Evidence map›Paper›PMID 27221128›Full record

ArticleBMJ open2016

Ultrasound assessment for grading structural tendon changes in supraspinatus tendinopathy: an inter-rater reliability study.

Kim Gordon Ingwersen, John Hjarbaek, Henrik Eshoej, Camilla Marie Larsen, Jette Vobbe, Birgit Juul-Kristensen

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01984203 (Progressive Heavy Strength Training Compared to General Low-load Exercises in Patients With Rotator Cuff Tendinopathy), which is not on this map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.8field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01984203 nacompletednot on this map

Progressive Heavy Strength Training Compared to General Low-load Exercises in Patients With Rotator Cuff Tendinopathy: a Randomized Controlled Trial

TypeinterventionalSponsorUniversity of Southern DenmarkRan2013 to 2015Enrolled100ConditionsRotator Cuff TendinitisArmsLow Load Exercises, Progressive Heavy Strength Exercises
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 35 citations in OpenAlex.

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  4. A Pilot Study of a Synchronous Virtual Ultrasound Imaging Module for Physiotherapy Education.Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Kim Gordon IngwersenDepartment of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark Department of Rehabilitation, Hospital Lillebaelt-Vejle Hospital, Vejle, Denmark.ORCID 0000-0001-6800-4532
John HjarbaekDepartment of Radiology, Musculoskeletal section, Odense University Hospital, Odense, Denmark.
Henrik EshoejDepartment of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark.
Camilla Marie LarsenDepartment of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark Health Sciences Research Centre, University College Lillebaelt, Odense, Denmark.
Jette VobbeShoulder Unit, Orthopaedic Department, Hospital Lillebaelt, Vejle Hospital, Vejle, Denmark.
Birgit Juul-KristensenDepartment of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark Department of Health Sciences, Institute of Occupational Therapy, Physiotherapy and Radiography, Bergen University College, Bergen, Norway.
University of Southern Denmark · DKOdense University Hospital · DKVejle Sygehus · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo evaluate the inter-rater reliability of measuring structural changes in the tendon of patients, clinically diagnosed with supraspinatus tendinopathy (cases) and healthy participants (controls), on ultrasound (US) images captured by standardised procedures.

methodsA total of 40 participants (24 patients) were included for assessing inter-rater reliability of measurements of fibrillar disruption, neovascularity, as well as the number and total length of calcifications and tendon thickness. Linear weighted κ, intraclass correlation (ICC), SEM, limits of agreement (LOA) and minimal detectable change (MDC) were used to evaluate reliability.

results'Moderate-almost perfect' κ was found for grading fibrillar disruption, neovascularity and number of calcifications (k 0.60-0.96). For total length of calcifications and tendon thickness, ICC was 'excellent' (0.85-0.90), with SEM(Agreement) ranging from 0.63 to 2.94 mm and MDC(group) ranging from 0.28 to 1.29 mm. In general, SEM, LOA and MDC showed larger variation for calcifications than for tendon thickness.

conclusionsInter-rater reliability was moderate to almost perfect when a standardised procedure was applied for measuring structural changes on captured US images and movie sequences of relevance for patients with supraspinatus tendinopathy. Future studies should test intra-rater and inter-rater reliability of the method in vivo for use in clinical practice, in addition to validation against a gold standard, such as MRI. TRIAL REGISTRATION NUMBER: NCT01984203; Pre-results.

Indexed as

UltrasonographyAdultCalcinosisFemaleHumansMaleMiddle AgedNeovascularization, PathologicObserver VariationReproducibility of ResultsRotator CuffTendinopathyYoung AdultReliabilityTendinopathyULTRASONOGRAPHY

Identifiers

PMID27221128
PMCPMC4885468
OpenAlexW2404073438

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.