reliability of the infraspinatus test in carpal tunnel syndrome: a clinical study
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2017
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Abstract
Introduction: Recently, a standardized provocation tests for
the infraspinatus muscle, the Infraspinatus test (IsT), aimed
at clinically confirming Carpal Tunnel Syndrome (CTS), was
validated in a multiple-blind, controlled study.
Aim: The present study was conducted to investigate interrater reliability of the IsT under conditions as they occur in daily
clinical practice, since this is essential for acceptance of any
new test.
Materials and Methods: Two raters from different medical
disciplines used the IsT in the same group of subjects at different
localities and with an interval of two to four weeks. Arms with
symptoms of CTS were examined and compared with a control
group of arms without symptoms. Nerve conduction studies
were performed in all the subjects. Statistical analysis was
performed with Cohen's Kappa (for inter-rater reliability) and
McNemar's test (for determining dependencies between arms
and raters).
Results: A total of 34 subjects (age 35-86 years) were
investigated with the IsT by two raters in a blinded fashion.
There was a high agreement between raters with a Kappa
statistic of κ=0.868, when performing this new provocation test.
The McNemar test did not reveal dependencies between Rater
A and Rater B (p=0.6171), nor between the left and right arms of
subjects (Rater A: p=0.4533, Rater B: p=0.5023).
Conclusion: The new provocation test of the infraspinatus
muscle is not only capable of confirming CTS, as was shown
before, but is also a reliable method for use by different
examiners under customary conditions.
| Reference Key |
meder2017journalreliability
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|---|---|
| Authors | ;Marek A. Meder;Florian Amtage;Ruediger Lange;Michel Rijntjes |
| Journal | JAMA network open |
| Year | 2017 |
| DOI |
10.7860/JCDR/2017/25096.9831
|
| URL | |
| Keywords | Keywords not found |
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