Intra-rater and inter-rater reliability of ultrasonographic measurements of acromiongreater tuberosity distance in patients with post-stroke hemiplegia

Kumar, Praveen; Cruziah, Reynold; Bradley, Michael; Gray, Selena; Swinkels, Annette

Abstract

© 2015 Informa UK Limited, trading as Taylor & Francis Group. Glenohumeral subluxation (GHS) is reported in up to 81% of patients with stroke. Ultrasonographic measurements of GHS by measuring the acromion-greater tuberosity (AGT) have been found to be reliable for experienced raters. Objectives:The primary aim was to assess the intra-rater reliability of measurements of AGT distance in people with stroke following a short course of rater training. A secondary aim was to compare the inter-rater reliability of these measurements between novice and experienced raters. Methods:Patients with stroke (n=16; 5 men, 11 women; 74±10years) with 1-sided weakness who gave informed consent were recruited. Ultrasonographic measurements were recorded at the bedside by two physiotherapists with patients seated upright in a hospital chair. Reliability was assessed by intra-class correlation coefficients (ICCs) and the standard error of measurements (SEM). Minimum detectable change (MDC90) scores were used to estimate the magnitude of change that is likely to exceed measurement error. Results:Mean±SD AGT distances on the affected and unaffected sides for rater 1 were 2.2±0.7 and 1.7±0.4cm, respectively. Corresponding values for rater 2 were 2.5±0.6 and 2.0±0.4cm. Intra-class correlation coefficient values for the affected and unaffected shoulders for rater 1 were 0.96 and 0.91, respectively. Corresponding values for rater 2 were 0.95 and 0.90.SEM and MDC90 for both affected and unaffected shoulders were ≤0.2cm. Inter-rater reliability coefficients were 0.86 (affected) and 0.76 (unaffected) shoulders. Conclusion:Ultrasonographic measurement of AGT distance demonstrates excellent intra-rater reliability for a novice rater. Inter-rater reliability of ultrasonographic measurement of AGT also demonstrates good reliability between novice and experienced raters.

• Journal Article Type: Article
• Acceptance Date: Aug 24, 2015
• Online Publication Date: Dec 10, 2015
• Publication Date: Jan 1, 2016
• Deposit Date: Jan 6, 2016
• Publicly Available Date: Dec 10, 2016
• Journal: Topics in Stroke Rehabilitation
• Print ISSN: 1074-9357
• Electronic ISSN: 1945-5119
• Publisher: Taylor & Francis
• Peer Reviewed: Peer Reviewed
• Volume: 23
• Issue: 3
• Pages: 147-153
• DOI: https://doi.org/10.1080/10749357.2015.1120455
• Keywords: rehabilitation, reliability, glenohumeral subluxation, ultrasonic imaging, intra-rater, inter-rater
• Public URL: https://uwe-repository.worktribe.com/output/904862
• Publisher URL: http://dx.doi.org/10.1080/10749357.2015.1120455
• Additional Information: Additional Information : This is an Accepted Manuscript of an article published by Taylor & Francis in Topics in Stroke Rehabilitation on 10 December 2015, available online: http://www.tandfonline.com/10.1080/10749357.2015.1120455
• Contract Date: May 19, 2016