Agreement between physiotherapists rating scapular posture in multiple planes in patients with neck pain: reliability study

O'Leary, Shaun, Christensen, Steffan W., Verouhis, Alexis, Pape, Morten, Nilsen, Oivind and McPhail, Steven M. (2015) Agreement between physiotherapists rating scapular posture in multiple planes in patients with neck pain: reliability study. Physiotherapy, 101 4: 381-388. doi:10.1016/j.physio.2015.01.005


Author O'Leary, Shaun
Christensen, Steffan W.
Verouhis, Alexis
Pape, Morten
Nilsen, Oivind
McPhail, Steven M.
Title Agreement between physiotherapists rating scapular posture in multiple planes in patients with neck pain: reliability study
Journal name Physiotherapy   Check publisher's open access policy
ISSN 1873-1465
0031-9406
Publication date 2015-12-01
Sub-type Article (original research)
DOI 10.1016/j.physio.2015.01.005
Open Access Status Not Open Access
Volume 101
Issue 4
Start page 381
End page 388
Total pages 8
Place of publication London, United Kingdom
Publisher Elsevier
Collection year 2016
Language eng
Formatted abstract
Objective: Evaluation of scapular posture is an integral component of the clinical assessment of painful neck disorders. The aim of this study was to evaluate agreement between therapist judgements of scapula posture in multiple biomechanical planes in individuals with neck pain.

Design: Inter-therapist reliability study.

Setting: Research laboratory.

Participants: Fifteen participants with chronic neck pain.

Main outcome measures: Four physiotherapists recorded ratings of scapular orientation (relative to the thorax) in five different scapula postural planes (plane of scapula, sagittal plane, transverse plane, horizontal plane, and vertical plane) under four test conditions (at rest, and during three isometric shoulder conditions) in all participants. Inter-therapist reliability was expressed using both generalized and paired kappa coefficient.

Results: Following adjustment for expected agreement and the high prevalence of neutral ratings (81%), on average both the generalised kappa (0.37) as well as Cohen's Kappa for the two therapist pairs (0.45 and 0.42) demonstrated only slight to moderate inter-therapist reliability.

Conclusions: The findings suggest that ratings of scapular posture in individuals with neck pain by visual inspection has only slight to moderate reliability and should only be used in conjunction with other clinical tests when judging scapula function in these patients.
Keyword Agreement
Inter-therapist
Kappa
Posture
Reliability
Scapular
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Health and Rehabilitation Sciences Publications
 
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