Reliability of 3 methods for assessing shoulder strength

The reliability of tests for isometric strength of the shoulder joint in symptomatic subjects has yet to be established. For this purpose, interrater and intrarater agreement trials were undertaken to ascertain the reliability of manual muscle tests, a handheld dynamometer, and a spring-scale dynamo...

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Veröffentlicht in:Journal of shoulder and elbow surgery 2002-01, Vol.11 (1), p.33-39
Hauptverfasser: Hayes, Kimberley, Walton, Judie R., Szomor, Zoltan L., Murrell, George A.C.
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container_end_page 39
container_issue 1
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container_title Journal of shoulder and elbow surgery
container_volume 11
creator Hayes, Kimberley
Walton, Judie R.
Szomor, Zoltan L.
Murrell, George A.C.
description The reliability of tests for isometric strength of the shoulder joint in symptomatic subjects has yet to be established. For this purpose, interrater and intrarater agreement trials were undertaken to ascertain the reliability of manual muscle tests, a handheld dynamometer, and a spring-scale dynamometer for 5 different shoulder movements in symptomatic subjects. Intraclass correlation coefficients were calculated from a random-effects model. All movements tested with the handheld dynamometer demonstrated excellent reliability for the interrater trial (ρ = 0.79−0.92). Excellent reliability was also demonstrated for elevation, external rotation, and internal rotation for the intrarater trial (ρ = 0.79−0.96). For the interrater trial, measurement of the lift-off maneuver with the handheld dynamometer was significantly more reliable than with manual muscle tests (P =.002). In summary, the handheld dynamometer was the most reliable and discriminatory means for assessing strength of the rotator cuff in symptomatic subjects. (J Shoulder Elbow Surg 2002;11:33-9.)
doi_str_mv 10.1067/mse.2002.119852
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subjects Adult
Aged
Biological and medical sciences
Female
Humans
Investigative techniques, diagnostic techniques (general aspects)
Joint Diseases - physiopathology
Male
Medical sciences
Middle Aged
Muscle, Skeletal - physiopathology
Osteoarticular system. Muscles
Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques
Reproducibility of Results
Rotation
Rotator Cuff - physiopathology
Shoulder Joint - physiopathology
title Reliability of 3 methods for assessing shoulder strength
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