Evidence map›Paper›PMID 36189022›Full record

ArticleFrontiers in rehabilitation sciences2022

Reliability of point-of-care shoulder ultrasound measurements for subacromial impingement in asymptomatic participants.

Xiaoning Yuan, Ryan Lowder, Kathelynn Aviles-Wetherell, Christian Skroce, Katherine V Yao, Jennifer Soo Hoo

Registry-linked trialAbstract read
In one paragraph

Article in Frontiers in rehabilitation sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06926465 (EFFICACY OF ADDING TRUNK INTEGRATED KINETIC CHAIN EXERCISES TO CONVENTIONAL EXERCISE THERAPY PROGRAM IN SUBACROMIAL IMPINGEMENT SYNDROME), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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.

NCT06926465 nacompletednot on this mapstarted 2024, after this paper: background citation

Efficacy of adding trunk integrated kinetic chain exercises to conventional exercise therapy program in subacromial impingement syndrome

TypeinterventionalSponsorCairo UniversityRan2024 to 2025Enrolled30ConditionsSubacromial ImpingementArmsConventional treatment, Trunk integrated kinetic chain exercises
3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Trial
  2. Review
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  4. Article
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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.

Xiaoning YuanDepartment of Rehabilitation Medicine, Weill Cornell Medicine, New York, NY, United States.
Ryan LowderDepartment of Rehabilitation Medicine, Weill Cornell Medicine, New York, NY, United States.
Kathelynn Aviles-WetherellDepartment of Rehabilitation Medicine, Weill Cornell Medicine, New York, NY, United States.
Christian SkroceDepartment of Rehabilitation Medicine, Weill Cornell Medicine, New York, NY, United States.
Katherine V YaoDepartment of Rehabilitation Medicine, Weill Cornell Medicine, New York, NY, United States.
Jennifer Soo HooDepartment of Rehabilitation Medicine, Weill Cornell Medicine, New York, NY, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Rehabilitation is the key to management of patients with subacromial impingement syndrome to prevent disability and loss of function. While point-of-care musculoskeletal ultrasound aids clinical diagnosis of subacromial impingement syndrome, many patients do not demonstrate the classic findings of dynamic supraspinatus tendon impingement beneath the acromion on ultrasound. The objective of this study was to establish the most reliable shoulder ultrasound measurements for subacromial impingement, by evaluating the intra-rater and inter-rater reliability of measurements in asymptomatic participants. Methods: Eighteen participants (9 women, 9 men, mean ± standard deviation: 34.6 ± 7.9 years of age) underwent bilateral shoulder ultrasound evaluations with measurements for subacromial impingement (acromiohumeral distance, acromion-greater tuberosity distance, supraspinatus tendon, subacromial-subdeltoid bursa, and subacromial-subdeltoid bursal fluid thickness) performed by two sports medicine physicians. Intra-class coefficients were calculated to determine the intra- and inter-rater reliability of shoulder ultrasound images and measurements. Results: Intra-rater reliability for acromiohumeral distance (0.76-0.79), supraspinatus tendon (0.91-0.95), subacromial-subdeltoid bursa (0.76-0.84), and subacromial-subdeltoid bursal fluid thickness (0.75-0.81) was found to be good to excellent, whereas inter-rater reliability ranged from poor to moderate. Conclusions: Acromiohumeral distance in neutral position and short axis ultrasound measurements of supraspinatus tendon, subacromial-subdeltoid bursa, and subacromial-subdeltoid bursal fluid thickness in the modified Crass position were the most reliable for subacromial impingement in asymptomatic participants. We recommend validation of these measurements in a symptomatic population to aid diagnosis and direct rehabilitation of patients with suspected subacromial impingement, and to increase point-of-care ultrasound uptake, availability, and training among rehabilitation professionals across health systems.

Indexed as

musculoskeletal ultrasoundrehabilitationreliabilityshoulder impingementshoulder pain

Identifiers

PMID36189022
PMCPMC9397902

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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.