Institut Régional de Formation aux
Métiers de Rééducation et de Réadaptation des Pays de la Loire.
Centre de documentation
Accueil
Résultat de la recherche
1 résultat(s) recherche sur le tag 'Sub-acromial impingement'
Affiner la recherche Générer le flux rss de la recherche
Partager le résultat de cette recherche Faire une suggestion
Reproducibility of sub-acromial impingement tests, including a new clinical manoeuver / Antoine Ferenczi in Annals of physical and rehabilitation medicine, Vol. 61 n° 3 (May 2018)
[article] Reproducibility of sub-acromial impingement tests, including a new clinical manoeuver [texte imprimé] / Antoine Ferenczi, Auteur ; Agnès Ostertag, Auteur ; Sandra Lasbleiz, Auteur . - 2018 . - p.141-155.
Langues : Anglais (eng) Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 61 n° 3 (May 2018) . - p.141-155
Catégories : PRATIQUE MÉDICALE
Test
PATHOLOGIE
Maladie dégénérative
Thesaurus Santé Publique
ÉpauleTags : Clinical test Sub-acromial impingement Degenerative rotator cuff disease Reproducibility Résumé : Background: The Neer, Hawkins, and Yocum clinical tests detect sub-acromial impingement as a pathogenic process of degenerative rotator cuff disease. Their reproducibility has been little investigated.
Objectives: We tested the reproducibility of the Neer, Hawkins, and Yocum clinical tests for detecting this sub-acromial impingement and also an original clinical manoeuver, the countertest with elevation with lateral rotation (CELR), which is a test of sub-acromial impingement.
Methods: Patients with shoulder pain due to degenerative rotator cuff disease were prospectively included. They were assessed with the Neer, Hawkins and Yocum tests as well as the CELR twice at a 1 week interval. Intra- and inter-observer reproducibility was assessed by percentage agreement and the kappa coefficient of concordance with 95% confidence intervals (CIs). Concordance was poor with kappa ≤0.4, moderate >0.4, and good >0.61. It was considered suitable for clinical use with kappa >0.4.
Results: We included 34 patients (mean [SD] age 60 [11] years; 26 females). For intra-observer reproducibility, agreement was 80% to 88%. By the kappa coefficient, intra-observer reproducibility was poor for the Neer test and moderate for the Hawkins test (0.56 [95% CI 0;0.9]) and Yocum test (0.48 [0;0.8]) and CELR (0.6 [0.2;0.9]). For inter-observer reproducibility, agreement was 73% to 88%. By the kappa coefficient, inter-observer reproducibility was poor for the Yocum test, moderate for the Hawkins test (0.54 [0.2;0.8]) and CELR (0.58 [0.2;0.8]), and good for the Neer test (0.64 [0.2;0.9]).
Conclusion: The Hawkins test and CELR had a balanced profile of reproducibility suitable for clinical practice. We underline the potential interest of CELR, an original manoeuver.En ligne : http://www.em-consulte.com/produit/rehab Permalink : https://ifm3r.centredoc.fr/index.php?lvl=notice_display&id=15907 [article]