Divergent experimental conditions in previous research precludes rigorous comparisons of non-invasive scapular tracking techniques. ![]() De thoracale, cervicothoracale én cervicale wervelkolomtechnieken komen uitgebreid aan bod in de H. Er worden 78 onderzoeks- en behandeltechnieken van de schoudergordel uitgebreid beschreven en op video gedemonstreerd. Tot slot presenteren de auteurs als schouderexperts – naast een handige ‘patronenmatrix’ – het fundament voor onderzoek- en behandelprotocollen bij aspecifieke en mild specifieke schouderpijn. ![]() De bekende provocatietests met hoge sensitiviteit hebben nog slechts excluderende waarde bij een negatieve uitkomst. In het kader van het lichamelijk onderzoek staan nu – in plaats van provocatietests – de reductietests centraal, zoals de Combined Reduction Test (of: ‘Manus-van-alles’-techniek), de gedupliceerde circumductie- en deviatiebeweging, SAT, SRT, GHRT en de SSMP. De rode vlaggen worden besproken en er wordt uitgebreid stilgestaan bij aspecifieke schouderpijn (‘medisch onbegrepen’ pijn). Na de beschrijving van de descriptieve anatomie en de osteo- en artrokinematica komen veelvoorkomende aandoeningen als schouderinstabiliteit, het SubAcromiale PijnSyndroom (SAPS) en de frozen shoulder (inclusief de SNN-praktijkrichtlijn frozen shoulder 2017) aan bod. Naast het glenohumerale systeem (HSMI) is er ruime aandacht voor het primaire en secundaire scapulothoracale systeem. Thus, there is a strong need for further research in this area.ĭit hoofdstuk begint met een uiteenzetting over de myofasciale bindweefselplaatsystemen in en rond de schouder en de belangrijke rol van het losmazig reticulaire MCDAS. The effect of manual correction of the scapula on shoulder symptoms was evaluated in only one study, which is striking, since symptom alteration tests are used in routine care to guide further treatment. In addition, reliability measures differed between included studies hindering proper cross-study comparisons. This review identified a lack of high-quality studies evaluating intra- as well as interrater reliability of tests used for the assessment of scapular dyskinesis. These studies evaluated the reliability of 41 test and test variations used for the assessment of scapular dyskinesis. The search strategy revealed 3259 articles, of which 15 met the inclusion criteria. Methodological quality was assessed with the Quality Appraisal of Reliability Studies (QAREL) by two independent reviewers. Scapular dyskinesis, defined as alteration of normal scapular kinematics, is described as a non-specific response to different shoulder pathologies.Ī systematic literature search was conducted in MEDLINE, EMBASE, AMED and PEDro until March 20th, 2015. ![]() The aim of this systematic review was to summarize and evaluate intra- and interrater reliability research of physical examination tests used for the assessment of scapular dyskinesis. Future studies should be conducted to evaluate the validity of these tests and to establish their clinical usefulness. Our study demonstrates that the four mobility tests of the shoulder are a reliable and simple instrument to assess patients with a slightly restricted shoulder flexion. We found substantial to almost perfect (Kappa = 0.63-0.4) interrater reliability for the four tests. Interrater reliability was evaluated using kappa coefficients. A two-level rating scale (positive, negative) was utilised. The investigation consisted of four palpatory tests to assess scapulothoracic motion. The aim of this study was to evaluate the interrater reliability of four clinical tests to assess scapulothoracic motion in patients with a slightly restricted shoulder flexion.Ī total of nineteen patients with a symptomatic slight restriction of shoulder flexion and twenty asymptomatic subjects were evaluated. Reliable and simple assessment methods of scapular mobility are, however lacking. ![]() Decreased scapulothoracic motion has been associated with various pathologies of the shoulder.
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