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Inter-and Intra-Examiner Reliability of Supraspinatus Muscle Tendon Palpation: A Cross-Sectional Study by Ultrasonography

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Fermin_Naranjo-Cinto_Inter-and_Intra-Examiner_Reliability_Supraspinatus_2020.pdf (1.082Mb)
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http://hdl.handle.net/2183/25184
Atribución 4.0 Internacional
A non ser que se indique outra cousa, a licenza do ítem descríbese como Atribución 4.0 Internacional
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  • Investigación (FIC) [1728]
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Título
Inter-and Intra-Examiner Reliability of Supraspinatus Muscle Tendon Palpation: A Cross-Sectional Study by Ultrasonography
Autor(es)
Naranjo-Cinto, Fermín
Falcón-Machado, Giezi
Garrido-Marín, Alejandro
Senín-Camargo, Francisco
Jácome, M. A.
Fernández-Matías, Rubén
Pecos-Martín, Daniel
Gallego Izquierdo, Tomás
Data
2020-02-18
Cita bibliográfica
Naranjo-Cinto, F.; Falcon-Machado, G.; Garrido-Marin, A.; Senin-Camargo, F.J.; Jacome-Pumar, M.A.; Fernandez-Matias, R.; Pecos-Martin, D.; Gallego-Izquierdo, T. Inter-and Intra-Examiner Reliability of Supraspinatus Muscle Tendon Palpation: A Cross-Sectional Study by Ultrasonography. Medicina 2020, 56, 83. https://doi.org/10.3390/medicina56020083
Resumo
[Abstract] Background and objectives: Palpation is an inherent and basic skill of health professionals—particularly manual therapists who base their diagnosis and treatment in a clinical environment. Many authors have previously described multiple palpation positions for supraspinatus muscle tendon (SMT); however, there are no current studies that evaluate palpation concordance reliability for the SMT in this particular position. This study aimed to investigate the intra- and inter-rater reliabilities of supraspinatus muscle tendon (SMT) palpation. Materials and Methods: Thirty-six healthy participants (14 females; aged 22–35 years) were recruited. Musculoskeletal ultrasound was used to measure the SMT localization after two physiotherapists performed the SMT palpation at two different times. The distance between the two marked points was used to analyze the analysis of true agreement between examiners. Finally, we analyzed if the demographic variables influenced the palpation procedure. Results: The intra-examiner reliability showed a high percentage of concordance for examiner 1 (E.1) (first palpation procedure (P.1) = 91.7%: second palpation procedure (P.2) = 95.8%) and examiner 2 (E.2) (P.1 = 91.6%; P.2 = 97.2%) and high percentage of inter-palpation agreement for E.1 (87.5%) and E.2 (88.9%). The inter-examiner reliability showed a high total concordance for the right shoulder (E.1 = 94.4%; E.2 = 95.8%) and left shoulder (E.1 = 93.05%; E.2 = 95.05%). The agreement (%) according to both examiners was 93.05% for the right shoulder and 94.4% for the left shoulder. The agreement between both examiners and the ultrasound (% of true agreement) was 92.9% for the right shoulder and 92.8% for the left shoulder. A statistically significant association (p = 0.02) was found for weight regarding concordance reliability; this was not seen for dominant arm, age, gender, body mass index, height, and tendon depth (p > 0.05). Conclusions: The SMT palpation technique showed a high level of concordance and reproducibility.
Palabras chave
Shoulder
Rotator cuff
Ultrasound imaging
Palpation
Reliability
 
Versión do editor
https://doi.org/10.3390/medicina56020083
Dereitos
Atribución 4.0 Internacional
ISSN
1010-660X

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