Kibler W Ben, Uhl Tim L, Maddux Jackson W q, Brooks Paul V, Zeller Brian, McMullen John
Lexington Clinic Sports Medicine Center, Lexington, Kentucky, USA.
J Shoulder Elbow Surg. 2002 Nov-Dec;11(6):550-6. doi: 10.1067/mse.2002.126766.
The purpose of this study was to determine the intrarater and interrater reliability of a clinical evaluation system for scapular dysfunction. No commonly accepted terminology presently exists for describing the abnormal dynamic scapular movement patterns that are commonly associated with shoulder injury. A method of observation was devised for clinical evaluation of scapular dysfunction. Blinded evaluators (2 physicians and 2 physical therapists) were familiarized with the evaluation method of scapular movement patterns before viewing a videotape of 26 subjects with and without scapular dysfunction. Each evaluator was asked to categorize the predominant scapular movement pattern observed during bilateral humeral scaption and abduction motions. Reliability was assessed by a kappa coefficient. Intertester reliability (kappa = 0.4) was found to be slightly lower than intratester reliability (kappa = 0.5). These results indicate that, with refinement, this qualitative evaluation method may allow clinicians to standardize the categorization of dynamic scapular dysfunction patterns.
本研究的目的是确定肩胛功能障碍临床评估系统的评分者内信度和评分者间信度。目前尚无普遍接受的术语来描述通常与肩部损伤相关的异常动态肩胛运动模式。设计了一种观察方法用于肩胛功能障碍的临床评估。在观看26名有或无肩胛功能障碍受试者的录像带之前，让不知情的评估者（2名医生和2名物理治疗师）熟悉肩胛运动模式的评估方法。要求每位评估者对双侧肱骨上举和外展运动期间观察到的主要肩胛运动模式进行分类。通过kappa系数评估信度。发现评分者间信度（kappa = 0.4）略低于评分者内信度（kappa = 0.5）。这些结果表明，经过完善，这种定性评估方法可能使临床医生能够对动态肩胛功能障碍模式的分类进行标准化。
