Fieseler Georg, Laudner Kevin G, Irlenbusch Lars, Meyer Henrike, Schulze Stephan, Delank Karl-Stefan, Hermassi Souhail, Bartels Thomas, Schwesig René
Division for Shoulder Surgery and Sports Orthopedics, Helios Clinic, Warburg/Westfalen, Germany.
School of Kinesiology and Recreation, Illinois State University, Normal, IL, USA.
J Exerc Rehabil. 2017 Dec 27;13(6):704-710. doi: 10.12965/jer.1735110.555. eCollection 2017 Dec.
The purpose of this study was to examine the intra- and interrater reliability of measuring shoulder range of motion (ROM) and strength among patients diagnosed with subacromial impingement syndrome (SAIS). Twenty-five patients (14 female patients; mean age, 60.4± 7.84 years) diagnosed with SAIS were assessed to determine the intrarater reliability for glenohumeral ROM. Twenty-five patients (16 female patients; mean age, 60.4± 7.80 years) and 76 asymptomatic volunteers (52 female volunteers; mean age, 29.4± 14.1 years) were assessed for interrater reliability. Dependent variables were active shoulder ROM and isometric strength. Intrarater reliability was fair-to-excellent for the SAIS patients (intraclass correlation coefficient [ICC], 0.52-0.97; standard error of measurement [SEM], 4.4°-9.9° N; coefficient of variation [CV], 7.1%-44.9%). Based on the ICC, 11 of 12 parameters (92%) displayed an excellent reliability (ICC> 0.75). The interrater reliability showed fair-to-excellent results (SAIS patients: ICC, 0.13-0.98; SEM, 2.3°-8.8°; CV, 3.6%-37.0%; controls: ICC, 0.11-0.96; SEM, 3.0°-35.4°; CV, 5.6%-26.4%). In accordance with the intrarater reliability, glenohumeral adduction ROM was the only parameter with an ICC below 0.75 for both samples. Painful shoulder ROM in the SAIS patients showed no influence on the quality of reliability for measurement. Therefore, these protocols should be considered reliable assessment techniques in the prevention, diagnosis, and treatment of painful shoulder conditions such as SAIS.
本研究的目的是检验在诊断为肩峰下撞击综合征（SAIS）的患者中测量肩部活动范围（ROM）和力量的评分者内及评分者间信度。对25例诊断为SAIS的患者（14例女性患者；平均年龄60.4±7.84岁）进行评估，以确定盂肱关节ROM的评分者内信度。对25例患者（16例女性患者；平均年龄60.4±7.80岁）和76名无症状志愿者（52名女性志愿者；平均年龄29.4±14.1岁）进行评分者间信度评估。因变量为肩部主动ROM和等长力量。SAIS患者的评分者内信度为中等至优秀（组内相关系数[ICC]，0.52 - 0.97；测量标准误[SEM]，4.4° - 9.9° N；变异系数[CV]，7.1% - 44.9%）。基于ICC，12个参数中的11个（92%）显示出优秀的信度（ICC > 0.75）。评分者间信度结果为中等至优秀（SAIS患者：ICC，0.13 - 0.98；SEM，2.3° - 8.8°；CV，3.6% - 37.0%；对照组：ICC，0.11 - 0.96；SEM，3.0° - 35.4°；CV，5.6% - 26.4%）。与评分者内信度一致，盂肱关节内收ROM是两个样本中唯一ICC低于0.75的参数。SAIS患者疼痛肩部的ROM对测量信度质量无影响。因此，在预防、诊断和治疗SAIS等疼痛性肩部疾病时，这些方案应被视为可靠的评估技术。
