上肢肌肉骨骼障碍前瞻性研究中体格检查的观察者间可靠性。
Inter-rater reliability of physical examinations in a prospective study of upper extremity musculoskeletal disorders.
机构信息
Insurance Services Division, SHARP Program, Washington State Department of Labor and Industries, Olympia, WA 98504-4330, USA.
出版信息
J Occup Environ Med. 2010 Oct;52(10):1014-8. doi: 10.1097/JOM.0b013e3181f4396b.
OBJECTIVE
To test the inter-rater reliability of physical examinations for upper extremity musculoskeletal disorders.
METHODS
A total of 111 subjects were examined by both an occupational medicine physician and a physical therapist, who were blinded to each others' tests results and subjects' current symptoms and health histories.
RESULTS
Inter-rater reliability was moderate to excellent (0.52 to 0.88) for shoulder tests but required the inclusion of symptoms for increased inter-rater reliability of fair to excellent (0.27 to 0.57) for the elbow and hand/wrist tests.
CONCLUSIONS
With the lack of "gold standard" tests, it is important that epidemiologic field studies conduct and report inter-rater reliability testing results between study examiners. It is important for researchers to report the results of inter-rater reliability, so that practitioners can weigh the results of study findings to improve both their diagnosis and treatment of these costly injuries.
目的
测试上肢肌肉骨骼疾病体格检查的观察者间可靠性。
方法
共有 111 名受试者接受了职业医生和物理治疗师的检查，他们对彼此的测试结果以及受试者当前的症状和健康史均不知情。
结果
肩部检查的观察者间可靠性为中等至极好（0.52 至 0.88），但需要包括症状，才能提高肘部和手/腕部检查的观察者间可靠性（0.27 至 0.57）。
结论
由于缺乏“金标准”测试，在进行和报告研究检查者之间的观察者间可靠性测试结果时，进行流行病学现场研究非常重要。研究人员报告观察者间可靠性的结果非常重要，以便从业者可以权衡研究结果的意义，从而改善他们对这些昂贵损伤的诊断和治疗。
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