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|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|
Van Deun, Sara
|Issue Date: ||2016|
|Citation: ||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.firstname.lastname@example.org.|
|ISI #: ||000378549100006|
|Type: ||Journal Contribution|
|Validation: ||ecoom, 2017|
|Appears in Collections: ||Research publications|
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