Reliability of Performance-Based Clinical Measurements to Assess Shoulder Girdle Kinematics and Positioning: Systematic Review

摘要: Background Deviant shoulder girdle movement is suggested as an eminent factor in the etiology of pain. Reliable measurements kinematics are a prerequisite for optimizing clinical management strategies. Purpose The purpose this study was to evaluate reliability, measurement error, and internal consistency with performance-based tests positioning patients pain. Data Sources MEDLINE, Embase, CINAHL, SPORTDiscus databases were systematically searched from inception August 2015. Study Selection Articles published Dutch, English, or German included if they involved evaluation at least one properties interest. Data Extraction Two reviewers independently evaluated methodological quality per studied property 4-point-rating scale COSMIN ( CO nsensus-based S tandards selection health M easurement IN struments) checklist, extracted data, assessed adequacy properties. Data Synthesis Forty studies comprising more than 30 included. Actual reported categorized into: (1) positional methods, (2) methods determine dynamic characteristics, (3) diagnose impairments function. Best evidence synthesis performed each property. Limitations All had significant limitations, including incongruence between test description actual lack reporting on minimal important change. In general, selected fair poor. Conclusions High-quality indicates that obtained Modified Scapular Assistance Test not reliable use. Sound recommendations use other could be made due inadequate evidence. Across studies, diversity description, performance, interpretation similar present, different criteria used establish diagnoses, mostly without taking into account clinically meaningful context. Consequently, these face validity, which hampers their Further research validity how integrate context warranted.