دورية أكاديمية
Breaking the operator variability in Kibler's scapular dyskinesis assessment.
| العنوان: | Breaking the operator variability in Kibler's scapular dyskinesis assessment. |
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| المؤلفون: | D'Antonio L; Department of Sport Medicine, University of Modena and Reggio Emilia, Modena, Italy. lucio.dantonio.md@gmail.com.; Centro P.A.S.C.I.A. (Programma Assistenziale Scompenso cardiaco, Cardiopatie dell'Infanzia e A rischio), University of Modena and Reggio Emilia, Modena, Italy. lucio.dantonio.md@gmail.com., Fiumana G; Shoulder Team S.R.L., Forlì, Italy., Reina M; Department of Orthopaedics and Traumatology, IRCC A. Gemelli University Polyclinic Foundation, Rome, Italy., Lodi E; Department of Sport Medicine, University of Modena and Reggio Emilia, Modena, Italy.; Centro P.A.S.C.I.A. (Programma Assistenziale Scompenso cardiaco, Cardiopatie dell'Infanzia e A rischio), University of Modena and Reggio Emilia, Modena, Italy., Porcellini G; Department of Orthopaedics and Traumatology, University of Modena and Reggio Emilia, Modena, Italy. |
| المصدر: | Musculoskeletal surgery [Musculoskelet Surg] 2024 Sep; Vol. 108 (3), pp. 347-357. Date of Electronic Publication: 2024 Jun 21. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer Verlag Italia Country of Publication: Italy NLM ID: 101498346 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2035-5114 (Electronic) Linking ISSN: 20355114 NLM ISO Abbreviation: Musculoskelet Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Milano : Springer Verlag Italia |
| مواضيع طبية MeSH: | Scapula*/physiopathology , Dyskinesias*/physiopathology , Dyskinesias*/classification , Range of Motion, Articular* , Shoulder Joint*/physiopathology, Humans ; Male ; Female ; Middle Aged ; Biomechanical Phenomena ; Adult ; Aged ; Shoulder Pain/etiology ; Shoulder Pain/physiopathology ; Observer Variation ; Video Recording |
| مستخلص: | Introduction: Alterations of scapular kinematics are generically reported as scapular dyskinesis (SD), and are a nonspecific response to various shoulder pathologies. The most widely used classification is Kibler's (K), which is, however, characterized by poor sensitivity. To overcome this limit, using a 3D motion analysis system, we identified a specific pattern for each type of SD according to Kibler. Materials and Methods: We analyzed 34 patients with a total of 68 shoulders who came to our observation for shoulder pain. All patients underwent clinical examination, video-recording and motion analysis with SHoW Motion 3D kinematic tracking system (SM). Three independent observers classified SD into K types I, II and III. Only patients with concordant classification among the 3 operators were studied to identify a characteristic graphic pattern by type of SD. Results: Typical patterns emerged from the examination with SM. K. type 1 consists of decreased or reversed posterior tilt and increased protraction in flexion-extension (FE) in early degrees of motion. K. type 2 consists of increased protraction and marked reversal of lateral rotation in abduction-adduction (Ab-Ad) in early degrees of movement. K. type 3 has been subdivided into two subgroups: K. type 3-A, composed of patients with massive rotator cuff lesions, shows an increase in all scapular movements in both FE and Ab-Ad. K. type 3-B, composed of patients with scapular stiffness and/or impingement, presents a slight increase in posterior tilt and lateral rotation in the final grades of FE and Ab-Ad. Conclusions: The SM system allows reproducible dynamic analyses with low intra- and intra- operator variability. In our study, we demonstrated its applicability in the classification of SD. It also provides an objective and quantitative assessment of motor pattern alteration that is essential in the follow-up of patients to evaluate the effectiveness of rehabilitation and/or surgical treatment. LEVEL OF EVIDENCE 3: According to "The Oxford 2011 Levels of Evidence". (© 2024. The Author(s).) |
| References: | J Biomech. 2005 May;38(5):981-992. (PMID: 15844264) Ann Phys Rehabil Med. 2018 Jan;61(1):46-53. (PMID: 28987866) J Shoulder Elbow Surg. 2002 Nov-Dec;11(6):550-6. (PMID: 12469078) Br J Sports Med. 2013 Sep;47(14):877-85. (PMID: 23580420) Gait Posture. 2012 Apr;35(4):636-40. (PMID: 22300730) J Phys Ther Sci. 2013 Nov;25(11):1359-62. (PMID: 24396188) J Am Acad Orthop Surg. 2012 Jun;20(6):364-72. (PMID: 22661566) J Shoulder Elbow Surg. 2013 Aug;22(8):1084-91. (PMID: 23352185) Orthop J Sports Med. 2018 Jan 23;6(1):2325967117750814. (PMID: 29594176) J Exp Orthop. 2020 May 13;7(1):31. (PMID: 32405717) J Shoulder Elbow Surg. 2023 Apr;32(4):729-737. (PMID: 36621748) J Shoulder Elbow Surg. 2010 Dec;19(8):1256-64. (PMID: 20421171) |
| فهرسة مساهمة: | Keywords: 3D; Kibler classification; Kinesis; Motion analysis; Scapula; Scapular dyskinesis |
| تواريخ الأحداث: | Date Created: 20240621 Date Completed: 20240903 Latest Revision: 20240906 |
| رمز التحديث: | 20240906 |
| مُعرف محوري في PubMed: | PMC11371877 |
| DOI: | 10.1007/s12306-024-00834-0 |
| PMID: | 38904866 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 2035-5114 |
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| DOI: | 10.1007/s12306-024-00834-0 |