Clinical evaluation of the anterior translation of glenohumeral joint using ultrasonography: an intra- and inter-rater reliability study

Joseph, Leonard; Hussain, Rizuana Iqbal; Pirunsan, Ubon; Naicker, Amaramalar Selvi; Htwe, Ohnmar; Paungmali, Aatit

doi:10.3944/aott.2014.3184

Cited by 6 publications

(8 citation statements)

References 23 publications

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“…SEMs reflect the extent of expected error in a measurement between the raters, 43 while CV reflects the extent of variability of the measurement score between the TR and FTF methods or raters. 43,44 Smaller CV values demonstrate less dispersion in the measurement values. 45 Previous literature has shown that a measurement tool is considered reliable if the value CV is 15% and SEMs is 5%.…”

Section: Statistical Considerationsmentioning

confidence: 99%

Validity and reliability of Internet-based physiotherapy assessment for musculoskeletal disorders: a systematic review

et al. 2016

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Purpose The purpose of this review is to systematically explore and summarise the validity and reliability of telerehabilitation (TR)-based physiotherapy assessment for musculoskeletal disorders. Method A comprehensive systematic literature review was conducted using a number of electronic databases: PubMed, EMBASE, PsycINFO, Cochrane Library and CINAHL, published between January 2000 and May 2015. The studies examined the validity, inter- and intra-rater reliabilities of TR-based physiotherapy assessment for musculoskeletal conditions were included. Two independent reviewers used the Quality Appraisal Tool for studies of diagnostic Reliability (QAREL) and the Quality Assessment of Diagnostic Accuracy Studies (QUADAS) tool to assess the methodological quality of reliability and validity studies respectively. Results A total of 898 hits were achieved, of which 11 articles based on inclusion criteria were reviewed. Nine studies explored the concurrent validity, inter- and intra-rater reliabilities, while two studies examined only the concurrent validity. Reviewed studies were moderate to good in methodological quality. The physiotherapy assessments such as pain, swelling, range of motion, muscle strength, balance, gait and functional assessment demonstrated good concurrent validity. However, the reported concurrent validity of lumbar spine posture, special orthopaedic tests, neurodynamic tests and scar assessments ranged from low to moderate. Conclusion TR-based physiotherapy assessment was technically feasible with overall good concurrent validity and excellent reliability, except for lumbar spine posture, orthopaedic special tests, neurodynamic testa and scar assessment.

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Section: Statistical Considerationsmentioning

confidence: 99%

Validity and reliability of Internet-based physiotherapy assessment for musculoskeletal disorders: a systematic review

et al. 2016

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Although no researchers have previously measured intraobserver variability on grading shoulder bursitis on US, many have reported similar intraobserver variability on different MSK-related pathologies, for different joints, and amongst different sonographic experts (both radiologists and non-radiologists). [12][13][14][15] Cohen's kappa is a useful measure of intraobserver reliability. Values range from À1 to +1, where 0 represents the amount of agreement that can be expected from chance and 1 represents a perfect agreement between two tests.…”

Section: Discussionmentioning

confidence: 99%

“…The kappa values of the remaining participants were between .53 and .73, which is similar to previous studies assessing intraobserver variability for different sonographic findings in various joints. [12][13][14][15] To interpret the strength of agreement for given kappa values, we can separate different kappa values into descriptive categories. Landis and Koch 11 have proposed the following standard: <.01 = poor, .01-.20 = slight, .21-.40 = fair, .41-.60 = moderate, .61-.80 = substantial and .81-1.00 = almost perfect.…”

Section: Discussionmentioning

confidence: 99%

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Intraobserver Reliability on Classifying Bursitis on Shoulder Ultrasound

2022

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Purpose: Bursitis is a common musculoskeletal cause of shoulder pain and treatment varies, thus correctly diagnosing and grading bursitis is paramount in deciding management. Our aim was to assess reliability in grading shoulder bursitis on ultrasonography among fellowship trained musculoskeletal radiologists at our institution. Methods: Retrospective study of patients diagnosed with bursitis on ultrasonography. Single-sonographic images of the subacromial-subdeltoid bursa were collected for each patient and randomized to form a test-bank of varying degrees of bursitis. Three months after the test was administered, the cases were randomized and readministered. The radiologists graded each case as: within normal limits, mild, moderate or severe. Intraobserver variability was measured using Cohen’s kappa coefficient. Linear regression model was performed to assess correlation between years of experience and kappa. Results: 10 radiologists reviewed 70 cases of bursitis. Kappa values ranged from .53 to .91, indicating ‘moderate’ to ‘almost perfect’ variability amongst radiologists. A moderate positive correlation of improving variability ( r = .69) with increasing years of experience exists. Conclusion: Fellowship trained musculoskeletal radiologists were able to grade shoulder bursitis with moderate to almost perfect variability, with a positive correlation of improved variability with increasing experience. This may help clinicians choose the correct treatment more confidently in their patients with shoulder pain.

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An improved quantitative ultrasonographic technique could assess anterior translation of the glenohumeral joint accurately and reliably

Takeuchi

Chan

Hattori

et al. 2021

Knee Surg Sports Traumatol Arthrosc

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Purpose Since poor repeatability of the load and shift test using a grading scale has been reported, an objective and quantitative method to assess anterior translation should be established to assess glenohumeral joint function. The purpose of this study was to assess the accuracy and repeatability of the ultrasonographic techniques to quantify anterior translation of the glenohumeral joint. Methods Eight fresh-frozen cadaveric shoulders were used. For the standard technique, the ultrasound transducer was positioned on the anterolateral aspect of the shoulder viewing the coracoid process, glenoid, and humeral head. For the revised technique, the transducer was positioned on the anterior aspect of the shoulder, perpendicular to the scapular plane, viewing the conjoint tendon, glenoid, and humeral head. During the load and shift test, the distance between anterior edges of the glenoid and the humeral head was measured. The diference between distances before and after applying an anterior load was calculated as an anterior translation and compared with the anterior translation assessed using a motion tracking system. The repeatability and accuracy of both techniques were analyzed statistically. Results Intra-and inter-observer repeatability was good-excellent for both ultrasonographic techniques (ICC, 0.889-0.998). The revised technique achieved a stronger correlation to the anterior translations obtained using the motion tracking system (R = 0.810-0.913, p < 0.001) than the standard technique (R = 0.619-0.806, p < 0.001). Conclusion Better accuracy and repeatability was found in the revised technique than the standard technique. The revised technique will be useful to determine the individual laxity and modify the treatment plan and return-to-sports protocol. Level of evidence III.

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Clinical evaluation of the anterior translation of glenohumeral joint using ultrasonography: an intra- and inter-rater reliability study

Abstract: The use of US as a measurement of ATHH has good levels of intra- and inter-rater reliability in clinical practice.

Cited by 6 publications

References 23 publications

Validity and reliability of Internet-based physiotherapy assessment for musculoskeletal disorders: a systematic review

Validity and reliability of Internet-based physiotherapy assessment for musculoskeletal disorders: a systematic review

Intraobserver Reliability on Classifying Bursitis on Shoulder Ultrasound

An improved quantitative ultrasonographic technique could assess anterior translation of the glenohumeral joint accurately and reliably

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