Rate of Agreement between an Experienced and Novice Clinician in the Application of a Clinical Diagnostic Rule for Subacromial Impingement Syndrome: A Pilot Study

dc.contributor.advisorVillers, James F
dc.contributor.authorLaura, Sherrill
dc.contributor.authorJurado, Jan
dc.contributor.authorThomas, Andrew Charles
dc.creatorThomas, Andrew Charles
dc.creatorJurado, Jan
dc.date.accessioned2015-05-26T18:09:05Z
dc.date.available2015-05-26T18:09:05Z
dc.date.issued2015-05
dc.date.submittedMay 2015
dc.date.updated2015-05-26T18:09:07Z
dc.description.abstractBackground and Purpose: To determine the rate of agreement between a novice clinician and an expert clinician based on their ability to apply special tests from a clinical decision rule (CDR) for subacromial impingement syndrome (SAIS) proposed by Michener et al (2009). Design: One group, repeated-measures reliability study. Methods: Examination of 12 subjects with shoulder pain by a novice and expert rater included five SAIS tests: painful arc, Neer, Hawkins-Kennedy, empty can, and the external rotation test. A kappa analysis was performed to assess rate of agreement between examiners. Results: 100% agreement (K = 1.000) existed between novice and expert findings for the Hawkins-Kennedy test and the diagnosis of SAIS through the CDR. Moderate agreement was established for the painful arc test (K = 0.567), and fair agreement was indicated by the Neer (K = 0.316), Empty Can (K = 0.297), and External Rotation (K = 0.217) tests. Conclusions: The results of this study suggest usage of CDRs may normalize clinical knowledge between novice and expert clinicians in the physical diagnosis of SAIS.
dc.embargo.lift2016-05-01
dc.embargo.terms2016-05-01
dc.format.mimetypeapplication/pdf
dc.identifier.urihttp://hdl.handle.net/2346.1/30381
dc.subjectphysical therapy
dc.subjectshoulder impingement
dc.subjectdiagnosis
dc.subjectmanual tests
dc.subjectinter-rater reliability
dc.titleRate of Agreement between an Experienced and Novice Clinician in the Application of a Clinical Diagnostic Rule for Subacromial Impingement Syndrome: A Pilot Study
dc.type.dcmiText
dc.type.genreThesis
thesis.degree.departmentNursing and Rehabilitation Sciences
thesis.degree.disciplinePhysical Therapy
thesis.degree.grantorAngelo State University
thesis.degree.levelDoctoral
thesis.degree.nameDoctor of Physical Therapy

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