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The inter- and intrarater reliability and agreement for field-based assessment of scapular control, shoulder range of motion, and shoulder isometric strength in elite adolescent athletes

Møller, M., Attermann, J., Myklebust, G., Lind, M., Sørensen, H., Hebert, J.J., Nielsen, R.O., Bertelsen, S.L. and Wedderkopp, N. (2018) The inter- and intrarater reliability and agreement for field-based assessment of scapular control, shoulder range of motion, and shoulder isometric strength in elite adolescent athletes. Physical Therapy in Sport . In Press.

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Link to Published Version: https://doi.org/10.1016/j.ptsp.2018.04.005
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Abstract

Objectives
To investigate the intra- and interrater reliability and agreement for field-based assessment of scapular control, shoulder range of motion (ROM), and shoulder isometric strength in elite youth athletes.

Design
Test-retest reliability and agreement study.

Setting
Eight blinded raters (two for each assessment) assessed players on field during two testing sessions separated by one week.

Participants
162 elite youth handball players with or without a history of previous shoulder pain within the preceding six months.

Main outcome measures
Kappa (κ) and prevalence-adjusted bias-adjusted kappa (PABAK) coefficients for scapular control reliability, and 95% limits of agreement (LOA) for ROM and strength agreement.

Results
Scapular control demonstrated substantial to almost perfect reliability (κ 0.67 to 0.84, PABAK from 0.68 to 0.88). Mean strength values ranged from 0.9 N/kg to 1.6 N/kg, and LOAs ranged from −0.7 N/kg to 0.8 N/kg. Rotational strength revealed additionally systematic bias between and within rater. No or acceptable systematic bias were evident for ROM and abduction strength measures. Mean values and LOAs for ROM ranged between 39.9° to 52.3°, and from −12.6° to 9.9°, respectively.

Conclusions
Scapular control and ROM can be assessed on the field with acceptable reliability. The threshold for reliable measurements of isometric strength using handheld-dynamometers is high.

Publication Type: Journal Article
Murdoch Affiliation: School of Psychology and Exercise Science
Publisher: Elsevier Ltd.
Copyright: © 2018 Published by Elsevier Ltd.
URI: http://researchrepository.murdoch.edu.au/id/eprint/40712
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