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http://hdl.handle.net/1942/21495
Title: | Scapulohumeral control after stroke: a preliminary study of the test-retest reliability and discriminative validity of a clinical scapular protocol (ClinScaP) | Authors: | DE BAETS, Liesbet Jaspers, Ellen VAN DEUN, Sara |
Issue Date: | 2016 | Source: | NEUROREHABILITATION, 38 (4), p. 359-370 | Abstract: | BACKGROUND: Clinical scapulohumeral tests are lacking post-stroke OBJECTIVE: To test reliability and discriminant validity of clinical scapulohumeral assessments post-stroke METHODS: Following tests were assessed in 57 individuals with stroke (IwS) (subdivided in a low, moderate, high proximal arm function (PAF) group) and 15 healthy controls: (1) Observation of tilting/winging; (2) shoulder girdle position tests (pectoralis minor index, acromial index, scapular distance test); (3) scapular lateral rotation measurement; (4) maximal humeral elevation and (5) medial rotation test were executed. 15 IwS were measured twice by the same assessor to determine test-retest reliability. Differences between controls and IwS and between IwS with different levels of PAF were assessed. RESULTS: ICCs were very high for all tests (>0.80), except the pectoralis minor index (0.66). Weighted Kappas were high for observation and the medial rotation test (>0.70). Group differences were found for observation, lateral rotation and humeral elevation. IwS compared to controls, and IwS with lower compared to higher PAF generally showed increased lateral rotation (p<.01); decreased maximal active humeral elevation (p<.001); and more often tilting and winging (p<.05). CONCLUSIONS: The use of these tests in clinical settings will allow for identification of altered scapular characteristics, which will enhance treatment planning for PAF post-stroke. | Notes: | Correspondence: [*] Address for correspondence: Liesbet De Baets, REVAL Rehabilitation Research Center - BIOMED Biomedical Research Institute, Faculty of Medicine and Life Sciences, Agoralaan Building A, Hasselt University, 3590 Diepenbeek, Belgium. Tel.: +32 11/292129; E-mail: Liesbet.debaets@uhasselt.be. | Keywords: | scapula; movement patterns; clinical test; stroke | Document URI: | http://hdl.handle.net/1942/21495 | ISSN: | 1053-8135 | e-ISSN: | 1878-6448 | DOI: | 10.3233/NRE-161327 | ISI #: | 000378549100006 | Rights: | © 2016 – IOS Press and the authors. All rights reserved | Category: | A1 | Type: | Journal Contribution | Validations: | ecoom 2017 |
Appears in Collections: | Research publications |
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NRE1327 (3).pdf | Published version | 282.98 kB | Adobe PDF | View/Open |
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