Physical Therapy Korea (한국전문물리치료학회지)

Korean Research Society of Physical Therapy (한국전문물리치료학회)
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A Comparison of Reliability and Anterior Glide Distance of Humerus Head of Passive Shoulder Internal Rotation Range of Motion Measurement Methods

어깨관절의 수동적 내회전 관절 가동범위의 측정 방법에 따른 신뢰도와 상완골두의 전방 활주 거리 비교

  • Kim, Hyun-Sook (Dept. of Physical Therapy,Yeojoo, Institute of Tcchnology) ;
  • Lee, Won-Hwee (Dept. of Rehabilitation Therapy,The Graduatc School, Yonsei University) ;
  • Choung, Sung-Dae (Dept. of Rehabilitation Therapy,The Graduatc School, Yonsei University)
  • 김현숙 (여주대학 물리치료과) ;
  • 이원휘 (연세대학교 대학원 재활학과) ;
  • 정성대 (연세대학교 대학원 재활학과)
  • Received : 2010.07.02
  • Accepted : 2010.08.20
  • Published : 2010.09.17
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Abstract

The purpose of this study was to measure intra-rater and inter-rater reliability and range of motion for measurement of passive shoulder internal rotation range of motion and to compare anterior glide distance of humeral head in three methods. Fifty healthy subjects and fifty patients with shoulder musculoskeletal pain were recruited for this study. The subjects' passive shoulder internal rotation range of motion was measured by visual estimation, manual stabilization, and pressure biofeedback unit methods. In two trials, measurements were performed on each subject by two examiners. Intraclass correlation coefficient (ICC(3,1)) was used to determine the reliability of each measurement. The intra-rater reliability of the three methods was excellent (ICC=.77~.93) in both groups. The inter-rater reliability of the visual estimation method was poor (ICC=.20, .29), the manual scapular stabilization method was poor and fair (ICC=.09, .50), and the pressure biofeedback unit method was excellent (ICC .86, .75) in the experimental and control groups. In the experimental group, the difference of examined range of motion by each examiner was significant in the visual estimation method and manual scapular stabilization method, but there was an insignificant difference between the groups is the pressure biofeedback unit method. This result suggests that the intra-rater and inter-rater reliability of a pressure biofeedback unit was better than the other methods. The difference in distance of the anterior glide of humeral head was insignificant among all the methods. The pressure biofeedback unit method was the most reliable method, so it is proposed to be a new and reliable method to measure internal rotation range of motion.

Keywords

References

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