Med Biol Eng Comput - Intra-protocol repeatability and inter-protocol agreement for the analysis of scapulo-humeral coordination.

Tópicos

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Resumo

Multi-center clinical trials incorporating shoulder kinematics are currently uncommon. The absence of repeatability and limits of agreement (LoA) studies between different centers employing different motion analysis protocols has led to a lack dataset compatibility. Therefore, the aim of this work was to determine the repeatability and LoA between two shoulder kinematic protocols. The first one uses a scapula tracker (ST), the International Society of Biomechanics anatomical frames and an optoelectronic measurement system, and the second uses a spine tracker, the INAIL Shoulder and Elbow Outpatient protocol (ISEO) and an inertial and magnetic measurement system. First within-protocol repeatability for each approach was assessed on a group of 23 healthy subjects and compared with the literature. Then, the between-protocol agreement was evaluated. The within-protocol repeatability was similar for the ST ([Formula: see text] = 2.35?, [Formula: see text] = 0.97?, SEM = 2.5?) and ISEO ([Formula: see text] = 2.24?, [Formula: see text] = 0.97?, SEM = 2.3?) protocols and comparable with data from published literature. The between-protocol agreement analysis showed comparable scapula medio-lateral rotation measurements for up to 120? of flexion-extension and up to 100? of scapula plane ab-adduction. Scapula protraction-retraction measurements were in agreement for a smaller range of humeral elevation. The results of this study suggest comparable repeatability for the ST and ISEO protocols and between-protocol agreement for two scapula rotations. Different thresholds for repeatability and LoA may be adapted to suit different clinical hypotheses.

Resumo Limpo

multicent clinic trial incorpor shoulder kinemat current uncommon absenc repeat limit agreement loa studi differ center employ differ motion analysi protocol led lack dataset compat therefor aim work determin repeat loa two shoulder kinemat protocol first one use scapula tracker st intern societi biomechan anatom frame optoelectron measur system second use spine tracker inail shoulder elbow outpati protocol iseo inerti magnet measur system first withinprotocol repeat approach assess group healthi subject compar literatur betweenprotocol agreement evalu withinprotocol repeat similar st formula see text formula see text sem iseo formula see text formula see text sem protocol compar data publish literatur betweenprotocol agreement analysi show compar scapula mediolater rotat measur flexionextens scapula plane abadduct scapula protractionretract measur agreement smaller rang humer elev result studi suggest compar repeat st iseo protocol betweenprotocol agreement two scapula rotat differ threshold repeat loa may adapt suit differ clinic hypothes

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