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Physiotherapy Theory and Practice
An International Journal of Physical Therapy
Volume 39, 2023 - Issue 6
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Descriptive Reports

Live and video observations of scapular dyskinesis in individuals with nonspecific neck pain: A reliability study

, MSc, PT, , MSc, PT, , BSc, PT & , PhD, PT
Pages 1317-1323 | Received 28 Apr 2021, Accepted 07 Jan 2022, Published online: 16 Feb 2022
 

ABSTRACT

Background

Scapular dyskinesis (SD) has been demonstrated in neck pain patients, however reliability of SD test in this population is still lacking.

Objective

To investigate inter-rater and intra-rater (live versus video) reliability of SD by observation in neck pain patients.

Methods

Sixty-nine participants with nonspecific neck pain (31.7 ± 14.3 years) were recruited. SD was tested on the ipsilateral side of neck pain during unilateral and bilateral arm elevation. Two examiners categorized SD using two classification systems: simple (yes/no) and specific type (winging, dysrhythmia, mixed abnormality or normal). Video recordings were reviewed by one examiner.

Results

For inter-rater reliability, agreement and kappa (κ) values for unilateral test were 94.20%, 0.82 by simple classification and 72.46%, 0.59 by specific type. Agreement and κ values for bilateral test were 91.30%, 0.68 by simple classification and 65.22%, 0.52 by specific type. For intra-rater reliability, agreement and κ values for unilateral test were 92.75%, 0.77 by simple classification and 71.01%, 0.57 by specific type. Agreement and κ values for bilateral test were 91.30%, 0.65 by simple classification and 65.22%, 0.52 by specific type.

Conclusion

Observation assessment demonstrated good-to-very good inter-rater and moderate-to-good intra-rater (live versus video) reliability for assessing SD in neck pain patients.

Disclosure statement

No potential conflict of interest was reported by the author(s).

Additional information

Funding

This study was supported by the Thailand Research Fund and National Research Council of Thailand through a Royal Golden Jubilee Ph.D. Program (Grant No. PHD /0153/2560).

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