Inter-rater reliability of the Shoulder Symptom Modification Procedure in people with shoulder pain

BackgroundDespite being a common problem, there is considerable diagnostic uncertainty with regard to shoulder pain. This uncertainty relates to the reliability and validity of current examination tests. The Shoulder Symptom Modification Procedure (SSMP) has been proposed as an alternative to existing approaches.ObjectiveTo evaluate interclinician reliability of the SSMP and the association of within-session and between-session changes on clinical outcome at 1 week, and at 1 and 3 months.DesignA single-centre reliability study, with prospective follow-up.MethodsTwenty-six patients with shoulder pain were recruited. Following an initial SSMP-based examination, a second examination was performed by a second physiotherapist, blinded to the results of the first examination. Clinical outcome data were completed after 1 week, 1 month and 3 months via theNumeric Pain Rating Scale and the Shoulder PainandDisability Index. Reliability was evaluated using kappa and associations were evaluated using Spearman’s r.ResultsInter-rater reliability of the SSMP was moderate (κ=0.47). Association of within-session changes ranged from fair to poor in the short term (r=0.24–0.01) to poor in the mid-term (r=−0.03). The association of between-session changes ranged from substantial to moderate in the short term (r=0.74–0.47) but slight in the mid-term (r=0.22).ConclusionsBased on this study, we cannot recommend the SSMP as a reliable tool for physical examination of patients with shoulder pain. The importance of within-session and between-session changes remains uncertain.

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Short-term response to shoulder symptoms modification procedure in patients with rotator cuff related shoulder pain: A case series

Physiotherapy ◽

10.1016/j.physio.2021.10.077 ◽

2021 ◽

Vol 113 ◽

pp. e100

Author(s):

A. Obaid ◽

N.-I. Pandey

Keyword(s):

Rotator Cuff ◽

Shoulder Pain ◽

Case Series ◽

Short Term ◽

Modification Procedure ◽

Term Response

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The Shoulder Symptom Modification Procedure (SSMP): A Reliability Study

Journal of Novel Physiotherapies ◽

10.4172/2165-7025.s3-011 ◽

2016 ◽

Vol s3 ◽

Cited By ~ 1

Author(s):

Hilla Sarig Bahat

Keyword(s):

Reliability Study ◽

Shoulder Symptom ◽

Modification Procedure

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Clinical measurement of the thoracic kyphosis. A study of the intra-rater reliability in subjects with and without shoulder pain

BMC Musculoskeletal Disorders ◽

10.1186/1471-2474-11-39 ◽

2010 ◽

Vol 11 (1) ◽

Cited By ~ 59

Author(s):

Jeremy S Lewis ◽

Rachel E Valentine

Keyword(s):

Shoulder Pain ◽

Thoracic Kyphosis ◽

Rater Reliability ◽

Clinical Measurement

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Biomechanical measures in participants with shoulder pain: Intra-rater reliability

Manual Therapy ◽

10.1016/j.math.2015.10.011 ◽

2016 ◽

Vol 22 ◽

pp. 86-93 ◽

Cited By ~ 4

Author(s):

Lori A. Michener ◽

Kevin A. Elmore ◽

Benjamin J. Darter ◽

Mark K. Timmons

Keyword(s):

Shoulder Pain ◽

Rater Reliability

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Neck and Shoulder Pain Syndromes

Medical Clinics of North America ◽

10.1016/s0025-7125(16)35094-5 ◽

1952 ◽

Vol 36 (5) ◽

pp. 1289-1307 ◽

Cited By ~ 1

Author(s):

Louis G. Howard

Keyword(s):

Shoulder Pain ◽

Pain Syndromes ◽

Neck And Shoulder Pain

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Structured Interview for Hoarding Disorder (SIHD)

European Journal of Psychological Assessment ◽

10.1027/1015-5759/a000433 ◽

2019 ◽

Vol 35 (4) ◽

pp. 512-520

Author(s):

Caterina Novara ◽

Paolo Cavedini ◽

Stella Dorz ◽

Susanna Pardini ◽

Claudio Sica

Keyword(s):

Convergent Validity ◽

Structured Interview ◽

Diagnostic Process ◽

Schizophrenia Spectrum Disorders ◽

Clinical Environment ◽

Obsessive Compulsive ◽

Rater Reliability ◽

Hoarding Disorder ◽

Compulsive Disorder ◽

Schizophrenia Spectrum

Abstract. The Structured Interview for Hoarding Disorder (SIHD) is a semi-structured interview designed to assist clinicians in diagnosing a hoarding disorder (HD). This study aimed to validate the Italian version of the SIHD. For this purpose, its inter-rater reliability has been analyzed as well as its ability to differentiate HD from other disorders often comorbid. The sample was composed of 74 inpatients who had been diagnosed within their clinical environment: 9 with HD, 11 with obsessive-compulsive disorder (OCD) and HD, 22 with OCD, 19 with major depressive disorder (MDD), and 13 with schizophrenia spectrum disorders (SSD). The results obtained indicated “substantial” or “perfect” inter-rater reliability for all the core HD criteria, HD diagnosis, and specifiers. The SIHD differentiated between subjects suffering from and not suffering from a HD. Finally, the results indicated “good” convergent validity and high scores were shown in terms of both sensitivity and specificity for HD diagnosis. Altogether, the SIHD represents a useful instrument for evaluating the presence of HD and is a helpful tool for the clinician during the diagnostic process.

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