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Related Experiment Videos

How reliably do rheumatologists measure shoulder movement?

J L Hoving1, R Buchbinder, S Green

  • 1Department of Clinical Epidemiology, Cabrini Hospital, Australia. Jan.Hoving@med.monash.edu.au

Annals of the Rheumatic Diseases
|June 25, 2002
PubMed
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Rheumatologists showed variable reliability measuring shoulder movements with a gravity inclinometer. Only hand-behind-back and total shoulder flexion demonstrated reasonable intrarater and interrater reliability.

Area of Science:

  • Orthopedics
  • Rheumatology
  • Medical Measurement

Background:

  • Accurate measurement of shoulder movements is crucial for diagnosing and managing shoulder conditions.
  • Standardized protocols aim to improve the consistency of clinical assessments.

Purpose of the Study:

  • To evaluate the intrarater and interrater reliability of a standardized protocol for measuring shoulder movements using a gravity inclinometer among rheumatologists.

Main Methods:

  • Six rheumatologists assessed eight shoulder movements in six patients using a standardized protocol and gravity inclinometer.
  • Assessments were repeated, and data analyzed using analysis of variance to calculate intraclass correlation coefficients (ICCs).

Main Results:

  • Intrarater and interrater reliability varied significantly across different shoulder movements.

Related Experiment Videos

  • Hand-behind-back and total shoulder flexion showed the highest ICC scores for both intrarater and interrater reliability.
  • Glenohumeral abduction and certain rotation movements demonstrated low reliability.
  • Conclusions:

    • A standardized protocol for measuring shoulder movements with a gravity inclinometer yielded variable reliability among rheumatologists.
    • Only hand-behind-back and total shoulder flexion measurements demonstrated acceptable reliability.