shh.sePublikasjoner
Endre søk
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Kinetic chain revisited: Consensus expert opinion on terminology, clinical reasoning, examination and treatment in people with shoulder pain
Vise andre og tillknytning
2023 (engelsk)Inngår i: Journal of shoulder and elbow surgery, ISSN 1058-2746, E-ISSN 1532-6500, Vol. 32, nr 8, s. e415-e428, artikkel-id S1058-2746(23)00082-4Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

OBJECTIVES: To determine the most appropriate terminology and issues related to clinical reasoning, examination and treatment of the kinetic chain (KC) in people with shoulder pain by an international experts panel.

DESIGN: Delphi study METHODS: A three-round Delphi study that involved an international panel of experts with extensive clinical, teaching and research experience in the study topic was conducted. A search equation of terms related to KC in Web of Science and a manual search were used to find the experts. Participants were asked to rate items across five different domains (terminology, clinical reasoning, subjective examination, physical examination and treatment) using a 5-point Likert-type scale. An Aiken's Validity Index ≥ 0.7 was considered indicative of group consensus.

RESULTS: Participation rate was 30.2% (n=16) while retention rate was high throughout the 3 rounds (100%, 93.8%, 100%). A total of 15 experts from different fields and countries completed the study. After the three rounds, consensus was reached on 102 items: 3 items were included in the "terminology" domain, 17 items in the "rationale and clinical reasoning" domain, 11 items in the "subjective examination" domain, 44 items in the "physical examination" domain and 27 items in the "treatment" domain. "Terminology" was the domain with the highest level of more agreement with two items achieving an Aiken's V of 0.93, whereas "physical examination" and "treatment" of the KC where the two areas with less consensus. Together with "terminology" items, one item from the "treatment" and two items from the "rationale and clinical reasoning" domains reached the highest level of agreement (v=0.93 and 0.92, respectively).

CONCLUSION: This study defined a list of 102 items across five different domains (terminology, rationale and clinical reasoning, subjective examination, physical examination and treatment) regarding to KC in people with shoulder pain. The term KC was preferred and a definition for this concept agreed. Dysfunction of a segment in the chain (i.e., weak link) was agreed to result in altered performance or injury to distal segments. Experts considered important to assess and treat the KC in particular in throwing/overhead athletes and agreed that no one size fits all approach exist when implementing shoulder KC exercises within the rehabilitation process. Further research is now required to determine the validity of the identified items.

sted, utgiver, år, opplag, sider
2023. Vol. 32, nr 8, s. e415-e428, artikkel-id S1058-2746(23)00082-4
Emneord [en]
Delphi study, Clinical reasoning, Examination, Kinetic chain, Shoulder pain, Terminology
HSV kategori
Identifikatorer
URN: urn:nbn:se:shh:diva-4771DOI: 10.1016/j.jse.2023.01.018PubMedID: 36796714OAI: oai:DiVA.org:shh-4771DiVA, id: diva2:1748367
Tilgjengelig fra: 2023-04-03 Laget: 2023-04-03 Sist oppdatert: 2023-09-06bibliografisk kontrollert

Open Access i DiVA

Fulltekst mangler i DiVA

Andre lenker

Forlagets fulltekstPubMed

Person

Johansson, Fredrik

Søk i DiVA

Av forfatter/redaktør
Johansson, Fredrik
Av organisasjonen
I samme tidsskrift
Journal of shoulder and elbow surgery

Søk utenfor DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetric

doi
pubmed
urn-nbn
Totalt: 17 treff
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf