익상견갑의 평가를 위한 “Scapulometer”의 신뢰도 연구
Reliability of Scapular Winging Measurement Using a Scapulometer
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초록
This study was undertaken to develop the scapulometer, a measuring tool for scapular winging, and to determine the reliability of scapulometer. Thirty subjects with scapular winging greater than 2 ㎝ participated in this study. Two examiners measured scapular winging using the scapulometer. Standardized measurement position of each subject was as follows: neutral position of shoulder and wrist, 90° flexion of elbow, and cuff weight of 5% and 10% of body weight (BW) to neutral wrist. The interrater and intrarater reliability were calculated with an intraclass correlation coefficient (ICC) with 95% confidence interval (CI) and standard error of measurement (SEM) at 5% BW and 10% BW. The level of scapular winging was tested between 5% BW and 10% BW with a paired t-test. The interrater reliability was shown to be high at 5% BW (ICC(2,k)=.955, 95% CI=.900～.979, SEM=.07) and at 10% BW (ICC(2,k)=.968, 95% CI=.930～.985, SEM=.06). The intrarater reliability was shown to be high at 5% BW (ICC(2,k)=.921, 95% CI=.842～.961, SEM=.09) and at 10% BW (ICC(2,k)=.906, 95% CI=.813～.954, SEM=.10). The level of scapular winging was significantly different between 5% BW and 10% BW. Conclusively, it is demonstrated that the scapulometer is an objective and qualitative measurement tool for scapular winging.
Abstract
This study was undertaken to develop the scapulometer, a measuring tool for scapular winging, and to determine the reliability of scapulometer. Thirty subjects with scapular winging greater than 2 ㎝ participated in this study. Two examiners measured scapular winging using the scapulometer. Standardized measurement position of each subject was as follows: neutral position of shoulder and wrist, 90° flexion of elbow, and cuff weight of 5% and 10% of body weight (BW) to neutral wrist. The interrater and intrarater reliability were calculated with an intraclass correlation coefficient (ICC) with 95% confidence interval (CI) and standard error of measurement (SEM) at 5% BW and 10% BW. The level of scapular winging was tested between 5% BW and 10% BW with a paired t-test. The interrater reliability was shown to be high at 5% BW (ICC(2,k)=.955, 95% CI=.900～.979, SEM=.07) and at 10% BW (ICC(2,k)=.968, 95% CI=.930～.985, SEM=.06). The intrarater reliability was shown to be high at 5% BW (ICC(2,k)=.921, 95% CI=.842～.961, SEM=.09) and at 10% BW (ICC(2,k)=.906, 95% CI=.813～.954, SEM=.10). The level of scapular winging was significantly different between 5% BW and 10% BW. Conclusively, it is demonstrated that the scapulometer is an objective and qualitative measurement tool for scapular winging.
참고문헌 (20)
- Bergqvist U, "Musculoskeletal disorders among visual display terminal workers: Individual, ergonomic, and work organizational factors", Ergonomics, 38(4), pp.763~776 (1995)
- Cools AM, "Scapular muscle recruitment patterns: Trapezius muscle latency with and without impingement symptoms", Am J Sports Med., (31), pp.542~549 (2003)
- Cools AM, "Trapezius activity and intramuscular balance during isokinetic exercise in overhead athletes with impingement symptoms", Scand J Med Sci Sports., 17(1), pp.25~33 (2007)
- Cools AM, "Evaluation of isokinetic force production and associated muscle activity in the scapular rotators during a protraction-retraction movement in overhead athletes with impingement symptoms", Br J Sports Med., 38(1), pp.64~68 (2004)
- Culham E, "Functional anatomy of the shoulder complex", J Orthop Sports Phys Ther., 18(1), pp.343~350 (1993)
- Kibler WB, "Scapular dyskinesis and its relation to shoulder pain", J Am Acad Orthop Surg., 11(2), pp.142~151 (2003)
- Kibler WB, "Tennis injuries", Med Sport Sci., 48, pp.120~137 (2005)
- Kibler WB, "Qualitative clinical evaluation of scapular dysfunction: A reliability study", J Shoulder Elbow Surg., 11(6), pp.550~556 (2002)
- Levangie PK, "Joint Structure and Function. A comprehensive analysis", pp.215~217 (1992), F.A. Davis Co
- Ludewig PM, "Alterations in shoulder kinematics and associated muscle activity in people with symptoms of shoulder impingement", Phys Ther., 80(3), pp.276~291 (2000)
- Lukasiewicz AC, "Comparison of 3-dimensional scapular position and orientation between subjects with and without shoulder impingement", J Orthop Sports Phys Ther., 29(10), pp.574~583 (1999)
- McClure PW, "Shoulder function and 3-dimensional kinematics in people with shoulder impingement syndrome before and after a 6-week exercise program", Phys Ther., 84(9), pp.832~848 (2004)
- McClure P, "A clinical method for identifying scapular dyskinesis, part 1: Reliability", J Athl Train., 44(2), pp.160~164 (2009)
- Nijs J, "Scapular positioning in patients with shoulder pain: A study examining the reliability and clinical importance of 3 clinical tests", Arch Phys Med Rehabil., 86(7), pp.1349~1355 (2005)
- Nygren A, "Neck and shoulder pain, an increasing problem. Strategies for using insurance material to follow trends", Scand J Rehabil Med Suppl., 32, pp.107~112 (1995)
- Plafcan DM, "An objective measurement technique for posterior scapular displacement", J Orthop Sports Phys Ther., 25, pp.336~341 (1997)
- Sahrmann SA, "Diagnosis and Treatment of Movement Impairment Syndromes", pp.193~245 (2002), Mosby
- Schmitt L, "Role of scapular stabilizers in etiology and treatment of impingement syndrome", J Orthop Sports Phys Ther., 29(1), pp.31~38 (1999)
- Struyf F, "Clinical assessment of scapular positioning in musicians: An intertester reliability study", J Athl Train., 44(5), pp.519~526 (2009)
- Warner JJ, "Scapulothoracic motion in normal shoulders and shoulders with glenohumeral instability and impingement syndrome. A study using Moiré topographic analysis", Clin Orthop Relat Res., 285, pp.191~199 (1992)