Interobserver reproducibility of the visual estimation of range of motion of the shoulder

C.B. Terwee, A.F. de Winter, R.J.P.M. Scholten, M.P. Jans, W.L.J.M. Deville, D. van Schaardenburg, L.M. Bouter

    Research output: Contribution to JournalArticleAcademicpeer-review

    Abstract

    Objectives: To assess interobserver reproducibility (agreement and reliability) of visually estimated shoulder range of motion (ROM) and to study the influence of clinical characteristics on the reproducibility. Design: Test-retest analyses. Setting: Various health care settings in the Netherlands. Participants: Consecutive patients with shoulder complaints (N=201) referred by 20 general practitioners, 2 orthopedic physicians, and 20 rheumatologists. Interventions: Not applicable. Main Outcome Measures: Independent visual estimation by 2 physiotherapists of the ROM. Agreement was calculated as the mean difference in visual estimation between examiners ±1.96 × standard deviations of this mean difference. The intraclass correlation coefficient (ICC) was calculated as a measure of reliability, based on a 2-way random effects analysis of variance. Results: The lowest level of agreement was for visual estimation of active and passive elevation (limits of agreement, -43.4 to 39.8 and -46.7 to 41.5, respectively, for the difference between the affected and contralateral sides), for which the level of agreement was most clearly associated with pain severity and disability. The ability to differentiate between subjects was acceptable for all movements for the difference between the affected and contralateral sides (ICCs, >.70) except for horizontal adduction (ICC=.49). Conclusions: Interobserver agreement was low for the assessment of active and passive elevation, especially for patients with a high pain severity and disability. Except for horizontal adduction, visual estimation seems suitable for distinguishing differences between affected and contralateral ROM between subjects. © 2005 by American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation.
    Original languageEnglish
    Pages (from-to)1356-1361
    JournalArchives of Physical Medicine and Rehabilitation
    Volume86
    Issue number7
    DOIs
    Publication statusPublished - 2005

    Fingerprint

    Articular Range of Motion
    Pain
    Physical and Rehabilitation Medicine
    Aptitude
    Physical Therapists
    Netherlands
    General Practitioners
    Orthopedics
    Analysis of Variance
    Rehabilitation
    Medicine
    Outcome Assessment (Health Care)
    Delivery of Health Care
    Physicians

    Cite this

    Terwee, C. B., de Winter, A. F., Scholten, R. J. P. M., Jans, M. P., Deville, W. L. J. M., van Schaardenburg, D., & Bouter, L. M. (2005). Interobserver reproducibility of the visual estimation of range of motion of the shoulder. Archives of Physical Medicine and Rehabilitation, 86(7), 1356-1361. https://doi.org/10.1016/j.apmr.2004.12.031
    Terwee, C.B. ; de Winter, A.F. ; Scholten, R.J.P.M. ; Jans, M.P. ; Deville, W.L.J.M. ; van Schaardenburg, D. ; Bouter, L.M. / Interobserver reproducibility of the visual estimation of range of motion of the shoulder. In: Archives of Physical Medicine and Rehabilitation. 2005 ; Vol. 86, No. 7. pp. 1356-1361.
    @article{bf27da076daf47418a3d599445097a25,
    title = "Interobserver reproducibility of the visual estimation of range of motion of the shoulder",
    abstract = "Objectives: To assess interobserver reproducibility (agreement and reliability) of visually estimated shoulder range of motion (ROM) and to study the influence of clinical characteristics on the reproducibility. Design: Test-retest analyses. Setting: Various health care settings in the Netherlands. Participants: Consecutive patients with shoulder complaints (N=201) referred by 20 general practitioners, 2 orthopedic physicians, and 20 rheumatologists. Interventions: Not applicable. Main Outcome Measures: Independent visual estimation by 2 physiotherapists of the ROM. Agreement was calculated as the mean difference in visual estimation between examiners ±1.96 × standard deviations of this mean difference. The intraclass correlation coefficient (ICC) was calculated as a measure of reliability, based on a 2-way random effects analysis of variance. Results: The lowest level of agreement was for visual estimation of active and passive elevation (limits of agreement, -43.4 to 39.8 and -46.7 to 41.5, respectively, for the difference between the affected and contralateral sides), for which the level of agreement was most clearly associated with pain severity and disability. The ability to differentiate between subjects was acceptable for all movements for the difference between the affected and contralateral sides (ICCs, >.70) except for horizontal adduction (ICC=.49). Conclusions: Interobserver agreement was low for the assessment of active and passive elevation, especially for patients with a high pain severity and disability. Except for horizontal adduction, visual estimation seems suitable for distinguishing differences between affected and contralateral ROM between subjects. {\circledC} 2005 by American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation.",
    author = "C.B. Terwee and {de Winter}, A.F. and R.J.P.M. Scholten and M.P. Jans and W.L.J.M. Deville and {van Schaardenburg}, D. and L.M. Bouter",
    year = "2005",
    doi = "10.1016/j.apmr.2004.12.031",
    language = "English",
    volume = "86",
    pages = "1356--1361",
    journal = "Archives of Physical Medicine and Rehabilitation",
    issn = "0003-9993",
    publisher = "W.B. Saunders Ltd",
    number = "7",

