Department of Physiotherapy, Uniklinik Balgrist, Forchstrasse 340, 8008 Zurich, Switzerland.
BMC Musculoskelet Disord. 2013 Nov 5;14:315. doi: 10.1186/1471-2474-14-315.
Decreased scapulothoracic motion has been associated with various pathologies of the shoulder. Reliable and simple assessment methods of scapular mobility are, however lacking. The aim of this study was to evaluate the interrater reliability of four clinical tests to assess scapulothoracic motion in patients with a slightly restricted shoulder flexion.
A total of nineteen patients with a symptomatic slight restriction of shoulder flexion and twenty asymptomatic subjects were evaluated. The investigation consisted of four palpatory tests to assess scapulothoracic motion. A two-level rating scale (positive, negative) was utilised. Interrater reliability was evaluated using kappa coefficients.
We found substantial to almost perfect (Kappa = 0.63-0.4) interrater reliability for the four tests.
Our study demonstrates that the four mobility tests of the shoulder are a reliable and simple instrument to assess patients with a slightly restricted shoulder flexion. Future studies should be conducted to evaluate the validity of these tests and to establish their clinical usefulness.
肩胛骨-胸廓运动的减少与肩部的各种病变有关。然而，目前缺乏可靠且简单的肩胛骨活动度评估方法。本研究的目的是评估四种临床测试评估轻度受限的肩关节前屈患者肩胛骨-胸廓运动的组内信度。
共评估了 19 名有症状的轻度肩关节前屈受限患者和 20 名无症状受试者。该研究包括四个触诊测试来评估肩胛骨-胸廓运动。使用两级评分量表（阳性，阴性）。采用 Kappa 系数评估组内信度。
我们发现这四个测试的组内信度从高度可信到几乎完美（Kappa = 0.63-0.4）。
我们的研究表明，这四个肩关节活动度测试是评估轻度受限的肩关节前屈患者的可靠且简单的工具。未来的研究应该评估这些测试的有效性，并确定其临床实用性。
