. Results: Agreement between the 2 independent physiotherapists was 83% (50/60, 6 subjects as pattern III and 44 subjects as pattern IV) in the raising phase and 68% (41/60, 5 subjects as pattern I, 12 subjects as pattern II, 12 subjects as pattern IV, 12 subjects as mixed patterns I and II) in the lowering phase. The kappa coefficients were 0.49-0.64. Conclusions: We concluded that the visual-based palpation classification method for SD had moderate to substantial inter-rater reliability. The appearance of different types of SD was more pronounced in the lowering phase than in the raising phase of arm movements. ? 2014 Elsevier Ltd.
SDGs
Other Subjects
adult; arm movement; Article; clinical observation; controlled study; cross-sectional study; disease classification; disease severity; dyskinesia; female; human; interrater reliability; major clinical study; male; pain intensity; palpation; priority journal; scapular dyskinesis; shoulder disease; shoulder pain; visual analog scale; weight bearing; classification; comparative study; Dyskinesias; joint characteristics and functions; observer variation; palpation; pathophysiology; physical examination; physiology; procedures; reproducibility; scapula; sensitivity and specificity; shoulder; young adult; Cross-Sectional Studies; Dyskinesias; Female; Humans; Male; Observer Variation; Palpation; Physical Examination; Range of Motion, Articular; Reproducibility of Results; Scapula; Sensitivity and Specificity; Shoulder Joint; Young Adult
Publisher
Churchill Livingstone
Type
journal article