    }

    Terwee, CB, de Winter, AF, Scholten, RJPM, Jans, MP, Deville, WLJM, van Schaardenburg, D & Bouter, LM 2005, 'Interobserver reproducibility of the visual estimation of range of motion of the shoulder' Archives of Physical Medicine and Rehabilitation, vol. 86, no. 7, pp. 1356-1361. https://doi.org/10.1016/j.apmr.2004.12.031

    Interobserver reproducibility of the visual estimation of range of motion of the shoulder. / Terwee, C.B.; de Winter, A.F.; Scholten, R.J.P.M.; Jans, M.P.; Deville, W.L.J.M.; van Schaardenburg, D.; Bouter, L.M.

    In: Archives of Physical Medicine and Rehabilitation, Vol. 86, No. 7, 2005, p. 1356-1361.

    Research output: Contribution to JournalArticleAcademicpeer-review

    TY - JOUR

    T1 - Interobserver reproducibility of the visual estimation of range of motion of the shoulder

    AU - Terwee, C.B.

    AU - de Winter, A.F.

    AU - Scholten, R.J.P.M.

    AU - Jans, M.P.

    AU - Deville, W.L.J.M.

    AU - van Schaardenburg, D.

    AU - Bouter, L.M.

    PY - 2005

    Y1 - 2005

    N2 - Objectives: To assess interobserver reproducibility (agreement and reliability) of visually estimated shoulder range of motion (ROM) and to study the influence of clinical characteristics on the reproducibility. Design: Test-retest analyses. Setting: Various health care settings in the Netherlands. Participants: Consecutive patients with shoulder complaints (N=201) referred by 20 general practitioners, 2 orthopedic physicians, and 20 rheumatologists. Interventions: Not applicable. Main Outcome Measures: Independent visual estimation by 2 physiotherapists of the ROM. Agreement was calculated as the mean difference in visual estimation between examiners ±1.96 × standard deviations of this mean difference. The intraclass correlation coefficient (ICC) was calculated as a measure of reliability, based on a 2-way random effects analysis of variance. Results: The lowest level of agreement was for visual estimation of active and passive elevation (limits of agreement, -43.4 to 39.8 and -46.7 to 41.5, respectively, for the difference between the affected and contralateral sides), for which the level of agreement was most clearly associated with pain severity and disability. The ability to differentiate between subjects was acceptable for all movements for the difference between the affected and contralateral sides (ICCs, >.70) except for horizontal adduction (ICC=.49). Conclusions: Interobserver agreement was low for the assessment of active and passive elevation, especially for patients with a high pain severity and disability. Except for horizontal adduction, visual estimation seems suitable for distinguishing differences between affected and contralateral ROM between subjects. © 2005 by American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation.

    AB - Objectives: To assess interobserver reproducibility (agreement and reliability) of visually estimated shoulder range of motion (ROM) and to study the influence of clinical characteristics on the reproducibility. Design: Test-retest analyses. Setting: Various health care settings in the Netherlands. Participants: Consecutive patients with shoulder complaints (N=201) referred by 20 general practitioners, 2 orthopedic physicians, and 20 rheumatologists. Interventions: Not applicable. Main Outcome Measures: Independent visual estimation by 2 physiotherapists of the ROM. Agreement was calculated as the mean difference in visual estimation between examiners ±1.96 × standard deviations of this mean difference. The intraclass correlation coefficient (ICC) was calculated as a measure of reliability, based on a 2-way random effects analysis of variance. Results: The lowest level of agreement was for visual estimation of active and passive elevation (limits of agreement, -43.4 to 39.8 and -46.7 to 41.5, respectively, for the difference between the affected and contralateral sides), for which the level of agreement was most clearly associated with pain severity and disability. The ability to differentiate between subjects was acceptable for all movements for the difference between the affected and contralateral sides (ICCs, >.70) except for horizontal adduction (ICC=.49). Conclusions: Interobserver agreement was low for the assessment of active and passive elevation, especially for patients with a high pain severity and disability. Except for horizontal adduction, visual estimation seems suitable for distinguishing differences between affected and contralateral ROM between subjects. © 2005 by American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation.

    U2 - 10.1016/j.apmr.2004.12.031

    DO - 10.1016/j.apmr.2004.12.031

    M3 - Article

    VL - 86

    SP - 1356

    EP - 1361

    JO - Archives of Physical Medicine and Rehabilitation

    JF - Archives of Physical Medicine and Rehabilitation

    SN - 0003-9993

    IS - 7

    ER -