어깨관절의 수동적 내회전 관절 가동범위의 측정 방법에 따른 신뢰도와 상완골두의 전방 활주 거리 비교
A Comparison of Reliability and Anterior Glide Distance of Humerus Head of Passive Shoulder Internal Rotation Range of Motion Measurement Methods
2
조회
0
다운로드
2
인용
0
참고문헌
초록
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.
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.
참고문헌 (26)
- Awan R, "Measuring shoulder internal rotation range of motion: A comparison of 3 techniques", Arch Phys Med Rehabil., 83(9), pp.1229~1234 (2002)
- Boon AJ, "Manual scapular stabilization: Its effect on shoulder rotational range of motion", Arch Phys Med Rehabil., 81(7), pp.978~983 (2000)
- Borich MR, "Scapular angular positioning at end range internal rotation in cases of glenohumeral internal rotation deficit", J Orthop Sports Phys Ther., 36(12), pp.926~934 (2006)
- Cynn HS, "Effects of lumbar stabilization using a pressure biofeedback unit on muscle activity and lateral pelvic tilt during hip abduction in sidelying", Arch Phys Med Rehabil., 87(11), pp.1454~1458 (2006)
- Edwards TB, "Interobserver and intraobserver reliability of the measurement of shoulder internal rotation by vertebral level", J Shoulder Elbow Surg., 11(1), pp.40~42 (2002)
- Ellenbecker TS, "Glenohumeral joint internal and external rotation range of motion in elite junior tennis players", J Orthop Sports Phys Ther., 24(6), pp.336~341 (1996)
- Green S, "Systematic review of randomised controlled trials of interventions for painful shoulder: Selection criteria, outcome assessment, and efficacy", BMJ., 316(7128), pp.354~360 (1998)
- Hoving JL, "How reliably do rheumatologists measure shoulder movement?", Ann Rheum Dis., 61(7), pp.612~616 (2002)
- Javanshir K, "Ultrasonography of longus colli muscle: A reliability study on healthy subjects and patients with chronic neck pain", J Bodyw Mov Ther., 7, pp.1~9 (2009)
- Macedo LG, "Effects of age on passive range of motion of selected peripheral joints in healthy adult females", Physiother Theory Pract., 25(2), pp.145~164 (2009)
- Mallon WJ, "Use of vertebral levels to measure presumed internal rotation at the shoulder: A radiographic analysis", J Shoulder Elbow Surg., 5(4), pp.299~306 (1996)
- McCully SP, "Internal and external rotation of the shoulder: Effects of plane, end-range determination, and scapular motion", J Shoulder Elbow Surg., 14(6), pp.602~610 (2005)
- Myers JB, "Glenohumeral range of motion deficits and posterior shoulder tightness in throwers with pathologic internal impingement", Am J Sports Med., 34(3), pp.385~391 (2006)
- Neumann DA, "nesiology of the Musculoskeletal System: Foundation for physical rehabilitation. 2nd ed" (2004), Mosby
- Norkin CC, "Measurement of Joint Motion: A guide to goniometry" (1995), PA, Co. F.A. Davis Co
- Pope DP, "The frequency of restricted range of movement in individuals with self-reported shoulder pain: Results from a population-based survey", Br J Rheumatol., 35(11), pp.1137~1141 (1996)
- Riddle DL, "Goniometric reliability in a clinical setting. Shoulder measurements", Phys Ther., 67(5), pp.668~673 (1987)
- Rundquist PJ, "Patterns of motion loss in subjects with idiopathic loss of shoulder range of motion", Clin Biomech., 19(8), pp.810~818 (2004)
- Sahrmann SA, "Diagnosis and Treatment of Movement Impairment Syndrome" (2002), Mosby
- Silliman JF, "Current concepts and recent advances in the athlete's shoulder", Clin Sports Med., 10(4), pp.693~705 (1991)
- Southgate DF, "The range of axial rotation of the glenohumeral joint", J Biomech., 42(9), pp.1307~1312 (2009)
- Thomas SJ, "Glenohumeral rotation and scapular position adaptations after a single high school female sports season", J Athl Train., 44(3), pp.230~237 (2009)
- Torres RR, "Measurement of glenohumeral internal rotation in asymptomatic tennis players and swimmers", Am J Sports Med., 37(5), pp.1017~1023 (2009)
- Valentine RE, "Intraobserver reliability of 4 physiologic movements of the shoulder in subjects with and without symptoms", Arch Phys Med Rehabil., 87(9), pp.1242~1249 (2006)
- von Eisenhart-Rothe R, "Pathomechanics in atraumatic shoulder instability: Scapular positioning correlates with humeral head centering", Clin Orthop Relat Res., (433), pp.82~89 (2003)
- von Garnier K, "Reliability of a test measuring transverse abdominis muscle recruitment with a pressure biofeedback unit", Physiotherapy, 95(1), pp.8~14 (2009)