Validity of Clinical Measurement Instruments Assessing Scapular Function

Auteurs Norman D'Hondt , Jan Pool , Henri Kiers , Charlotte Terwee , Dirkjan Veeger
Gepubliceerd in Journal of Orthopaedic & Sports Physical Therapy
Publicatiedatum 2020
Lectoraat Innovatie van Beweegzorg
Soort publicatie Artikel


Objective: To determine the construct validity, criterion validity, and responsiveness of measurement instruments evaluating scapular function. Design: Systematic review of measurement properties. Literature Search: The MEDLINE, Embase, CINAHL, and SPORTDiscus databases were systematically searched from inception until March 2019. Study Selection Criteria: Studies published in Dutch, English, or German were included when they evaluated at least 1 of the measurement properties of interest. No restrictions were made regarding participants' health status. Data Synthesis: Two reviewers independently evaluated study quality using the COSMIN checklist and extracted and analyzed data. Quality of evidence was graded by measurement property for each distinctive type of measurement. Results: Thirty-one measurement instruments in 14 studies were categorized into instruments to measure scapular posture and movement, and to assess scapular dyskinesis. Quality of evidence was at most moderate for 4 instruments with respect to criterion validity. Of these, criterion validity for instruments measuring scapular protraction/retraction posture and rotation angles up to 120° of thoracohumeral elevation was sufficient. Criterion validity for instruments measuring asymmetrical scapular posture, range of motion, and the lateral scapular slide test was insufficient. Quality of evidence for measurement properties of all other instruments was graded lower. Conclusion: There is currently insufficient evidence to recommend any instrument for the clinical examination of scapular function. Measurement instruments to assess scapular dyskinesis are prone to misinterpretation and should therefore not be used as such.

Aan deze publicatie werkten mee

  • Jan Pool | onderzoeker | lectoraat Leefstijl en Gezondheid
    Jan Pool
    • Onderzoeker
    • Lectoraten: Leefstijl en Gezondheid
  • Henri Kiers | onderzoeker | lectoraat Leefstijl en Gezondheid
    Henri Kiers
    • Onderzoeker
    • Lectoraten: Leefstijl en Gezondheid

Taal Engels
Gepubliceerd in Journal of Orthopaedic & Sports Physical Therapy
Jaar en volume 50 11
Trefwoorden movement, physical examination, review, shoulder pain
Digital Object Identifier doi:10.2519/ jospt.2020.9265
Paginabereik 632-641

Innovatie van Beweegzorg