Remote Video Methods for Scapular Dyskinesis Assessment: A Validity and Reliability Study

Delen M., Dutta-Gupta G. E., Franchini A., Miller S. C., Morrissey D.

Sports Kongres 2019, Kobenhavn, Danimarka, 31 Ocak 2019, (Özet Bildiri)

  • Yayın Türü: Bildiri / Özet Bildiri
  • Basıldığı Şehir: Kobenhavn
  • Basıldığı Ülke: Danimarka
  • Ankara Yıldırım Beyazıt Üniversitesi Adresli: Evet

Özet

Introduction: There are more than 50 assessment methods of scapular dyskinesis. However, none provides remote scapular dyskinesis measurement. This study aimed to determine the reliability and validity of a remote video method for this purpose.  

Method: 11 females 13 males (11 with tendon related shoulder pain (TRSP)) were. Instruction was formulated to facilitate independent remote video recording. Outcomes were inter-rater reliability of score; medial border of scapula – spine angle; and spine -inferior angle distance. To determine validity score angles and distance scores (previously validated) were compared. Moreover, all videos were examined by two physiotherapists to classify scapular dyskinesis according to type 1 (prominence of Inferior angle), type 2 (prominence of medial border), type 3 (prominence of superior border), and type 4 (symmetric scapular motion) or normal scapular motion. The classifications were analysed to obtain inter reliability.

Results: In terms of validity, scapular rotation and translations agreed well (ICC2,1_absolute .914-.991) and (ICC2,1_absolute .954-.995) respectively. 90° abduction right arm measurements for scapular translations and rotation were lowest ICC scores. When participants’ arms were at 90° abduction angle degrees in therapist and participants videos were 23.7°±4.9 and 23.9°±5.3 respectively right side. Moreover, inter-reliability scores are between ICC2,1_absolute .482-.962. Agreement level between examiners was 72-100%. 10% participants had scapular dyskinesis during abduction movement. Otherwise, 60% participants had scapular dyskinesis during flexion.      

Conclusion: Participants can follow the instruction and record their shoulder blade movement themselves. The new scapular assessment method could be valid and reliable to examine scapular dyskinesis remotely.