Inter-rater Reliability of the Shoulder Symptom Modification Procedure in People with Shoulder Pain

Overview

Journal BMJ Open Sport Exerc Med

Specialty Orthopedics

Date 2016 Dec 1

PMID 27900200

Citations 10

Authors

Jeremy S Lewis

Karen McCreesh

Eva Barratt

Eric J Hegedus

Julius Sim

Affiliations

Soon will be listed here.

Abstract

Background: Musculoskeletal conditions involving the shoulder are common and, because of the importance of the upper limb and hand in daily function, symptoms in this region are commonly associated with functional impairment in athletic and non-athletic populations. Deriving a definitive diagnosis as to the cause of shoulder symptoms is fraught with difficulty. Limitations have been recognised for imaging and for orthopaedic special tests. 1 solution is to partially base management on the response to tests aimed at reducing the severity of the patient's perception of symptoms. 1 (of many) such tests is the Shoulder Symptom Modification Procedure (SSMP). The reliability of this procedure is unknown.

Methods: 37 clinician participants independently watched the videos of 11 patient participants undergoing the SSMP and recorded each patient's response as improved (partially or completely), no change or worse. Inter-rater reliability was assessed by Krippendorff's α, which ranges from 0 to 1.

Results: Krippendorff's α was found to range from 0.762 to 1.000, indicating moderate to substantial reliability. In addition, short (3-hour) and longer (1-day) durations of training were associated with similar levels of reliability across the techniques.

Conclusions: Deriving a definitive structural diagnosis for a person presenting with a musculoskeletal condition involving the shoulder is difficult. The findings of the present study suggest that the SSMP demonstrates a high level of reliability. More research is needed to better understand the relevance of such procedures.

Trial Registration Number: ISRCTN95412360.

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References

Vos T, Flaxman A, Naghavi M, Lozano R, Michaud C, Ezzati M . Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012; 380(9859):2163-96. PMC: 6350784. DOI: 10.1016/S0140-6736(12)61729-2. View

Bot S, van der Waal J, Terwee C, van der Windt D, Schellevis F, Bouter L . Incidence and prevalence of complaints of the neck and upper extremity in general practice. Ann Rheum Dis. 2004; 64(1):118-23. PMC: 1755209. DOI: 10.1136/ard.2003.019349. View

Taylor W . Musculoskeletal pain in the adult New Zealand population: prevalence and impact. N Z Med J. 2005; 118(1221):U1629. View

McClure P, Tate A, Kareha S, Irwin D, Zlupko E . A clinical method for identifying scapular dyskinesis, part 1: reliability. J Athl Train. 2009; 44(2):160-4. PMC: 2657031. DOI: 10.4085/1062-6050-44.2.160. View

Lewis J, Green A, Wright C . Subacromial impingement syndrome: the role of posture and muscle imbalance. J Shoulder Elbow Surg. 2005; 14(4):385-92. DOI: 10.1016/j.jse.2004.08.007. View

Ratcliffe E, Pickering S, McLean S, Lewis J . Is there a relationship between subacromial impingement syndrome and scapular orientation? A systematic review. Br J Sports Med. 2013; 48(16):1251-6. DOI: 10.1136/bjsports-2013-092389. View

Tuttle N . Do changes within a manual therapy treatment session predict between-session changes for patients with cervical spine pain?. Aust J Physiother. 2005; 51(1):43-8. DOI: 10.1016/s0004-9514(05)70052-0. View

Girish G, Lobo L, Jacobson J, Morag Y, Miller B, Jamadar D . Ultrasound of the shoulder: asymptomatic findings in men. AJR Am J Roentgenol. 2011; 197(4):W713-9. DOI: 10.2214/AJR.11.6971. View

Linsell L, Dawson J, Zondervan K, Rose P, Randall T, Fitzpatrick R . Prevalence and incidence of adults consulting for shoulder conditions in UK primary care; patterns of diagnosis and referral. Rheumatology (Oxford). 2005; 45(2):215-21. DOI: 10.1093/rheumatology/kei139. View

10.

Miniaci A, Mascia A, Salonen D, Becker E . Magnetic resonance imaging of the shoulder in asymptomatic professional baseball pitchers. Am J Sports Med. 2002; 30(1):66-73. DOI: 10.1177/03635465020300012501. View

11.

Hahne A, Keating J, Wilson S . Do within-session changes in pain intensity and range of motion predict between-session changes in patients with low back pain?. Aust J Physiother. 2004; 50(1):17-23. DOI: 10.1016/s0004-9514(14)60244-0. View

12.

Carr A, Cooper C, Campbell M, Rees J, Moser J, Beard D . Clinical effectiveness and cost-effectiveness of open and arthroscopic rotator cuff repair [the UK Rotator Cuff Surgery (UKUFF) randomised trial]. Health Technol Assess. 2015; 19(80):1-218. PMC: 4781041. DOI: 10.3310/hta19800. View

13.

Minagawa H, Yamamoto N, Abe H, Fukuda M, Seki N, Kikuchi K . Prevalence of symptomatic and asymptomatic rotator cuff tears in the general population: From mass-screening in one village. J Orthop. 2014; 10(1):8-12. PMC: 3768248. DOI: 10.1016/j.jor.2013.01.008. View

14.

Ellenbecker T, Ben Kibler W, Bailie D, Caplinger R, Davies G, Riemann B . Reliability of scapular classification in examination of professional baseball players. Clin Orthop Relat Res. 2011; 470(6):1540-4. PMC: 3348317. DOI: 10.1007/s11999-011-2216-0. View

15.

Ditunno Jr J, Ditunno P, Graziani V, Scivoletto G, Bernardi M, Castellano V . Walking index for spinal cord injury (WISCI): an international multicenter validity and reliability study. Spinal Cord. 2000; 38(4):234-43. DOI: 10.1038/sj.sc.3100993. View

16.

Sealey P, Critchley D . Do isometric pull-down exercises increase the acromio-humeral distance?. Physiotherapy. 2016; 103(2):208-213. DOI: 10.1016/j.physio.2016.03.002. View

17.

Slade S, Patel S, Underwood M, Keating J . What are patient beliefs and perceptions about exercise for nonspecific chronic low back pain? A systematic review of qualitative studies. Clin J Pain. 2013; 30(11):995-1005. DOI: 10.1097/AJP.0000000000000044. View

18.

Kottner J, Audige L, Brorson S, Donner A, Gajewski B, Hrobjartsson A . Guidelines for Reporting Reliability and Agreement Studies (GRRAS) were proposed. J Clin Epidemiol. 2010; 64(1):96-106. DOI: 10.1016/j.jclinepi.2010.03.002. View

19.

Greving K, Dorrestijn O, Winters J, Groenhof F, van der Meer K, Stevens M . Incidence, prevalence, and consultation rates of shoulder complaints in general practice. Scand J Rheumatol. 2011; 41(2):150-5. DOI: 10.3109/03009742.2011.605390. View

20.

Lewis J, Valentine R . The pectoralis minor length test: a study of the intra-rater reliability and diagnostic accuracy in subjects with and without shoulder symptoms. BMC Musculoskelet Disord. 2007; 8:64. PMC: 1934353. DOI: 10.1186/1471-2474-8-64. View