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||D'hondt, N., E., Kiers, H., Pool, J. J. M., Hacquebord, S. T., Terwee, C. B., & Veeger, D. (H. E. J.). (2017). Reliability of performance-based clinical measurements to assess shoulder girdle kinematics and positioning: Systematic review. Physical Therapy, 97(1), 124-144.
||Bioengineering, joints, literature reviews, measurements, outcomes, pain, performance standards, physical therapy, positioning
||This review evaluated the reliability, measurement error, and internal consistency of measurements with performance-based clinical tests for shoulder girdle kinematics and positioning in patients with shoulder pain. The MEDLINE, Embase, CINAHL, and SPORTDiscus databases were systematically searched from inception to August 2015 for articles published in Dutch, English, or German that involved the evaluation of at least one of the measurement properties of interest. Two reviewers independently evaluated the methodological quality of included studies using the 4-point-rating scale of the COSMIN (COnsensus-based Standards for the selection of health Measurement INstruments) checklist, extracted data, and assessed the adequacy of the measurement properties. Forty studies comprising more than 30 clinical tests were included. Actual reported measurements of the tests were categorized into: (1) positional measurement methods, (2) measurement methods to determine dynamic characteristics, and (3) tests to diagnose impairments of shoulder girdle function. Best evidence synthesis of the tests was performed per measurement for each measurement property. High-quality evidence indicates that measurements obtained with the Modified Scapular Assistance Test are not reliable for clinical use. Sound recommendations for the use of other tests could not be made due to inadequate evidence. Across studies, diversity in description, performance, and interpretation of similar tests was present, and different criteria were used to establish similar diagnoses, mostly without taking into account a clinically meaningful context. Consequently, these tests lack face validity, which hampers their clinical use. Further research on validity and how to integrate a clinically meaningful context of movement into clinical tests is warranted.
|Full-Text Availability Options:||https://www.ncbi.nlm.nih.gov/pubmed/27587801|