کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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5564044 | 1403495 | 2017 | 4 صفحه PDF | دانلود رایگان |
BackgroundMovement faults are commonly observed in patients with musculoskeletal pain. The Kinetic Medial Rotation Test (KMRT) is a movement control test used to identify movement faults of the scapula and gleno-humeral joints during arm movement. Objective tests such as the KMRT need to be reliable and valid for the results to be applied across different clinical settings and patient populations. The primary objective of the present study was to determine the intra-rater and inter-rater reliability of KMRT in subjects with and without shoulder pain.MethodsSixty subjects were included in this study based on specific inclusion and exclusion criteria. Two musculoskeletal physiotherapists with different levels of clinical experience performed the tests. The intra-rater reliability was tested in twenty asymptomatic subjects by a single assessor at two week intervals. An equal number of subjects with and without shoulder pain were tested by both the assessors to determine the inter-rater reliability. Both components of the KMRT, the Gleno- Humeral Anterior Translation (GHAT) and the Scapular Forward Tilt (SCFT) were tested.ResultsThe Kappa values for inter-rater reliability of the GHAT and SCFT were KÂ =Â 0.68 & KÂ =Â 0.65 respectively in subjects with shoulder pain. In asymptomatic subjects, the inter-rater reliability of GHAT was KÂ =Â 0.61 and SCFT was KÂ =Â 0.85. Intra-rater reliability ranged from KÂ =Â 0.66 for GHAT to KÂ =Â 0.87 for SCFT.ConclusionOur study found substantial agreement in inter-rater reliability of KMRT in subjects with shoulder pain, whereas substantial to near perfect agreement was found in intra-rater and inter-rater reliability of KMRT in subjects without shoulder pain.
Journal: Journal of Bodywork and Movement Therapies - Volume 21, Issue 3, July 2017, Pages 739-742