Abstract
Study Design
Systematic review.
Introduction
Constituents of proprioception include our awareness of the position (joint position
sense [JPS]) and motion (kinesthesia) of our limbs in space. Proprioceptive deficits
are associated with musculoskeletal disorders but remain a challenge to quantify,
particularly at the shoulder.
Purpose of the Study
To report the psychometric values of validity, reliability, and responsiveness for
shoulder JPS and/or kinesthesia protocols.
Methods
A review of 5 databases was conducted from inception to July 2016 for studies reporting
a psychometric property of a shoulder proprioception protocol. The included studies
were evaluated using the QualSyst checklist and COSMIN 4-point scale.
Results
Twenty-one studies were included, yielding 407 participants and 553 evaluated shoulders
(n). The included studies support excellent methodological scores using the QualSyst
checklist (88.1 ± 9.9%) and good psychometric scores with the COSMIN for reliability
(71.1%) and moderate-to-low quality score (50%) for criterion validity. Weighted average
intraclass correlation coefficients (ICCs) for intrarater reliability were highest
for passive JPS and kinesthesia, ICC = 0.92 ± 0.07 (n = 214) and ICC = 0.92 ± 0.04 (n = 74), respectively. The most reliable movement and tool are internal rotation at
90° of abduction, ICC = 0.88 ± 0.01 (n = 53), and the dynamometer, ICC = 0.92 ± 0.88 (n = 225). Only 2 studies quantify an aspect of validity and no responsiveness indices
were reported among the included studies.
Conclusion
Based on the results of the included studies, the evaluation of shoulder proprioception
is most reliable when using a passive protocol with an isokinetic dynamometer for
internal rotation at 90° of shoulder abduction. Standardized protocols addressing
the psychometric properties of shoulder proprioception measures are needed.
Level of Evidence
Level 1a: systematic review.
Keywords
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JHT Read for Credit
Quiz: #483
Record your answers on the Return Answer Form found on the tear-out coupon at the back of this issue or to complete online and use a credit card, go to JHTReadforCredit.com. There is only one best answer for each question.
- #1.The article design is
- a.prospective
- b.RCTs
- c.a case series
- d.a systematic review
- a.
- #2.To evaluate proprioception it is key to evaluate
- a.coordination
- b.strength
- c.kinesthesia and joint position sense
- d.sensibility
- a.
- #3.Two properties measured were
- a.TTDPM and RPP
- b.AROM and PROM
- c.MMT and 2PD
- d.IBM and GNP
- a.
- #4.The strongest reliability was found to be
- a.AROM
- b.PJPS
- c.PROM
- d.TTDPM
- a.
- #5.Shoulder proprioception assessment remains a subject of psychometric contention
- a.false
- b.true
- a.
When submitting to the HTCC for re-certification, please batch your JHT RFC certificates in groups of 3 or more to get full credit.
Article info
Publication history
Accepted:
May 5,
2017
Received in revised form:
March 29,
2017
Received:
December 20,
2016
Footnotes
Conflict of interest: All named authors hereby declare that they have no conflicts of interest to disclose.
Identification
Copyright
© 2017 Hanley & Belfus, an imprint of Elsevier Inc. All rights reserved.
