Measurement of scapula upward rotation: a reliable clinical procedure

British Journal of Sports Medicine - Tập 39 Số 9 - Trang 599-603 - 2005
Lyndsey F. Watson1, Simon Balster2, Caroline F. Finch3, R Dalziel4
1Lifecare Prahran Sports Medicine Centre, Prahran, Victoria 3181, Australia. [email protected]
2LifeCare Prahran Sports Medicine Centre
3University of New South Wales
4Melbourne Orthopaedic Group

Tóm tắt

Background:It is important to deal with the scapula when developing rehabilitation strategies for the shoulder complex. This requires clinical measurement tools that are readily available and easy to apply and which provide a reliable evaluation of scapula motion.Aim:To determine the reliability of the Plurimeter-V gravity inclinometer for the measurement of scapular upward rotation positions during humeral elevation in coronal abduction in a group of patients with shoulder pathology.Method:Twenty six patients were assessed in two repeat tests within a single testing session. Patients exhibiting a wide spectrum of shoulder pathology were selected. The angle of scapular upward rotation was measured during total shoulder abduction. The measurement protocol was performed twice during a single testing session by a single tester. Results of the two tests were compared and the reliability assessed by intraclass correlation coefficients (ICCs).Results:There was no significant difference in the scapula measurements taken during the two tests at each testing position. Overall, there was very good intrarater reliability (ICC  =  0.88). The ICC ranged from 0.81 (at 135°) to 0.94 (at both resting and end of total shoulder abduction range).Conclusion:The Plurimeter-V gravity inclinometer can be used effectively and reliably for measuring upward rotation of the scapula in all ranges of shoulder abduction in the coronal plane.

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